ORTHOPEDIC PRODUCT PORTFOLIO

KNEE NAVIGATION

KNEE ARTHROPLASTY KNEE ARTHROPLASTY – THE CHALLENGES A lot of revisions need to be done in the first two years after the surgery. Reasons for early revisions are:  Instability  Polyethylene wear and aseptic loosening  Patellofemoral problems Main challenges of knee replacement surgeries:  Accurate mechanical alignment  Soft tissue balance (Stability)

KNEE ARTHROPLASTY KNEE ARTHROPLASTY – THE SOLUTION Benefits of CAS for knee surgeries:  CAS allows preoperative planning and peri-operative intervention  Precise implant positioning  Low volume and younger surgeons have a shorter learning curve  CAS improves ligament balancing  Ligament balancing can be achieved over full range of motion for assessment of functional performance  Restore stability and function  Straight alignment is hard to see in surgery, manual alignment guides fail to deliver 3D measurements. CAS delivers accurate alignment.

Key Values of Navigation Outcome Cost Effectiveness Mechanical Alignment Functional Outcomes Soft Tissue Balancing Less Revisions Less blood loss Shorter length of hospital stay Less Revisions Additional benefits of CAS KNEE ARTHROPLASTY KNEE ARTHROPLASTY – VALUES OF CAS FOR TKA

HIP NAVIGATION

Main challenges of hip replacement surgeries:  Accurate component positioning and therefore risk of malpositioning  Restoration of leg length and joint offset HIP ARTHROPLASTY HIP ARTHROPLASTY – THE CHALLENGES Adverse outcome Dislocation Implant wear

HIP ARTHROPLASTY HIP ARTHROPLASTY – THE SOLUTION Benefits of CAS for hip surgeries  Reproducible and accurate component positioning, associated with:  Longer implant longevity  Less revision rates  Less dislocation rates and other adverse outcomes  Ensures always accurate restoration of leg length and joint offset, associated with:  Higher quality of life and patient satisfaction  Lower dislocation rates  It is superior to mechanical alignment guides  Enables minimally invasive surgery

HIP ARTHROPLASTY HIP NAVIGATION – OUR OPTIONS Total Hip Replacement Hip Resurfacing

TRAUMA NAVIGATION

TRAUMATOLOGY TRAUMA SURGERY – THE CHALLENGES Main challenges in Traumatology  Emergencies: narrow time frame  Minimum planning  Bad biomechanical results  Big access-related Trauma  Expensive revisions  Long and expensive hospitalization  High x-ray exposure

Benefits of CAS for Traumatology  Enables intra-operative planning  May reduce access related trauma  Improves biomechanical results  May shorten hospitalization  May reduce revisions  Reduction of x-ray exposure TRAUMATOLOGY TRAUMA NAVIGATION – THE SOLUTION Bone man

The xSpot brings the images of C-arms into navigation and fits optimally to surgical workflows:  Freehand guidance: no fixation to C-arm  Intuitive integration in navigation workflow  Automatic registration of intra-operative imaging  Seamless direct transition from C-arm TRAUMATOLOGY THE xSPOT– SIMPLIFIED IMAGE ACQUISITION

SPINE NAVIGATION

SPINE SURGERY SPINE SURGERY– THE CHALLENGES Main challenges of Spine surgery  Limited field of view / ambiguous anatomical landmarks  Narrow access  Vulnerable anatomic structures  No visualization of landmarks at all for MIS

SPINE SURGERY SPINE NAVIGATION – SOLUTION Benefits of Spine Navigation  Accurate placement of pedicle screws  Helps avoiding critical structures / soft-tissue trauma  Reduced radiation exposure to patient and surgical team  May reduce reoperation rate  Navigation-ready instruments for spine navigation or quick and easy integration of 3rd party instruments  Instrument-Integration Partners:

SPINE SURGERY SPINE NAVIGATION – OUR OPTIONS Various options of using navigation for spinal surgeries 1) Spine navigation with preoperative planning 2) Spine navigation with preoperative CT 3) With intra-operative CT (ICT) 4) With intra-operative 3D C-Arm scans or 2D C-Arm images

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