Posttraumatische Gonarthrose View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-09

AUTHORS

A. Martin, O. Wohlgenannt, M. Prenn, A. von Strempel

ABSTRACT

Different studies confirmed the increased radiological implantation accuracy for computer-assisted total knee replacements. There was no study stating a significant influence of the navigation technique for total knee arthroplasties on the early clinical outcomes. In these two case reports we try to show special indications for a navigated total knee replacement to utilize the benefits of a navigation system as efficiently as possible.Case 1 had a femoral neck fracture 3 years ago and was treated with a long femoral gamma nail. The hardware was still retained. Case 2 had a fracture of the femoral diaphysis 31 years ago and showed an extra-articular deformity in the frontal and sagittal planes. Both patients developed osteoarthritis of the ipsilateral knee and were implanted with a total knee prosthesis using a navigation system.In both cases the prosthesis components showed perfect radiological alignment. The clinical outcomes at the 3-month follow-up were very satisfying. In case 1 the femoral nail did not have to be removed, thus decreasing surgery duration by 40-60 min.In both cases, the impossibility of using a femoral intramedullary alignment rod could be compensated for by the navigation system. More... »

PAGES

754-758

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00113-007-1391-7

DOI

http://dx.doi.org/10.1007/s00113-007-1391-7

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PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18301874


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43 schema:description Different studies confirmed the increased radiological implantation accuracy for computer-assisted total knee replacements. There was no study stating a significant influence of the navigation technique for total knee arthroplasties on the early clinical outcomes. In these two case reports we try to show special indications for a navigated total knee replacement to utilize the benefits of a navigation system as efficiently as possible.Case 1 had a femoral neck fracture 3 years ago and was treated with a long femoral gamma nail. The hardware was still retained. Case 2 had a fracture of the femoral diaphysis 31 years ago and showed an extra-articular deformity in the frontal and sagittal planes. Both patients developed osteoarthritis of the ipsilateral knee and were implanted with a total knee prosthesis using a navigation system.In both cases the prosthesis components showed perfect radiological alignment. The clinical outcomes at the 3-month follow-up were very satisfying. In case 1 the femoral nail did not have to be removed, thus decreasing surgery duration by 40-60 min.In both cases, the impossibility of using a femoral intramedullary alignment rod could be compensated for by the navigation system.
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