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How has Computer-Navigation changed TKR?

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Minimally Invasive Total Joint Arthroplasty

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Abstract

Since the design of the first total condylar knee replacement in 1974, knee arthroplasty surgery has remained one of the most successful procedures in orthopedics. Despite the procedure gaining good 90% long-term follow-up [1–2], there remains a large number (20–40%) of patients who are dissatisfied with the procedure [3–5]. This may be related to patello-femoral pain, medial impingement, instability, increased wear or early failure. A number of studies [6–11] have highlighted the incidence of patello-femoral complications and its relationship to femoral component mal-rotation [12–15]. Polyethylene wear is multifactorial; however, it is accepted that more then 3° of mal-alignment in a coronal plane will lead to differing loading patterns on the tibial polyethylene inserts, and more wear [16, 17]. No thought has yet been given to combinations of mal-alignment, e.g. varus, internal rotation and flexion of the femoral component and in a large series [18] of 212 consecutive TKR revisions, 25% of patients had significant polyethylene wear.

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Authors
  1. D. Lucas
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  2. T. Bishop
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  3. S. K. Chauhan
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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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Lucas, D., Bishop, T., Chauhan, S.K. (2004). How has Computer-Navigation changed TKR?. In: Hozack, W.J., et al. Minimally Invasive Total Joint Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59298-0_39

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  • DOI: https://doi.org/10.1007/978-3-642-59298-0_39

  • 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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