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ORTHOPEDIC PRODUCT PORTFOLIO

ORTHOPEDIC PRODUCT PORTFOLIO. KNEE NAVIGATION. KNEE ARTHROPLASTY. KNEE 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

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ORTHOPEDIC PRODUCT PORTFOLIO

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  1. ORTHOPEDIC PRODUCT PORTFOLIO

  2. KNEE NAVIGATION

  3. KNEE ARTHROPLASTY KNEE 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)

  4. KNEEARTHROPLASTY • KNEE 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.

  5. KNEEARTHROPLASTY • KNEE ARTHROPLASTY – VALUES OF CAS FOR TKA Key Values of Navigation Outcome CostEffectiveness Mechanical Alignment Less blood loss Less Revisions Less Revisions Functional Outcomes Shorter length of hospital stay Soft Tissue Balancing Additional benefits of CAS

  6. HIPNAVIGATION

  7. HIP ARTHROPLASTY HIP ARTHROPLASTY – THE CHALLENGES Main challenges of hip replacement surgeries: Accurate component positioning and therefore risk of malpositioning Restoration of leg length and joint offset Adverseoutcome Dislocation Implant wear

  8. HIP ARTHROPLASTY HIP 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

  9. HIP ARTHROPLASTY HIP NAVIGATION – OUR OPTIONS Total Hip Replacement Hip Resurfacing

  10. TRAUMA NAVIGATION

  11. TRAUMATOLOGY TRAUMA 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-rayexposure

  12. TRAUMATOLOGY TRAUMA NAVIGATION – THE SOLUTION 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 Bone man

  13. TRAUMATOLOGY • THE xSPOT–SIMPLIFIED IMAGE ACQUISITION • 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

  14. SPINENAVIGATION

  15. SPINE SURGERY SPINE 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

  16. SPINE SURGERY SPINE NAVIGATION – SOLUTION Benefits of Spine Navigation Accurate placement of pedicle screws Helps avoidingcritical 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:

  17. SPINE SURGERY SPINE NAVIGATION – OUR OPTIONS Various options of using navigation for spinal surgeries • Spine navigation with preoperative planning • Spine navigation with preoperative CT With intra-operative CT (ICT) With intra-operative 3D C-Arm scans or 2D C-Arm images

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