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Biomechanical considerations for an easily-restricted robot-assisted kinematic alignment: a surgical technique note
BACKGROUND: In total knee arthroplasty, the normal kinematics of the knee may not be restored solely based on preoperative gait, fluoroscopic-based, and dynamic radiostereometric analyses. SURGICAL TECHNIQUE CASE PRESENTATION: This note introduced a 69-year-old male patient who sustained post-trauma...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240684/ https://www.ncbi.nlm.nih.gov/pubmed/37271826 http://dx.doi.org/10.1186/s42836-023-00191-6 |
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author | Valpiana, Pieralberto Ghirardelli, Stefano Valtanen, Rosa Susanna Risitano, Salvatore Iannotti, Ferdinando Schaller, Christian Zepeda, Karlos Engl, Michael Indelli, Pier Francesco |
author_facet | Valpiana, Pieralberto Ghirardelli, Stefano Valtanen, Rosa Susanna Risitano, Salvatore Iannotti, Ferdinando Schaller, Christian Zepeda, Karlos Engl, Michael Indelli, Pier Francesco |
author_sort | Valpiana, Pieralberto |
collection | PubMed |
description | BACKGROUND: In total knee arthroplasty, the normal kinematics of the knee may not be restored solely based on preoperative gait, fluoroscopic-based, and dynamic radiostereometric analyses. SURGICAL TECHNIQUE CASE PRESENTATION: This note introduced a 69-year-old male patient who sustained post-traumatic osteoarthritis of his right knee. He underwent robot-assisted total knee arthroplasty based on anatomical reproduction of knee stability during the swing phase of gait. The kinematic alignment was simply achieved within an easy-to-identified range after preoperative radiographic assessment, intraoperative landmarking and pre-validated osteotomy, and intraoperative range of motion testing. CONCLUSIONS: This novel technique allows personalized and imageless total knee arthroplasty. It provides a preliminary path in reproducing the anatomy alignment, natural collateral ligament laxity, and accurate component placement within safe-to-identified alignment boundaries. |
format | Online Article Text |
id | pubmed-10240684 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-102406842023-06-06 Biomechanical considerations for an easily-restricted robot-assisted kinematic alignment: a surgical technique note Valpiana, Pieralberto Ghirardelli, Stefano Valtanen, Rosa Susanna Risitano, Salvatore Iannotti, Ferdinando Schaller, Christian Zepeda, Karlos Engl, Michael Indelli, Pier Francesco Arthroplasty Research BACKGROUND: In total knee arthroplasty, the normal kinematics of the knee may not be restored solely based on preoperative gait, fluoroscopic-based, and dynamic radiostereometric analyses. SURGICAL TECHNIQUE CASE PRESENTATION: This note introduced a 69-year-old male patient who sustained post-traumatic osteoarthritis of his right knee. He underwent robot-assisted total knee arthroplasty based on anatomical reproduction of knee stability during the swing phase of gait. The kinematic alignment was simply achieved within an easy-to-identified range after preoperative radiographic assessment, intraoperative landmarking and pre-validated osteotomy, and intraoperative range of motion testing. CONCLUSIONS: This novel technique allows personalized and imageless total knee arthroplasty. It provides a preliminary path in reproducing the anatomy alignment, natural collateral ligament laxity, and accurate component placement within safe-to-identified alignment boundaries. BioMed Central 2023-06-05 /pmc/articles/PMC10240684/ /pubmed/37271826 http://dx.doi.org/10.1186/s42836-023-00191-6 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Research Valpiana, Pieralberto Ghirardelli, Stefano Valtanen, Rosa Susanna Risitano, Salvatore Iannotti, Ferdinando Schaller, Christian Zepeda, Karlos Engl, Michael Indelli, Pier Francesco Biomechanical considerations for an easily-restricted robot-assisted kinematic alignment: a surgical technique note |
title | Biomechanical considerations for an easily-restricted robot-assisted kinematic alignment: a surgical technique note |
title_full | Biomechanical considerations for an easily-restricted robot-assisted kinematic alignment: a surgical technique note |
title_fullStr | Biomechanical considerations for an easily-restricted robot-assisted kinematic alignment: a surgical technique note |
title_full_unstemmed | Biomechanical considerations for an easily-restricted robot-assisted kinematic alignment: a surgical technique note |
title_short | Biomechanical considerations for an easily-restricted robot-assisted kinematic alignment: a surgical technique note |
title_sort | biomechanical considerations for an easily-restricted robot-assisted kinematic alignment: a surgical technique note |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240684/ https://www.ncbi.nlm.nih.gov/pubmed/37271826 http://dx.doi.org/10.1186/s42836-023-00191-6 |
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