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Image-Free Navigation for TKA — Surgical Technique

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Minimally Invasive Total Joint Arthroplasty

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Abstract

While the goal of total knee arthroplasty is the restoration of a quality of life by eliminating pain and improving function, it is clear to most knee-replacement surgeons that this goal is not always achieved. Sharkey et al. [1] reviewed 203 consecutive total knee revisions and found that greater than one-half of these revisions were performed within 2 years of index arthroplasty and one third of these were due to instability, mal-alignment or mal-position (usually avoidable problems). Similarly, Fehring et al. [2] reported on 440 patients who underwent revision total knee arthroplasty and found that 63% of patients required revision surgery within 5 years of their index arthroplasty, 27% were due to instability. It is quite evident that current instrumentation systems leave room for improvement. Stulberg [3] used navigation to assess the position of knee components implanted with traditional methods and found that only 4 of 20 knees were implanted within 3° of ideal component position in all planes. Conversely, occasionally a surgeon performs an operation in which the patient has a near perfect result.

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Authors
  1. G. R. Klein
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  2. W. J. Hozack
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Editor information

Editors and Affiliations

  1. Jefferson Medical School, Rothman Institute Orthopedics, 925 Chestnut Street, 19107, Philadelphia, PA, USA

    William J. Hozack M.D. (Professor of Orthopedic Surgery) (Professor of Orthopedic Surgery)

  2. Department for Orthopaedics, Medical University Innsbruck, Anichstrasse 35, A-6020, Innsbruck, Austria

    Martin Krismer M.D. (Full Professor), Michael Nogler M.D., M.A., M.A.S., M.Sc. (Associate Professor) & Franz Rachbauer M.D., M.A.S., M.Sc. (Associate Professor) (Full Professor),  (Associate Professor) &  (Associate Professor)

  3. Bonutti Clinic, 1303 West Evergreen Avenue, 62401, Effingham, Illinois, USA

    Peter M. Bonutti MD, FACS (Associate Clinical Professor) (Associate Clinical Professor)

  4. Department of Orthopaedic Surgery, University of Arkansas, USA

    Peter M. Bonutti MD, FACS (Associate Clinical Professor) (Associate Clinical Professor)

  5. Information Technology Division, e-Cleveland Clinic The Cleveland Clinic, 9500 Euclid Avenue, Desk A-41, 44195, Cleveland, Ohio, USA

    Jonathan L. Schaffer M.D., MBA (Managing Director) (Managing Director)

  6. Brisbane Orthopaedic Specialist Services, Holy Spirit Hospital, Level 7, Suite 1, Wickham Terrace, 4000, Brisbane, QLD, Australia

    William J. Donnelly Dr. (Orthopedic Surgeon) (Orthopedic Surgeon)

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© 2004 Springer Medizin Verlag Heidelberg

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Klein, G.R., Hozack, W.J. (2004). Image-Free Navigation for TKA — Surgical Technique. In: Hozack, W.J., et al. Minimally Invasive Total Joint Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59298-0_33

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  • DOI: https://doi.org/10.1007/978-3-642-59298-0_33

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63926-5

  • Online ISBN: 978-3-642-59298-0

  • eBook Packages: Springer Book Archive

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