Knee system has longterm clinical success with 98% survivorship over a 610 year period. For questions regarding recommended use of brainlab equipment andor software, always refer to the knee3 software user guide as your first. We have established protocols for preoperative and postoperative knee care to help you recover faster and get the best surgical outcome possible. Total knee arthroplasty surgery is a current practice in orthopedic surgery. Made by exactecha leading developer, manufacturer, marketer, and distributor of orthopedic implant devices and related surgical instrumentationthe optetrak knee replacement system was approved by the u. Knee optetrak logic revision knee optetrak revision knee unicondylar knee system. For surgeons, the legion hk hinge knee offers simplicity and familiarity, says the company. Optetrak logic cr is a unique surgical technique and implant system that enables surgeons to plan and perform a cr total knee replacement based on the anatomical integrity of the pcl. The knee joint surgical techniques and strategies pdf. Depending on the severity of arthritis of the knee, a partial or total knee. A new knee prosthesis should be introduced following a rigorous procedure, even if the new prosthesis. Rom up to 140 improved stability even in difficult ligament situations. The editors have brought together a team of experts within the field ensuring that orthopaedic surgeons in training and those wishing to improve their knowledge of the knee will. The truliant knee system is a high performance, comprehensive platform that.
The development of implants and instruments led to two distinct surgical techniques during the early development of knee arthroplasty. Optetrak knee lawsuit filed in georgia exactech knee class. A new knee prosthesis should be introduced following a rigorous procedure, even if the new prosthesis differs from the reference prosthesis by only a few details that may seem trivial. Midterm results of optetrak posteriorstabilized total knee.
The results of a total knee arthroplasty tka depend to a large extent on the implantation technique, but also on mechanical factors related to implant design and material 1. Exactech wins fda 510k for optetrak knee prosthesis. Exactech optetrak knee legal help if you or a loved one has suffered similar damages or injuries, please fill in our form and your complaint will be sent to a lawyer who may evaluate your claim at. Poor results of the optetrak cemented posterior stabilized knee. Intuitive instrumentation provides visual, audible and tactile feedback for enhanced user experience and improved surgical efficiencies.
Techniques in knee surgery enables orthopaedic surgeons to master the most advanced and successful techniques for reconstructive knee surgery and total knee arthroplasty. Our goal is to improve your knees function and range of motion while keeping you as comfortable as possible with advanced pain control methods. A new knee prosthesis should be introduced following a rigorous procedure, even if the new prosthesis differs from the reference prosthesis by only a few details that may seem trivial, because a minimal. Extensive size options with 14 femur sizes and 11 tibia sizes. Aug 31, 2012 we sat down with raymond robinson, md to get his thoughts on longevity in total knee replacements and discuss his longterm clinical results with the optetrak knee system.
Knee surgery offers all the stepbystep guidance you need to perform the latest techniques in knee surgery. The surgical approach involved a standard anterior incision and. Bicompartmental arthroplasty knee arthroplasty design in the united states has its roots at bwh with the first bicompartmental knee used in the 1960s. The most common knee surgeries involve arthroscopy a surgical technique used to repair many different types of knee problems or knee replacement.
Optetrak logic cr animation optetrak logic cr is a unique surgical technique and implant system that enables surgeons to plan and perform a cr total knee replacement based on the. Learn about different types of knee surgery and the conditions that are best treated with. This technique failed to provide pain relief, however, the technique was modified by smithpeterson, who added a stem to the the prosthesis, and this allowed some very shortterm success. The u2 knee primary system is an anterior reference system. A good exposure also allows optimal placement of the components. From a simplified, bonepreserving technique to efficient, tissuesparing instrumentation, optetrak logic is designed to meet the demands of todays more active patients while adding to the efficiency of your operating room. Accuracy of a novel computerassisted guidance system for total knee arthroplasty. Measured resection and gap balancing are the two different techniques used to implant the tka components used today. Optetrak knee replacement linked to severe complications. Surgical demonstration of technique of total knee replacement. Total knee replacement surgical technique the steps involved in replacing the knee begin with making an incision on the front of the knee to allow access to the knee joint. Surgical treatments for knee oa include arthroscopy, cartilage repair, osteotomy.
The basic concepts of joint replacement surgery with lots of pictures targeted to orthopedic residents. And like its name indicates, this approach to total knee arthroplasty just makes sense. Cementing technique in tkr wed, dec 18, 2019 faculty. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. However, a growing number of optetrak knee replacement lawsuit filings allege that versions of the system manufactured in 2011 and 2012 are prone to early failure.
