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Unicompartmental Knee Arthroplasty with Use of Novel Patient-Specific Resurfacing Implants and Personalized Jigs by Wolfgang Fitz J Bone Joint Surg Am.

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Presentation on theme: "Unicompartmental Knee Arthroplasty with Use of Novel Patient-Specific Resurfacing Implants and Personalized Jigs by Wolfgang Fitz J Bone Joint Surg Am."— Presentation transcript:

1 Unicompartmental Knee Arthroplasty with Use of Novel Patient-Specific Resurfacing Implants and Personalized Jigs by Wolfgang Fitz J Bone Joint Surg Am Volume 91(Supplement 1):69-76 February 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.

2 Implants and instrumentation are derived from computed tomographic scans and full-length radiographs of the limb. Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.

3 Instrumentation and implants are delivered in one sterile box. Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.

4 The patient-specific navigation and balancing block matches the tibial surface and comes in 1- mm increments. Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.

5 Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.

6 Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.

7 Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.

8 Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.

9 Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.

10 The cutting block is attached to the extramedullary alignment guide and, while protecting the medial collateral ligament with a retractor, the horizontal tibial cut is completed. Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.

11 After complete removal of all cartilage and osteophytes, the femoral iJig is placed on the condyle. Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.

12 Final femoral preparation: preparation of the anterior recess; rounding of the edge, transitioning to the flat posterior cut; and drilling multiple small holes for cement interdigitation. Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.

13 Trial components are inserted for a final assessment. Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.

14 An individualized tibial template is used to complete the tibial preparation. Wolfgang Fitz J Bone Joint Surg Am 2009;91:69-76 ©2009 by The Journal of Bone and Joint Surgery, Inc.


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