Download PDFOpen PDF in browserGap Deviation after Cementation in Computer Assisted Navigation TKA8 pages•Published: October 26, 2019AbstractINTRODUCTIONThe outcome of knee replacement depended on alignment, balancing of soft tissue, symmetrical and rectangular gaps adjustment, and accurate implant placement. Many techniques have been used to improve these factors including navigator assisted knee replacement, which has precise bone cut and accurate soft tissue balancing. However, cementation may change gaps and alignment that can affect outcome of knee replacement. OBJECTIVE To compare gaps and alignment after cementation in computer assisted total knee replacement MATERIAL AND METHODS Prospective collecting data all cases performed computer assisted total knee replacement with cruciate retaining - mobile bearing implant design. Gaps and mechanical axis was collected and compered between complete trial prosthesis and final cementation. RESULT Lateral extension gap and flexion contracture significantly increase after cementation when compared with trial implantation [0.6 mm (P = 0.021), 2.7o (P = 0.00)]. The mechanical axis was not deviated after cementation (P = 1.00). CONCLUSION Cementation is able to influence gap and alignment. It may be useful to control and recheck gap and alignment with navigation system during cementation. Clinical correlation needs further investigation. Keyphrases: cement technique, computer assisted tka, gaps balancing, mechanical axis In: Patrick Meere and Ferdinando Rodriguez Y Baena (editors). CAOS 2019. The 19th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery, vol 3, pages 215-222.
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