Total knee arthroplasty with a novel navigation system within the surgical field.

Total knee arthroplasty is a common procedure, and current navigation systems are gradually gaining acceptance for improving surgical accuracy and clinical outcomes. A new navigation system used within the surgical field, iAssist, has demonstrated reproducible accuracy in component alignment. All orientation information is captured by small electronic pods and transmitted via a local wireless network, which directs the surgical workflow automatically to the femoral and tibial resection instruments. This simple and accurate navigation system used completely in the surgical field, without optical trackers or preoperative imaging, seems to be the latest generation of smart instrumentation for total knee arthroplasty.

[1]  Denis Nam,et al.  Radiographic analysis of a hand-held surgical navigation system for tibial resection in total knee arthroplasty. , 2011, The Journal of arthroplasty.

[2]  J. Bryan,et al.  Comparison of patient-specific instruments with standard surgical instruments in determining glenoid component position: a randomized prospective clinical trial. , 2012, The Journal of bone and joint surgery. American volume.

[3]  T. Schneider,et al.  Minimally invasive computer-navigated total knee arthroplasty. , 2009, The Orthopedic clinics of North America.

[4]  Denis Nam,et al.  Accelerometer-based, portable navigation vs imageless, large-console computer-assisted navigation in total knee arthroplasty: a comparison of radiographic results. , 2013, The Journal of arthroplasty.

[5]  M. Ritter The Anatomical Graduated Component total knee replacement: a long-term evaluation with 20-year survival analysis. , 2009, The Journal of bone and joint surgery. British volume.

[6]  S. Yeo,et al.  Computer-assisted minimally invasive total knee arthroplasty compared with standard total knee arthroplasty. Surgical technique. , 2009, The Journal of bone and joint surgery. American volume.

[7]  A. Ferretti,et al.  Blood loss in computer-assisted mobile bearing total knee arthroplasty. A comparison of computer-assisted surgery with a conventional technique , 2009, International Orthopaedics.

[8]  Peter F. M. Choong,et al.  Does accurate anatomical alignment result in better function and quality of life? Comparing conventional and computer-assisted total knee arthroplasty. , 2009, The Journal of arthroplasty.

[9]  K. Daniilidis,et al.  Frontal plane alignment after total knee arthroplasty using patient-specific instruments , 2012, International Orthopaedics.

[10]  Joo H. Kim,et al.  The potential of accelerometers in the evaluation of stability of total knee arthroplasty. , 2013, The Journal of arthroplasty.

[11]  Wei-Hsiu Hsu,et al.  Comparison of computer-assisted navigation and conventional instrumentation for bilateral total knee arthroplasty. , 2009, The Journal of arthroplasty.

[12]  A. Beurskens,et al.  The use of patient-specific measurement instruments in the process of goal-setting: a systematic review of available instruments and their feasibility , 2013, Clinical rehabilitation.

[13]  K. Daniilidis,et al.  A comparison of conventional and patient-specific instruments in total knee arthroplasty , 2014, International Orthopaedics.

[14]  J M Sikorski,et al.  Computer-assisted total knee replacement. , 2005, The Journal of bone and joint surgery. British volume.

[15]  J M Sikorski,et al.  Alignment in total knee replacement. , 2008, The Journal of bone and joint surgery. British volume.

[16]  A. Mullaji,et al.  Computer-assisted total knee arthroplasty for arthritis with extra-articular deformity. , 2009, Journal of Arthroplasty.

[17]  G. Engh,et al.  Radiographic assessment of knee alignment after total knee arthroplasty. , 1988, The Journal of arthroplasty.

[18]  Ralph E. Carter,et al.  Experience with computer-assisted navigation for total knee arthroplasty in a community setting. , 2008, The Journal of arthroplasty.

[19]  J M Sikorski,et al.  Computer-assisted total knee replacement. A controlled cadaver study using a multi-parameter quantitative CT assessment of alignment (the Perth CT Protocol). , 2004, The Journal of bone and joint surgery. British volume.

[20]  M. Ritter,et al.  The effect of alignment and BMI on failure of total knee replacement. , 2011, The Journal of bone and joint surgery. American volume.