Computer-assisted (navigation) joint
replacement
During computer-assisted surgery, a model of the knee
is developed using information taken from a special instrument that outlines
the contour of the knee. An infrared camera attached to a computer sees
signals from this instrument. The computer then develops a model of the knee.
This image is projected onto a monitor and helps guide the surgeon's
attachment of the artificial implant to the bone. Along with the surgeon's
skill and experience, CAS provides an internal view for more precise alignment
of the implant, which can contribute to the long-term success of the total
knee replacement.
Computer-assisted surgery is available for all total
knee replacement surgeries but is best used for difficult cases like
knock-kneed or bow-legged deformities. After surgery, patients are usually in
the hospital for about five days. Rehabilitation begins in the hospital and
will continue at home. Patients usually use crutches or a walker for about six
weeks.
Computer-assisted surgery helps surgeons align the
patient's bones and joint implants with a degree of accuracy not possible with
the naked eye. For the first time doctors have detailed information allowing
them to balance the ligaments and it is given to them before they make the
necessary cuts. The computers also help doctors who use smaller incisions
instead of the traditional larger openings. Small-incision surgery, most often
referred to as minimally invasive surgery, offers the potential for faster
recovery, less bleeding and less pain for patients.