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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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conventional technique.The hypo<strong>the</strong>sis was a difference < 2° between <strong>the</strong> 2 techniquesThe measured parameters were :HKS, HKA, tibial slope, femoral rotation on CTDuration , bleeding, pain on VAS and morphine consumption, active flexion, KSS, Oxfordscore , recovery <strong>of</strong> independant walking and delay <strong>of</strong> return to home.Both groups were identical for gender, age, BMI, etiology, comorbidities, pain andrehabilitation protocols.Results :There were no significant differences on HKA, HKS angles, femoral rotation, active flexion,pain, length <strong>of</strong> hospital stay.The surgery with <strong>the</strong> patient specific instruments was 10 minutes shorter than <strong>the</strong> conventionalone( p < 0,05) and <strong>the</strong> bleeding was inferior with a ratio <strong>of</strong> 1/3 ( p=0,02).There were no complications with this technique and <strong>the</strong> use <strong>of</strong> <strong>the</strong> conventional guides werenever necessary with <strong>the</strong> patient specific instrumentation.Discussion and ConclusionThe patient specific instrumentation for TKA has a precision identical to that <strong>of</strong> <strong>the</strong>conventional technique, including for femoral rotation and ligament balance.The advantages <strong>of</strong> this method are :Reduced per and post operative bleedingShortening <strong>of</strong> <strong>the</strong> operative procedureIt is reproducible, including for less experimented surgeons and allows teaching and assistancein a lower technological institution.The number <strong>of</strong> implant sizes is much inferior (2/9) just as <strong>the</strong> quantity <strong>of</strong> instruments to besterilised.These advantages induce a cost reduction which could be inferior to <strong>the</strong> price <strong>of</strong> <strong>the</strong> procedure.Thursday, October 7, 2010, 15:40-16:00Session A7: Hip 2Hip Arthroscopy and Body Temperaturefile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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