0
Scientific Exhibits   |    
Intraoperative Assessment of Bone Cuts to Guide Surgical Technique During Total Knee Arthroplasty
W. Andrew Hodge, MD; Sabine Schmitt, MD; Melinda Harman, PhD; Kim Mitchell, BS; Scott Banks, PhD
The Journal of Bone & Joint Surgery.  2007; 89:137-143  doi:10.2106/JBJS.G.00585
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Extract

Correction of deformity with bone resection matched to the thickness of the prosthesis is a required surgical placement (Fig. 1). Current instrumentation used during total Cstrategy to achieve a well-functioning total knee re-knee arthroplasty consists of external jigs that surgeons manually align to achieve proper bone cuts and implant position. However, alignment errors of 3° to 5° can occur, contributing to improper component and limb alignment. Verification of templating and instrument alignment can be approached intraoperatively with a low-tech method (i.e., measuring the removed bone with calipers and recording the measurement on a pathway grid) or a high-tech method (i.e., computer-assisted surgical navigation). Such intraoperative measurement of bone resection during total knee arthroplasty creates a pathway for identifying surgical errors early in the decision-making process, when it is easy to make compensatory adjustments with the remaining cuts. This aids the identification of the location and timing of compounding errors.
Figures in this Article
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $30
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org
    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Efficacy and late complications of percutaneous epiphysiodesis with transphyseal screws.
    The Journal of bone and joint surgery. British volume: Issue date- 2012 Feb
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center