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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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Arthroplasty. There are two distinct types <strong>of</strong> distal femur: <strong>the</strong> normal one and <strong>the</strong> narrow one.In <strong>the</strong> narrow femur <strong>the</strong> problem <strong>of</strong> overhang can occur because for a given AP dimension(sizing <strong>of</strong> <strong>the</strong> implant) <strong>the</strong> corresponding ML dimension is too large. Many years ago <strong>the</strong>sefindings were already published in different articles. It is only in recent years that interest camefrom <strong>the</strong> industry. In our department a study project was initiated in January 2006. This led to<strong>the</strong> development <strong>of</strong> <strong>the</strong> Stature Femoral component for <strong>the</strong> Advance Medial Pivot kneepros<strong>the</strong>sis. The first one was implanted in June 2007 and since <strong>the</strong>n it is used in 60% <strong>of</strong> ourfemale patients and 11% in our male patients. The reason why it is quite <strong>of</strong>ten used in malepatients is because not only gender influences distal femoral geometry but also morphotype isan important factor. Therefore irrespective <strong>of</strong> gender, ectomorphs will have smaller ML ratiosand thus will have smaller knees and will benefit from a Stature variant. Moreover we haveseen that <strong>the</strong> correct use <strong>of</strong> <strong>the</strong> Stature variant can also influence our clinical scores and ourpercentages <strong>of</strong> ligament releases with overall better results.Thursday, October 7, 2010, 15:10-15:50Session B7: Robotic Knee SurgeryEarly Outcomes <strong>of</strong> Robotically Guided Bicompartmental ArthroplastyJohn Velyvis - Eisenhower Medical Center - Rancho Mirage, USAThomas Coon - St Elizabeth Community Hospitial - Red Bluff, USAMartin Roche - Holy Cross Hospital - Ft Lauderdale, USAStefan Kreuzer - Memorial Bone and Joint Research Foundation - Houston, USASharon Horowitz - MAKO Surgical Corp. - Fort Lauderdale, USAMiranda Jamieson - MAKO Surgical Corp - Ft Lauderdale, USA*Michael Conditt - MAKO Surgical Corp. - Boerne, USAIntroduction:*Email: mconditt@makosurgical.comBicompartmental osteoarthritis involving <strong>the</strong> medial tibi<strong>of</strong>emoral and <strong>the</strong> patell<strong>of</strong>emoralcompartments is <strong>of</strong>ten treated with total knee replacement. Improved implants and surgicaltechniques have led to renewed interest in bicompartmental arthroplasty. This study evaluates<strong>the</strong> radiographic and early clinical results <strong>of</strong> bicompartmental arthroplasty with separateunlinked components implanted with <strong>the</strong> assistance <strong>of</strong> a robotic surgical arm. In addition, weexamine <strong>the</strong> amount <strong>of</strong> bone resected using unlinked bicompartmental components compared tototal knee replacement. Finally, a retrospective review <strong>of</strong> total knee cases examines <strong>the</strong>applicability <strong>of</strong> this early intervention procedure.Methods:97 patients received simultaneous but geometrically separate medial tibi<strong>of</strong>emoral andpatell<strong>of</strong>emoral arthroplasties with implants specifically designed to take advantage <strong>of</strong> a newbone and tissue sparing implantation technique using haptic robotics. These patients came fromfour surgeons at four different hospitals. The average follow-up was 9 months. Pre- and postoperativeradiographs were taken. ROM, KSS and WOMAC scores were recorded. The patientshad an average age <strong>of</strong> 67 yrs (range: 45-95), BMI <strong>of</strong> 29 ± 4kg/m 2 . 47% <strong>of</strong> <strong>the</strong> patients werefile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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