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Electromagnetic Navigation in Total Knee Arthroplasty

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Minimally Invasive Surgery in Orthopedics

Abstract

Accurate limb alignment in total knee arthroplasty is an essential part of the reconstructive procedure. Good alignment has been shown to correlate with improved outcomes. Malalignment of components greater than 3–4 degrees may be associated with early failure. Electromagnetic navigation is one form of navigation that does not depend upon a line-of-site technology and can help improve the technical result.

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References

  1. Bargren JH, Blaha JD, Freeman MA. Alignment in total knee arthroplasty. Correlated biomechanical and clinical observations. Clin Orthop Relat Res. 1983;173:178–83.

    Google Scholar 

  2. Hvid I, Nielsen S. Total condylar knee arthroplasty. Prosthetic component positioning and radiolucent lines. Acta Orthop Scand. 1984;55(2):160–5.

    Article  CAS  PubMed  Google Scholar 

  3. Jeffery RS, Morris RW, Denham RA. Coronal alignment after total knee replacement. J Bone Joint Surg (Br). 1991;73(5):709–14.

    CAS  Google Scholar 

  4. Kim SJ, MacDonald M, Hernandez J, Wixson RL. Computer assisted navigation in total knee arthroplasty: improved coronal alignment. J Arthroplasty. 2005;20(7 Suppl 3):123–31.

    Article  PubMed  Google Scholar 

  5. Lotke PA, Ecker ML. Influence of positioning of prosthesis in total knee replacement. J Bone Joint Surg Am. 1977;59(1):77–9.

    CAS  PubMed  Google Scholar 

  6. Ritter MA, Faris PM, Keating EM, Meding JB. Postoperative alignment of total knee replacement. Its effect on survival. Clin Orthop Relat Res. 1994;299:153–6.

    Google Scholar 

  7. Wasielewski RC, Galante JO, Leighty RM, Natarajan RN, Rosenberg AG. Wear patterns on retrieved polyethylene tibial inserts and their relationship to technical considerations during total knee arthroplasty. Clin Orthop Relat Res. 1994;299:31–43.

    Google Scholar 

  8. Bono JV, Roger DJ, Laskin RS, Peterson MG, Paulsen CA. Tibial intramedullary alignment in total knee arthroplasty. Am J Knee Surg. 1995;8(1):7–11.

    CAS  PubMed  Google Scholar 

  9. Cates HE, Ritter MA, Keating EM, Faris PM. Intramedullary versus extramedullary femoral alignment systems in total knee replacement. Clin Orthop Relat Res. 1993;286:32–9.

    Google Scholar 

  10. Dennis DA, Channer M, Susman MH, Stringer EA. Intramedullary versus extramedullary tibial alignment systems in total knee arthroplasty. J Arthroplasty. 1993;8(1):43–7.

    Article  CAS  PubMed  Google Scholar 

  11. Evans PD, Marshall PD, McDonnell B, Richards J, Evans EJ. Radiologic study of the accuracy of a tibial intramedullary cutting guide for knee arthroplasty. J Arthroplasty. 1995;10(1):43–6.

    Article  CAS  PubMed  Google Scholar 

  12. Ishii Y, Ohmori G, Bechtold JE, Gustilo RB. Extramedullary versus intramedullary alignment guides in total knee arthroplasty. Clin Orthop Relat Res. 1995;318:167–75.

    Google Scholar 

  13. Reed SC, Gollish J. The accuracy of femoral intramedullary guides in total knee arthroplasty. J Arthroplasty. 1997;12(6):677–82.

    Article  CAS  PubMed  Google Scholar 

  14. Teter KE, Bregman D, Colwell CW Jr. The efficacy of intramedullary femoral alignment in total knee replacement. Clin Orthop Relat Res. 1995;321:117–21.

    Google Scholar 

  15. Anderson KC, Buehler KC, Markel DC. Computer assisted navigation in total knee arthroplasty: comparison with conventional methods. J Arthroplasty. 2005;20(7 Suppl 3):132–8.

    Article  PubMed  Google Scholar 

  16. Bathis H, Perlick L, Tingart M, Luring C, Perlick C, Grifka J. Radiological results of image-based and non-image-based computer-assisted total knee arthroplasty. Int Orthop. 2004;28(2):87–90. Epub 2004 Jan 17.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Bathis H, Perlick L, Tingart M, Luring C, Zurakowski D, Grifka J. Alignment in total knee arthroplasty. A comparison of computer-assisted surgery with the conventional technique. J Bone Joint Surg (Br). 2004;86(5):682–7.

    Article  CAS  Google Scholar 

  18. Bolognesi M, Hofmann A. Computer navigation versus standard instrumentation for TKA: a single-surgeon experience. Clin Orthop Relat Res. 2005;440:162–9.

