How to improve accuracy of TKR的讲义课件.pptVIP

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How to improve accuracy of TKR的讲义课件.ppt

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How to improve accuracy of TKR的讲义课件

Conclusion Outliers more than 3 degree is very common in conventional TKR More common than imagination TKR under navigation improves alignment significantly disadvantages of navigation capital cost takes more 20mins or so pin hole complications long learning curve prenavigated personalized TKR MRI or CT based 3D recon visualized 3D pre-op planning Prototyping Signature?患者个性化定位导向系统术前MRI扫描髋-膝-踝成套数据 How to improve accuracy of TKR Traditional TKR Deformity correctionpain releasesurvival rate A successful surgery 80% Overall satisfaction patient surgeon implant===not bionic meniscus cruciate ligment bone anatomy ….. kinematics changed Neutral alignmentSoft tissue balancing Neutral alignment(Safe zone) Possibility of malaligmment in conventional TKR Greater than 3 degree malalignment 9% (CAS) vs 31.8% (Conventional) Deformity 12 degree 83% (CAS) vs 32% (Conventional) within safe zone ( 3 ) YES As little as 3 degree malalignment significantly increased the tibial pressure distribution Materials and Methods 2010.1-12 total cases : 243 M: F: 45: 198 Average age: 63y Pre-op deformity angle post-op alignment Femoral component alignment Tibial component alignment Percentage of greater than 3 degree malalignment Femoral outliers Tibial outliers Results Varus deformity: 187/243 (77%) 15 degree varus: 50/243 (21%) Valgus deformity: 14/243 (5.7%) Results mechanical axis outliers: 101/243 (41%) Tibial outliers: 21/243 (8.6%) Femoral outliers: 70/243 (29%) Initial experience of Navigated TKR started from 2011.10 32 cases varus and valgus deformity 100% within 3 degree in frontal alignment