Patellofemoral arthroplasty (PFA) is a delicate and challenging procedure. A PFA application has been developed for the Navio semi-active robotic platform (“NavioPFA”), to facilitate both planning and bone preparation. NavioPFA combines image-free navigation and planning with robotically assisted bone shaping, and is open to any implant design, provided that the feasibility and accuracy is confirmed in sawbones and cadaver tests. In this abstract we describe the accuracy tests of NavioPFA, with results for four different implant designs. The accuracy of prosthesis placement with Navio is evaluated by independent measurements that compare the final placement to the planned position.
Particulate wear debris with different chemical composition induced similar periprosthetic tissue reactions in patients with loosened uncemented and cemented titanium hip implants, which suggests that osteolysis can develop independent of particle composition. Periprosthetic osteolysis is a serious long-term complication in total hip replacements (THR). Wear debris-induced inflammation is thought to be the main cause for periprosthetic bone loss and implant loosening. The aim of the present study was to compare the tissue reactions and wear debris characteristics in periprosthetic tissues from patients with failed uncemented (UC) and cemented (C) titanium alloy hip prostheses. We hypothesised that implant wear products around two different hip designs induced periprosthetic inflammation leading to osteolysis.Summary
Introduction
