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COMPUTER ASSISTED TOTAL KNEE REVISION



Abstract

A computer assisted technique for TKA Revision is presented. It is based on the use of a navigation system, RTKANav consisting of anl optical localizer, a dedicated software specifically done for TKA revision and some navigated tools developed for this application.

The system doesn’t use any patient model derived from medical images, but on the system interface patient anatomy model is represented with dots and lines corresponding to acquired landmarks and data derived from them. These data describe the main anatomical features and provide the surgeon with the main references for the intervention; angles between the mechanical axes can be controlled and monitored at any time.

Even if during acquisition phase some specific points can not be identified, since for each prosthetic component several criteria to set each degree of freedom are considered and compared, the system is always able suggest an intervention plan.

The system provides the surgeon with tools to analyse and modify the proposed plan, and to reproduce it on the patient.

Navigated technique validation is under development. Till now it was used on two patients by an expert surgeon. Computer guidance showed early promising results providing the surgeon with useful indications achieve a satisfactory prosthesis implant.

Correspondence should be addressed to Ariella Neustadt at Studio EGA, Professional Congress Organisers, Viale Tiziano, 19 - 00196, Rome - Italy.