Post on 22-Dec-2015
transcript
ORTHOPEDIC PRODUCT PORTFOLIO
KNEE NAVIGATION
KNEE ARTHROPLASTYKNEE ARTHROPLASTY – THE CHALLENGES
A lot of revisions need to be done in the first two years after the surgery.
Reasons for early revisions are:
Instability
Polyethylene wear and aseptic loosening
Patellofemoral problems
Main challenges of knee replacement surgeries:
Accurate mechanical alignment
Soft tissue balance (Stability)
KNEE ARTHROPLASTYKNEE ARTHROPLASTY – THE SOLUTION
Benefits of CAS for knee surgeries:
CAS allows preoperative planning and peri-operative intervention
Precise implant positioning
Low volume and younger surgeons have a shorter learning curve
CAS improves ligament balancing
- Ligament balancing can be achieved over full range of motion
for assessment of functional performance
Restore stability and function
- Straight alignment is hard to see in surgery, manual alignment guides fail
to deliver 3D measurements. CAS delivers accurate alignment.
Key Values of
Navigation
Outcome Cost Effectiveness
Mechanical Alignment
Functional Outcomes Soft Tissue Balancing
Less Revisions
Less blood loss
Shorter length of hospital stay
Less Revisions
Additional benefits of CAS
KNEE ARTHROPLASTYKNEE ARTHROPLASTY – VALUES OF CAS FOR TKA
HIPNAVIGATION
Main challenges of hip replacement surgeries:
Accurate component positioning and therefore risk of malpositioning
Restoration of leg length and joint offset
HIP ARTHROPLASTYHIP ARTHROPLASTY – THE CHALLENGES
Adverse outcomeDislocation
Implant wear
HIP ARTHROPLASTYHIP ARTHROPLASTY – THE SOLUTION
Benefits of CAS for hip surgeries
Reproducible and accurate component positioning, associated with:
Longer implant longevity
Less revision rates
Less dislocation rates and other adverse outcomes
Ensures always accurate restoration of leg length and joint offset, associated with:
Higher quality of life and patient satisfaction
Lower dislocation rates
It is superior to mechanical alignment guides
Enables minimally invasive surgery
HIP ARTHROPLASTYHIP NAVIGATION – OUR OPTIONS
Total Hip Replacement Hip Resurfacing
TRAUMA NAVIGATION
TRAUMATOLOGYTRAUMA SURGERY – THE CHALLENGES
Main challenges in Traumatology
Emergencies: narrow time frame
Minimum planning
Bad biomechanical results
Big access-related Trauma
Expensive revisions
Long and expensive hospitalization
High x-ray exposure
Benefits of CAS for Traumatology
Enables intra-operative planning
May reduce access related trauma
Improves biomechanical results
May shorten hospitalization
May reduce revisions
Reduction of x-ray exposure
TRAUMATOLOGYTRAUMA NAVIGATION – THE SOLUTION
Bone man
The xSpot brings the images of C-arms into navigation and fits optimally to surgical workflows:
Freehand guidance: no fixation to C-arm
Intuitive integration in navigation workflow
Automatic registration of intra-operative imaging
Seamless direct transition from C-arm
TRAUMATOLOGYTHE xSPOT– SIMPLIFIED IMAGE ACQUISITION
SPINENAVIGATION
SPINE SURGERYSPINE SURGERY– THE CHALLENGES
Main challenges of Spine surgery
Limited field of view / ambiguous anatomical landmarks
Narrow access
Vulnerable anatomic structures
No visualization of landmarks at all for MIS
SPINE SURGERYSPINE NAVIGATION – SOLUTION
Benefits of Spine Navigation
Accurate placement of pedicle screws
Helps avoiding critical structures / soft-tissue trauma
Reduced radiation exposure to patient and surgical team
May reduce reoperation rate
Navigation-ready instruments for spine navigation or quick
and easy integration of 3rd party instruments
Instrument-Integration Partners:
SPINE SURGERYSPINE NAVIGATION – OUR OPTIONS
Various options of using navigation for spinal surgeries
1) Spine navigation with preoperative planning
2) Spine navigation with preoperative CT
3) With intra-operative CT (ICT)
4) With intra-operative 3D C-Arm scans or 2D C-Arm images
YOUTHANK