The legion hk allows surgeons to seamlessly transition intraoperatively from a constrained revision implant to a hinged assembly, thus using a minimal number of instruments and the same simple, reproducible surgical technique they already know. Both cross the knee joint, just at slightly different locations. Scuderi critical to exposing the knee during total knee arthroplasty is a complete understanding of the local anatomy, which is described in chapter 1. Techniques in knee surgery enables orthopaedic surgeons to master the most advanced and successful techniques for reconstructive knee.
I dedicate this book to my family, and to my teachers. Surgical technique patellar tendon rupture repair using dallmiles cable. Optetrak logic cr is a unique surgical technique and implant system that enables surgeons to plan and perform a cr total knee replacement based on the. Exactech optetrak lawsuit filed over knee implant failure. Take back control, gives you the tools you need to fight back against arthritis pain and take back control. Combining years of clinical experience gathered by worldrenowned experts, this is the only book to provide knee surgeons with a comprehensive guide to the many types of complications encountered in arthroscopic and meniscal surgery, the reconstruction of ligaments, patellofemoral surgery, fractures around the knee, and prosthetic knee arthroplasty. Exatch optetrak knee lawsuit exatch optetrak knee implant. Cruciate sacrificing posterior stabilised implant is used. Ideal for orthopaedic residents, fellows, and practicing surgeons alike, operative techniques. The neutral position can simply be created by drilling the fixation pin holes through the drill holes labelled 0 on the front of the femoral sizer 14. Optetrak logic cc revision knee system knee arthroplasty. Pdf surgical approaches for total knee arthroplassty. Combined technique for journey ii bcs and journey ii cr.
Osteoathritis oa of the knee is common, and the chances of suffering from oa increase with age. The success of this intervention consists in part in the realignment of the lower extremitys anatomical axis, adequate implant orientation and design, good implant fixation, proper soft tissue balancing, and stability. The customized cutting blocks of the psi is generated from preoperative threedimensional model, using computed tomography ct or magnetic resonance imaging mri. The optetrak knee prosthesis is an evolution of the insallburstein posteriorstabilized knee zimmer, warsaw, ind. No changes were made to the femoral or patellar components of this system. This surgical technique provides guidelines for the implantation of the attune knee system family of implants with the depuy synthes companies cas computer assisted surgery system, software version 2. Everything you need for your challenging revision cases, from start to finish.
This is achieved by ensuring correct patient selection, preoperative deformity, implant design and accurate surgical techniques. The role of surgical closure position in total knee arthroplasty. Exactech accelerate prp preparation technique duration. The ability to perform a diagnostic arthroscopic examination of the knee is an essential skill for the orthopaedic surgeon. The knee joint surgical techniques and strategies pdf free download.
This surgical technique is based on the brainlab knee3 software. The truliant primary knee system allows for improved versatility with wide array of options to accommodate your preferred technique. With the knee flexed, the direction of the muscle fibers of the vmo is identified and, following this course, an approximately 24 cm incision is made in the vmo fascia and parenchyma fig. Exactech has been selling the optetrak knee replacement system since 1994, but the design was slightly changed in 2011 and 2012. Basic principles of total knee replacement surgery should be maintained throughout the procedure.
Minimally invasive knee replacement approaches and procedures. Exactech optetrak knee replacement lawsuits mcgartland law firm. Size 01 delta line extension cemented finned tibial tray components and posterior stabilized tibial inserts agc total knee prosthesis posteriorstabilized tibial components insalvburstein constrained total condylar knee summary of safety and effectiveness 0 2 2003 exactech ko 1 1976 biomet k833921. Robinson on exactech optetrak total knee replacement system. The journey ii bcs and journey ii cr instrumentation has been developed to assist surgeons in obtaining accurate and reproducible results and. We sat down with raymond robinson, md to get his thoughts on longevity in total knee replacements and discuss his longterm clinical results with the optetrak knee system. If conservative therapy fails, surgery should be considered. While nonsurgical treatments are often attempted for initial treatment, there are situations where knee surgery becomes the recommended or necessary treatment. Pepe m, calisal e, kocadal o, bicer e, taskin s, aktekin cn. Release the patella tendon to create space on the lateral side of the tibia.