    Article  PubMed  Google Scholar 

  19. Chauhan SK, Scott RG, Breidahl W, Beaver RJ. Computer-assisted knee arthroplasty versus a conventional jig-based technique. A randomized, prospective trial. J Bone Joint Surg (Br). 2004;86(3):372–7.

    Article  CAS  Google Scholar 

  20. Decking R, Markmann Y, Fuchs J, Puhl W, Scharf HP. Leg axis after computer-navigated total knee arthroplasty: a prospective randomized trial comparing computer-navigated and manual implantation. J Arthroplasty. 2005;20(3):282–8.

    Article  PubMed  Google Scholar 

  21. Hankemeier S, Hufner T, Wang G, Kendoff D, Zheng G, Richter M, Gosling T, Nolte L, Krettek C. Navigated intraoperative analysis of lower limb alignment. Arch Orthop Trauma Surg. 2005;12:1–5.

    Google Scholar 

  22. Matsumoto T, Tsumura N, Kurosaka M, Muratsu H, Kuroda R, Ishimoto K, Tsujimoto K, Shiba R, Yoshiya S. Prosthetic alignment and sizing in computer-assisted total knee arthroplasty. Int Orthop. 2004;28(5):282–5. Epub 2004 Aug 14.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Perlick L, Bathis H, Tingart M, Perlick C, Grifka J. Navigation in total-knee arthroplasty: CT-based implantation compared with the conventional technique. Acta Orthop Scand. 2004;75(4):464–70.

    Article  PubMed  Google Scholar 

  24. Sparmann M, Wolke B, Czupalla H, Banzer D, Zink A. Positioning of total knee arthroplasty with and without navigation support. A prospective, randomized study. J Bone Joint Surg (Br). 2003;85(6):830–5.

    CAS  Google Scholar 

  25. Victor J, Hoste D. Image-based computer-assisted total knee arthroplasty leads to lower variability in coronal alignment. Clin Orthop Relat Res. 2004;428:131–9.

    Google Scholar 

  26. Plaskos C, Hodgson AJ, Inkpen K, McGraw RW. Bone cutting errors in total knee arthroplasty. J Arthroplasty. 2002;17(6):698–705.

    Article  PubMed  Google Scholar 

  27. Stockl B, Nogler M, Rosiek R, Fischer M, Krismer M, Kessler O. Navigation improves accuracy of rotational alignment in total knee arthroplasty. Clin Orthop Relat Res. 2004;426:180–6.

    Google Scholar 

  28. Stiehl JB. Comparison of imageless and electromagnetic referencing protocols in total knee arthroplasty. Presented at the closed meeting of The Knee Society, September, 2006.

    Google Scholar 

  29. Hall-Rollins J. Lower limb. In: Bontrager KL, editor. Textbook of radiographic positioning and related anatomy. St. Louis: Mosby; 2001. p. 231.

    Google Scholar 

  30. Lonner JH, Laird MT, Stuchin SA. Effect of rotation and knee flexion on radiographic alignment in total knee arthroplasties. Clin Orthop Relat Res. 1996;331:102–6.

    Google Scholar 

  31. Swanson KE, Stocks GW, Warren PD, Hazel MR, Janssen HF. Does axial limb rotation affect the alignment measurements in deformed limbs? Clin Orthop Relat Res. 2000;371:246–52.

    Google Scholar 

  32. Laskin RS. Alignment of total knee components. Orthopedics. 1984;7:62–72.

    CAS  PubMed  Google Scholar 

  33. Petersen TL, Engh GA. Radiographic assessment of knee alignment after total knee arthroplasty. J Arthroplasty. 1988;3(1):67–72.

    Article  CAS  PubMed  Google Scholar 

  34. Hsu RW, Himeno S, Coventry MB, Chao EY. Normal axial alignment of the lower extremity and load-bearing distribution at the knee. Clin Orthop Relat Res. 1990;255:215–27.

    Google Scholar 

  35. Stulberg D. How accurate is current TKR instrumentation? Clin Orthop Relat Res. 2003;416:177–84.

    Google Scholar 

  36. Robinson M, Eckhoff DG, Reinig KD, Bagur MM, Bach JM. Variability of landmark identification in total knee arthroplasty. Clin Orthop Relat Res. 2006;442:57–62.

    Article  PubMed  Google Scholar 

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Correspondence to Alfred J. Tria .

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Alan, R.K., Tria, A.J. (2016). Electromagnetic Navigation in Total Knee Arthroplasty. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-319-34109-5_117

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  • DOI: https://doi.org/10.1007/978-3-319-34109-5_117

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34107-1

  • Online ISBN: 978-3-319-34109-5

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