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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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The Kaplan-Meier survival rate was 97.4% after 5 years.DISCUSSION: The present study confirmed <strong>the</strong> efficiency <strong>of</strong> <strong>the</strong> navigation system used on <strong>the</strong>accuracy <strong>of</strong> implantation. The clinical and functional results after 5 years were at least as goodas those published after conventional implantation <strong>of</strong> uncongruent pros<strong>the</strong>ses. The survival ratewas comparable as well to <strong>the</strong> already accepted gold standards. We observed no complicationdirectly related to <strong>the</strong> new pros<strong>the</strong>tic system. The mean flexion angle was better that <strong>the</strong> resultswe observed with <strong>the</strong> previously used fixed bearing system. The question <strong>of</strong> <strong>the</strong> polyethylenewear could not be assessed because <strong>of</strong> <strong>the</strong> too short follow-up period. An additional follow-upstudy is planned after 5 more years.Thursday, October 7, 2010, 14:20-15:00Session B6: Computer Navigation in TKR 2Navigated, Minimal Invasive, Mobile Bearing Unicompartmental KneePros<strong>the</strong>sis. a 2-Year Follow-Up Study.*Jean-Yves Jenny - University Hospital Strasbourg - Illkirch, FranceFrancois Saussac - University Hospital Strasbourg - Illkirch, FrancePascal Louis - University Hospital Strasbourg - Illkirch, FranceYann Diesinger - University Hospital Strasbourg - Illkirch, France*Email: Jean-yves.jenny@chru-strasbourg.frINTRODUCTION: Computer-aided systems have been developed recently in order to improve<strong>the</strong> precision <strong>of</strong> implantation <strong>of</strong> a total knee replacement (TKR). Several authors demonstratedthat <strong>the</strong> accuracy <strong>of</strong> implantation <strong>of</strong> an unicompartmental knee replacement (UKR) was alsoimproved.Minimal invasive techniques have been developed to decrease <strong>the</strong> surgical trauma related to <strong>the</strong>pros<strong>the</strong>sis implantation. The benefits <strong>of</strong> minimal-incision surgery might include less surgicaldissection, less blood loss and pain, an earlier return to function, a smaller scar, andsubsequently lower costs. However, <strong>the</strong>re might be a concern about <strong>the</strong> potential <strong>of</strong> minimalinvasive techniques for a loss <strong>of</strong> accuracy. Navigation might help to compensate for <strong>the</strong>sedifficulties.Mobile bearing pros<strong>the</strong>ses have been developed to decrease <strong>the</strong> risk <strong>of</strong> polyethylene wear. Thebenefits might be a better survival and less bone loss during revisions. However, <strong>the</strong>sepros<strong>the</strong>sis are technically more demanding, and involve <strong>the</strong> specific risk <strong>of</strong> bearing luxation.Again, navigation might help to compensate for <strong>the</strong>se difficulties.MATERIAL AND METHODS: We wanted to combine <strong>the</strong> <strong>the</strong>oretical advantages <strong>of</strong> <strong>the</strong> threedifferent techniques by developing a navigated, minimal invasive, mobile bearingunicompartmental knee pros<strong>the</strong>sis. 160 patients have been operated on at our institution withfile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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