Patient-specific instruments for total knee arthroplasty.

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Abstract

[Indexed for MEDLINE] 7. EFORT Open Rev. 2017 Mar 13;1(5):152-159. doi: 10.1302/2058-5241.1.000009. eCollection 2016 May. Surgical navigation in paediatric orthopaedics. Docquier PL(1), Paul L(2), TranDuy K(2). Author information: (1)Cliniques universitaires Saint-Luc, Brussels, Belgium. (2)3D Side, Belgium. Computer-assisted orthopaedic surgery was born in the 1990s. Nowadays, computer-assisted orthopaedic surgery is used for transpedicular screw fixation and for total knee arthroplasty.Patient-specific instrumentation is one type of computer-assisted surgery based on volumetric images, such as computed tomography or magnetic resonance imaging.In this article, possible applications of patient-specific instruments in paediatric orthopaedics are described. The use of patient-specific instrumentation for the correction of cubitus varus is given as an example with complex osteotomy. Another application for tarsal coalition resection is shown.A last example of using patient-specific instrumentation for both tumour resection and allograft reconstruction is illustrated.Patient-specific instruments based on computed tomography of the bone can increase peri-operative accuracy and decrease operative time. They are very helpful for the surgeon. Other applications are possible and will be probably developed in the future. Cite this article: Docquier PL, Paul L, TranDuy V. Surgical navigation in paediatric orthopaedics. EFORT Open Rev 2016;1:152-159. DOI: 10.1302/2058-5241.1.000009. DOI: 10.1302/2058-5241.1.000009 PMCID: PMC5367605