Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Total knee arthroplasty--navigation as the standard].

L Kinzl1, F Gebhard, P Keppler

  • 1Abteilung für Unfallchirurgie, Hand- und Wiederherstellungschirurgie, Universität Ulm.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 17, 2004
PubMed
Summary

Navigated total knee arthroplasty (TKA) using imageless kinematic systems significantly improves mechanical axis alignment in knee replacement surgery. While not yet standard, this technology shows promise for future TKA procedures.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Infection from Baltic Sea water requires extensive mesh-skin transplantation at the University Hospital Ulm].

Unfallchirurgie (Heidelberg, Germany)·2024
Same author

[Minimally invasive stabilization of acetabular fractures with virtual navigation combined with robot-assisted 3D imaging].

Operative Orthopadie und Traumatologie·2024
Same author

Spine surgery in a state-of-the-art hybrid operating room: an experience of 1745 implanted pedicle screws in the thoracolumbar spine.

Journal of robotic surgery·2023
Same author

Correction to: Radiation exposure for intraoperative 3D scans in a hybrid operating room: how to reduce radiation exposure for the surgical team.

International journal of computer assisted radiology and surgery·2022
Same author

Accuracy of screw stabilization of the dorsal pelvic ring using a hybrid operating room: 5 Year experience in a level 1 trauma center.

Injury·2021
Same author

Correction to: Radiation exposure for the surgical team in a hybrid-operating room.

Journal of robotic surgery·2021

Area of Science:

  • Orthopedic Surgery
  • Medical Technology
  • Biomechanical Engineering

Background:

  • Computer-assisted surgery, particularly navigated total knee arthroplasty (TKA), is increasingly common.
  • Imageless kinematic navigation systems have gained significant acceptance in the last five years.
  • Accurate mechanical axis alignment is crucial for long-term TKA outcomes.

Purpose of the Study:

  • To evaluate the impact of navigated TKA on mechanical axis alignment.
  • To discuss the role of navigation systems in achieving optimal component positioning and ligament balancing.
  • To assess the current evidence regarding functional outcomes and complication rates in navigated TKA.

Main Methods:

  • Review of prospective randomized studies on imageless kinematic navigation systems in TKA.

Related Experiment Videos

  • Analysis of factors influencing long-term TKA results beyond mechanical axis alignment.
  • Consideration of additional costs and operative time associated with navigation systems.

    • Main Results:

    • Navigated TKA significantly reduces the standard deviation of the mechanical axis.
    • No studies have yet demonstrated significantly better functional results, faster recovery, or reduced complications.
    • Navigation systems add 15-20 minutes to operation time and incur additional costs.

    Conclusions:

    • Navigated TKA improves mechanical axis accuracy but does not yet guarantee superior functional outcomes.
    • Ligament balancing and component positioning in all planes remain critical factors.
    • While not standard, navigated TKA is progressing towards becoming the future gold standard in knee replacement surgery.