Computer and Robotic Assisted Hip and Knee Surgery

Overview


The book presents an overview of available Computer Assisted Orthopaedic Surgery (CAOS) solutions to assist with adult reconstructive hip and knee procedures. The benefjits of CAOS in clinical practice include improved planning, increased accuracy, intraoperative information and guidance, and the potential to enable less or minimally invasive surgery without loss of accuracy.

The book reflects the current state of the art in computer integrated surgery, with the emphasis on ...

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Overview


The book presents an overview of available Computer Assisted Orthopaedic Surgery (CAOS) solutions to assist with adult reconstructive hip and knee procedures. The benefjits of CAOS in clinical practice include improved planning, increased accuracy, intraoperative information and guidance, and the potential to enable less or minimally invasive surgery without loss of accuracy.

The book reflects the current state of the art in computer integrated surgery, with the emphasis on clinically tested systems and procedures. The application of technologies such as surgical navigation and robotic surgery, medical imaging, surgical planning and stimulation in total or partial hip and knee reconstruction procedures is presented. The range of currently employed approaches is covered, spanning from active robotics to navigation based medical images - either preoperative or inreoperative, and image-free navigation.

The first part of the book offers the clinical rationale for the use of CAOS procedures and describes the basic technological building blocks of such procedures and systems. The second part of the book describes specific applications in total hip replacement, total and unicompartmental knee replacement, osteotomies around the hip and knee, knee ligament reconstruction and hip and knee trauma. The clinical goal, the technological approach, and the clinical results are outlined for every application.

The book is intended for practicing orthopaedic surgeons, fellows, residents-in-training and medical students interested in the latest technological developments in computer assisted surgery as well as for engineers and developers interested in learning more about the interaction of advanced technology with orthopaedic clinical practice.

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Editorial Reviews

Doody's Review Service
Reviewer: Riad Barmada, MD (University of Illinois at Chicago College of Medicine)
Description: This publication provides general views on the principles, application, and available instrumentations for computer assisted and robotic surgery of the hip and knee.
Purpose: The purpose is to present and assess a relatively new surgical method.
Audience: Orthopedic surgeons are the intended audience.
Features: The authors begin with a brief review of the history of computer-assisted surgery of the hip and knee and the need and benefit for using this method. Then they discuss application of this technique in hip and knee reconstructive procedures, including prosthetic replacement, osteotomies, and ligamentation reconstruction.
Assessment: Some reconstructive surgical procedures of the hip and knee, such as osteotomies and joint replacement, require precision to obtain good results and avoid late complications and early failure. This book contains up-to-date information on relatively new surgical techniques that involve the assistance of computers and robotics to guide the surgeon performing the critical portion of hip and knee replacement surgery and accurately positioning the prosthetic components. The use of computer assisted surgery will progress and increase and orthopedic surgeons should be familiar with the terminology and the instrumentation available. This book will provide the needed information. This publication should be available in all orthopedic libraries.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780198509431
  • Publisher: Oxford University Press, USA
  • Publication date: 6/15/2004
  • Pages: 348
  • Product dimensions: 9.50 (w) x 6.80 (h) x 1.00 (d)

Meet the Author

Institute for Computer Assisted Orthopaedic Surgery, Pittsburgh

Institute for Computer Assisted Orthopaedic Surgery, Pittsburgh

Ecole Centrale de Paris

Maurice Muller Institute for Biomechanics, Berne

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Table of Contents

History of computer-assisted orthopaedic surgery of hip and knee 1
Issues of conventional hip reconstruction and their influence on short- and long-term outcomes 23
Classical surgical approaches for hip reconstruction : invasiveness, accuracy, and safety issues 27
Less and minimally invasive approaches to the hip : clinical challenges 28
Biological approach to total hip arthroplasty 31
Introduction : computer assisted surgery in knee arthroplasty 33
Conventional surgical approaches for the knee reconstruction 36
Less invasive surgical approaches for the knee reconstruction 38
Biological issues of cartilage repair and new challenges for knee regenerative surgery 40
Clinical classification of CAOS systems 43
Imaging devices, computers, peripherals, interfaces 49
Localizers and trackers for computer assisted freehand navigation 51
Medical robots 54
Software infrastructure for computer-assisted orthopaedic surgery 61
Robotic systems for orthopaedic surgery 67
Surgical navigation systems 79
Total hip replacement - robotic-assisted technique 83
Total hip replacement - navigation technique 97
Rationale for computer-assisted orthopaedic knee surgery 113
Total knee replacement : robotic assistive technique 127
Knee reconstructive surgery : preoperative model system 139
Total knee replacement : navigation technique intra-operative model system 157
Unicompartmental knee prosthesis implantation with a non-image-based navigation system 179
Hip and pelvic osteotomies 189
Computer-assisted high tibial osteotomies 197
ACL reconstruction - preoperative model system 213
Computer assistance in arthroscopic anterior cruciate ligament reconstruction 229
CRA hip and knee reconstructive surgery : ligament reconstructions in the knee - intra-operative model system (non-image based) 235
Ligament reconstruction in the knee : the use of the CASPAR system 257
Pelvic trauma 273
Hip trauma 283
Long bone trauma 297
Accuracy and validation 307
Future challenges 317
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