Operative Techniques in Orthopaedics
Volume 15, Issue 1 , Pages 64-69, January 2005

The role of navigation in knee surgery and evaluation of three-dimensional knee kinematics

  • Tobias Hüfner, MD

      Affiliations

    • Department of Trauma Surgery, Hannover Medical School, Hannover, Germany.
    • Corresponding Author InformationAddress reprint requests to Tobias Hüfner, MD, Department of Trauma Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, D-30625 Hannover, Germany.
    • ,
  • Rupert Meller, MD

      Affiliations

    • Department of Trauma Surgery, Hannover Medical School, Hannover, Germany.
    • ,
  • Daniel Kendoff, MD

      Affiliations

    • Department of Trauma Surgery, Hannover Medical School, Hannover, Germany.
    • ,
  • Johannes Zeichen, MD

      Affiliations

    • Department of Trauma Surgery, Hannover Medical School, Hannover, Germany.
    • ,
  • Boris A. Zelle, MD

      Affiliations

    • Department of Orthopaedic Surgery, Division of Sports Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
    • ,
  • Freddie H. Fu, MD, DSc (Hon), DPs (Hon)

      Affiliations

    • Department of Orthopaedic Surgery, Division of Sports Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
    • ,
  • Christian Krettek (FRACS)

      Affiliations

    • Department of Trauma Surgery, Hannover Medical School, Hannover, Germany.

Navigation systems improve the accuracy of surgical procedures. In the field of knee surgery, they are mainly used for navigated total knee replacement. Commercially available applications also include navigated anterior cruciate ligament replacement. The planning and drilling of the bone tunnels can be performed using navigation. Navigation systems also are excellent measurement tools, and navigation systems can potentially be used to analyze the preoperative and postoperative 3-dimensional knee kinematics and stability. Intraoperative analyses of stability, impingement, and range of motion can be directly compared with the preoperative analysis, which allows immediate modifications if necessary. Furthermore, this set-up also can be used for the evaluation of outcomes.

Keywords:  navigation , anterior cruciate ligament , knee surgery

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PII: S1048-6666(04)00092-8

doi:10.1053/j.oto.2004.11.005

Operative Techniques in Orthopaedics
Volume 15, Issue 1 , Pages 64-69, January 2005

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