Abstract
Prosthetic replacement arthroplasty has revolutionised surgical treatment for arthritis of hip and knee joints, but as time passes, the number of failures, (mainly) due to loosening of the implant, increases. Although poor design and material features have a recognised importance in loosening, a malpositioned prosthesis must carry the greatest responsibility [1–4]. The precision involved in the manufacturing process of the implant is set to a level of tolerance ±0. 2 mm. This is, in all likelihood, a factor of over ten times greater precision than current bone cutting/placement techniques. The geometric accuracy employed in the construction of the implants sets a standard to be emulated in the orientation and accurate placement of the prosthesis; it recommends a comparably high level of placemealignment accuracy for the bone cuts.
Questor is the copyright name given to orthopaedic devices developed by the Clinical Mechanics Group at Queen’s University, Kingston, Ontario, Canada
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References
Lotke PA, Ecker ML (1977) Influence of positioning of prosthesis in total knee replacement. J Bone Joint Surg [Am] 59:77–79
Hvid I, Nielsen S (1984) Total condylar knee arthroplasty. Prosthetic component positioning and radiolucent lines. Acta Orthop Scand 55:160–165
Kagan A II (1977) Mechanical causes of loosening in knee joint replacement. J Bio-mech 10:387–391
Bargren JH, Blaka JD, Freeman MAR (1986) Alignment in total knee arthroplasty — correlated biomechanical and clinical observations. Clin Orthop 173:178–183
Bargren JH, Freeman MAR, Swanson SAV, Todd RC (1976) ICLH (Freeman/Swan-son) arthroplasty in the treatment of arthritis knee, a two to four-year review. Clin Or-thop 120:65
Insall J et al. (1979) The total condylar knee prosthesis: the first 5 years. Clin Orthop 68:77
Townley CO (1985) The anatomic total knee resurfacing arthroplasty. Clin Orthop 192:82–96
Cloutier JM (1983) Results of total knee arthroplasty with a nonconstrained prosthesis. J Bone Joint Surg [Am] 65(7):906–919
Hungerford DS, Krackow KA, Kenna RV (1980) The Howmedica universal total knee instrument system. Howmedica, Rutherford, NJ
Hungerford DS, Krackow KA, Kenna RV (1982) The porous coated anatomic total knee. Orthop Clin North Am 13(1):103
Hungerford DS, Krackow KA (1985) Total joint arthroplasty of the knee. Clin Orthop 192:23, 33
Greenberg RL, Kenna RV, Hungerford DS, Krackow KA (1984) Instrumentation for total knee arthroplasty. In: Hungerford DS, Krackow KA, Kenna RV (eds) Total knee arthroplasty: a comprehensive approach. Williams and Wilkins, Baltimore, pp 36–40
Krackow KA (1983) Approaches to planning lower extremity alignment for total knee arthroplasty and osteotomy about the knee. Adv Orthop Surg 7:69
Wevers HW, Espin E, Cooke TDV (1987) Orthopaedic sawblades. A case study. J Arthroplasty 2:43–46
Cameron HU, Pileiar RM, Macnab I (1976) The rate of bone ingrowth into porous metal. J Biomed Mater Res 10:195–302
Bobyn JD, Pilliar RM, Cameron HU, Weatherley GC (1981) Osteogenic phenomena across endosteal bone-implant spaces with porous surfaced intramedullary implants. Acta Orthop Scand 52:145–153
Cooke TDV, Saunders G, Siu D, Yoshioka Y, Wevers H (1985) Universal bone cutting device for precision knee replacement arthroplasty and osteotomy. J Biomed Eng 7:45–50
Yoshioka Y, Siu DW, Cooke TDV (1987) The anatomy and functional axes of the femur. J Bone Joint Surg [Am] 69:873–880
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© 1988 Springer-Verlag Berlin Heidelberg
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Cooke, T.D.V., Harada, Y., Saunders, G., Siu, D., Wevers, H., Yoshioka, Y. (1988). Application of Bench-Mounted Saws for Precision Replacement Arthroplasty of the Arthritic Knee — The Questor Systems. In: Müller, W., Hackenbruch, W. (eds) Surgery and Arthroscopy of the Knee. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72782-5_110
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DOI: https://doi.org/10.1007/978-3-642-72782-5_110
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