Abstract
Image-free computer-assisted surgery systems have been used worldwide for total knee arthroplasty (TKA). We present a computed tomography (CT)-based system that provides preoperative images. Although there is additional cost for preoperative CT-based navigation, it provides useful kinematic data to surgeons for preoperative planning and in the operating room without imageless navigation. In addition to rotation, varus/valgus instability, and anteroposterior translation data, a recent CT-based navigation system provides information about changes in the lengths of the cruciate ligaments during all ranges of movement. Our preliminary results suggest that intraoperative knee kinematics can predict postoperative in vivo kinematics. Reconstructed knee kinematics is one of the key issues for improving patients’ satisfaction after TKA. The CT-based navigation system also supports the surgical procedure by optimizing soft tissue balance, with good clinical results.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM. Insall Award paper. Why are total knee arthroplasties failing today? Clin Orthop Relat Res. 2002;(404):7–13.
Bourne RB, Chesworth B, Davis A, Mahomed N, Charron K. Comparing patient outcomes after THA and TKA: is there a difference? Clin Orthop Relat Res. 2010;468(2):542–6.
Scott CE, Howie CR, MacDonald D, Biant LC. Predicting dissatisfaction following total knee replacement: a prospective study of 1217 patients. J Bone Joint Surg Br. 2010;92(9):1253–8.
Bae DK, Song SJ. Computer assisted navigation in knee arthroplasty. Clin Orthop Surg. 2011;3(4):259–67.
Jenny JY, Boeri C. Low reproducibility of the intra-operative measurement of the transepicondylar axis during total knee replacement. Acta Orthop Scand. 2004;75(1):74–7.
Matziolis G, Krocker D, Weiss U, Tohtz S, Perka C. A prospective, randomized study of computer-assisted and conventional total knee arthroplasty. Three-dimensional evaluation of implant alignment and rotation. J Bone Joint Surg Am. 2007;89(2):236–43.
Yokoyama Y, Abe N, Fujiwara K, Suzuki M, Nakajima Y, Sugita N, Mitsuishi M, Nakashima Y, Ozaki T. A new navigation system for minimally invasive total knee arthroplasty. Acta Med Okayama. 2013;67(6):351–8.
Fujito T, Tomita T, Futai K, Yamazaki T, Kono K, Yoshikawa H, Sugamoto K. In vivo kinematic analysis of total knee arthroplasty: comparison between intra- and post-operative measurements. Orthop Proc. 2017;29:2393–6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Tomita, T., Fujito, T., Kiyotomo, D., Futai, K., Sugamoto, K. (2018). CT-Based Navigation for Total Knee Arthroplasty. In: Sugano, N. (eds) Computer Assisted Orthopaedic Surgery for Hip and Knee. Springer, Singapore. https://doi.org/10.1007/978-981-10-5245-3_2
Download citation
DOI: https://doi.org/10.1007/978-981-10-5245-3_2
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-5244-6
Online ISBN: 978-981-10-5245-3
eBook Packages: MedicineMedicine (R0)