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landmarks on a generic model of the pelvis (non-image-based navigation). Computer navigation provides patient-specific anatomical data with recommendations for bone resection and optimal implant positioning, but the computer system does not actively control
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unproven. Indeed, a network meta-analysis of randomized controlled trials showed a significant reduction of surgical time of manual total hip arthroplasty in comparison with computer navigation and robotics, and no differences were observed in the incidence
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selection, optimal implant positioning might be crucial to reduce the potential for surgical errors. With the use of computer navigation (CAS), it has been shown that the position of the implant can be improved. 63 A study using patient
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Yoshikawa H Sato Y Tamura S . Mid-term results of cementless total hip replacement using a ceramic-on-ceramic bearing with and without computer navigation . J Bone Joint Surg Br 2007 ; 89 : 455 – 460 . 53. Wan Z
Università degli Studi di Pavia, Pavia, Lombardy, Italy
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computer navigation, patient’s specific instruments or robotics have been developed in order to optimize patellar resurfacing, which remains a crude procedure and utilizes poor anatomic landmarks. Patient-related issues ‘At risk’ categories Four
Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, UK
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Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, UK
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examination has been assessed using stress radiographs, 10 , 24 isokinetic dynamometry, 2 , 6 non-invasive image free navigation 38 and under anaesthetic using bone-anchored computer navigation. 21 These methods allow a repeatable
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component designs, minimally invasive surgery, computer-navigation, and patient-specific implants. 26 – 28 The learning curve for robotic UKA is important for understanding the impact of this procedure on the surgical workflow, scheduling of operative
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proximal femur fractures operated within a certain time frame, or operated upon with use of computer navigation. How to measure the impact of an intervention on outcome This topic has been largely covered by publications and textbooks for the
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ceramic-on-ceramic total hip arthroplasty . Orthopedics 2008 ; 31 : 31 . 57 Shah SM Deep K Siramanakul C . Computer navigation helps reduce the incidence of noise after ceramic-on-ceramic total hip arthroplasty . J
Surgery Department, Hôpital Maisonneuve-Rosemont, Montreal University, Montreal, Québec, Canada
Clinique orthopédique Duval, 1487 Boul des Laurentides, Laval
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Bordeaux Arthroplasty Research Institute - Clinique du Sport Bordeaux-Mérignac 04-06 rue Georges Negrevergne, Mérignac, France
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Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland
Clinical Research Group Michael T. Hirschmann, Regenerative Medicine & Biomechanics, University of Basel, Basel, Switzerland
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Department of Surgery, University of California, San Francisco, California, USA
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with manual instruments designed specifically for that purpose. Today, we can revisit the assumption. High precision in surgery is now possible due to newer technologies, such as computer navigation, patient-specific instrumentation (PSI), and robotics