An approach to total knee arthroplasty that has improved clinical outcomes for patients around the world. Exactech knee class action lawsuit knee lawyer, attorney. Knee system solutions to address clinical challenges in primary and revision total knee replacement. This surgical technique goes through a femur first hybrid workflow. Knee total knee arthroplasty brigham and womens hospital.
We began to use the optetrak knee system exactech, gainesville, fla in 1995 to change to a more modern articular design in total knee arthroplasty and improve patellofemoral complications. All operations include detailed step by step instruction, expert commentary and operation specific certificated cpdcme modules. Our library of operations is the most comprehensive resource anywhere of knee operative techniques. The optetrak constrained condylar implant and specialized instrumentation system allow for restoration, flexibility, stability and simplicity for revision total knee replacement. This book is a state of the art concerning all aspects of knee surgery from ligament reconstruction to total knee. Surgical techniques in total knee arthroplasty and. This incision has become shorter now that we use minimallyinvasive surgical instruments and techniques. The optetrak logic cc revision knee system offers a highperformance portfolio of implants, instruments and computerassisted surgery for reproducible results in a streamlined revision procedure. Brach del prever em1, dallera a, cartesegna m, gallinaro p. Malalignment is a well recognized risk factor for osteoarthritis incidence and progression. It was presented as a successor to the total condylar prosthesis 4 and the insallburstein posterostablized prosthesis of the insallburstein ii ibii type 5.
As part of the highly visual operative techniques series, it boasts brief bulleted descriptions and a clean layout for ease of use, while clinical pearls help you optimize. Poor results of the optetrak cemented posterior stabilized. Knee replacement surgery is among the most remarkable of surgical innovations in orthopedic surgery. As coated version for optimized wear and patients with metal allergy. No changes were made to the other components of the optetrak total knee system. Optetrak knee replacement lawsuits if you or a loved one underwent an optetrak knee replacement surgery and experienced complications such as pain, infection, mobility issues, additional surgery or more we urge you to contact our product liability attorneys by calling 1. In an effort to be comprehensive, this book addresses hip arthroplasty with special emphasis on. Flexion versus extensiona randomized prospective study. With such knowledge, the pathologic condition, anatomy, and planned. Ensure that the patella tendon tibia interface is released so the patella can easily sit in the lateral gutter of the knee. The exactech optetrak knee replacement has been on the market since 1994, but the manufacturer slightly changed the design in 2011 and 2012. We sat down with raymond robinson, md to get his thoughts on longevity in total knee replacements and his longterm clinical results with the optetrak knee system. Kneealign 2 system surgical technique manual kneealign 2 system surgical technique manual 10 femur femur set resection plane set desired varusvalgus and flexionextension angles using ball driver to adjust microblocks navigation screws. The skills required for arthroscopy are typically taught and developed in the early years of residency training.
What i wish i knew about total knee replacement with dame judi. Average 7year survivorship and clinical results of a newer. Techniques in knee surgery rg journal impact rankings. If you or a loved one had problems after knee replacement surgery, you should contact our law firm. Navigation unit must be oriented within its operating.
The most common tendon to repair in the knee is the quadriceps or patellar tendon. Exactech optetrak knee replacement failure lawsuit information. In patients with primarily medial compartment knee oa and varus deformity, high tibial. Lima corporate releases physica knee system orthopedics. Optetrak logic primary knee system total knee arthroplasty. The optetrak cemented posterior stabilized knee prosthesis exactech, gainesville, fl, usa was launched on the market in 1995. Arthroscopic surgery arthroscopy is a type of keyhole surgery used to diagnose and treat a wide range of knee problems. Surgical approaches for total knee arthroplasty intechopen. The goal of this textbook is to provide broad strokes.
Pain relief and return of function after successful total knee replacement can often last the lifetime of the patient. The proposed device modifications involve offsetting the distal portion of the trays stem in the sizes 0, 1 delta, 1, 2, 3,4 and 5. Mar 08, 2018 about the exactech optetrak knee replacement system. The vanguard xp total knee instrumentation is designed for a standard surgical technique figure 2. Even so, the pain, rehabilitation, and recovery associated with the surgical procedure are a concern for many patients.
Exac said yesterday that it won fda 510k clearance for its optetrak logic constrained condylar prosthesis for revision knee arthroplasty patients the knee prosthesis is. The optetrak a comprehensive knee system orthopaedic. Thomas schmalzried, depuy synthes, j bohannon mason, fabrizio billi. Mar 28, 2012 operative techniques in orthopaedic surgery is the first major new comprehensive text and reference on surgical techniques in orthopaedics. Robinson on exactech optetrak total knee replacement. History of condylar total knee arthroplasty intechopen. Patient specific instrumentation psi is a modern technique in total knee arthroplasty tka aiming to facilitate the implant of the prosthesis. Techniques in knee surgery rg journal impact rankings 2018. Patient outcomes can be directly related to accurate surgical technique and precision instrumentation. The results of a total knee arthroplasty tka depend to a large extent on the implantation technique, but also on mechanical factors related to implant design and material.
A comprehensive knee system that addresses your concerns for contact stress, patella tracking, polyethylene wear, joint stability and bone preservation. This book covers a range of techniques for the realisation of functional joint motion and stability. Truliant revision knee system total knee arthroplasty. Both techniques have been validated as durable and successful, and each has unique advantages and disadvantages. Total knee replacement surgical technique the stone clinic. Oct 24, 20 the surgical technique involves a midline skin incision and deep dissection exposing the vmo. This is a schematic diagram of the optetrak total knee replacement system.
If all goes well, a knee replacement should last at least 15 years. Campbell performed a mold hemiarthroplasty of the knee by fitting metallic molds to the femoral condyles. Surgery of the knee is a comprehensive stepbystep guide that features more than 500 operative photographs, radiological and surgical drawings of exceptional quality. We describe an alternate stepwise outsidein technique, with titrated release intended to maximize the chance of preserving the superior lateral genicular artery slga. Jun 16, 2012 lateral release of a tight lateral retinaculum in a tka is intended to correct patellar maltracking but the widely used insideout technique has associated risks. Oct 02, 2017 a knee replacement patient who allegedly developed severe and permanent injuries after receiving an exactech optetrak implant has filed a products liability lawsuit against the manufacturer in georgia. Chapter 104 surgical approaches in total knee arthroplasty standard and mis techniques nilesh patil, michael p.
While not all recipients have problems, failure of this optetrak replacement were due to a faulty piece of the knee system. Optetrak knee replacement linked to severe complications while millions of americans have undergone knee replacement surgeries to correct injuries, manage symptoms of arthritis or increase mobility, knee replacement system exactech optetrak. Rationale of the knee society clinical rating system clin orthop relat res 1989. Written by over 800 experts from leading institutions around the world, this superbly illustrated fourvolume reference focuses on mastery of operative techniques and also provides a thorough understanding of how to select the best procedure, how to avoid. Condylar replacement knee prosthesis is defined as one where the. Knee surgery is often used for the treatment of different conditions that can cause knee pain. The surgeon must pay close attention to balancing the flexion. Concise chapters cover indications, contraindications, complications, results, instrumentation, infection, preop planning, prosthetic choice, revision arthroplasty, and more with the. The first part of the book will describe fundamentals in total knee arthroplasty and alternative procedures. Pushed by the progress of biology, technology and biomechanics, knee surgery has dramatically evolved in the last decades. A demonstration of the surgical technique of total knee replacement. Nov 01, 2017 reports indicate that many people have required revision due to loose tibial components, aseptic loosening, pain, limited mobility, knee swelling, and sensitivity due to loosening of the knee joint. Optetrak revision knee system total knee arthroplasty.
Unfortunately, the new finned tibial tray may not adequately bond the metal implant to the patients knee bones. Operative techniques knee surgery 2nd edition pdf free download e book description ideal for orthopaedic residents, fellows, and practicing surgeons alike, operative techniques. The goals of a minimally invasive surgical procedure are to. It documents how knee3 may be used in a clinical setting, but it is not meant as a replacement to the knee3 software user guide. Revision total knee arthroplasty cases are expected to triple by 2020, due to the growing size of the aging population and increasing number of primary total knee arthroplasty cases. Knee surgery offers all the stepbystep guidance you need to perform the latest techniques in. In these cases, it is usually an open procedure with a scar along the front of the knee. Surgical technique summary 2 introduction and indications 4 prologue 5 intramedullary femoral alignment 8 distal femoral resection 9 extramedullary tibial alignment and resection 11 intramedullary tibial alignment and resection 14 additional tibial resection recut 15 extension gap assessment 16 flexion gap assessment 17. This prompted victims to sue the maker, exactech, inc. Its treatment should be initially nonoperativeand requires both pharmacological and nonpharmacological treatment modalities. Surgical techniques and instrumentation in total knee.
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