ORTHOPEDIC PRODUCT PORTFOLIO

KNEE NAVIGATION

KNEE ARTHROPLASTYKNEE 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)

KNEE ARTHROPLASTYKNEE 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.

Key Values of

Navigation

Outcome Cost Effectiveness

Mechanical Alignment

Functional Outcomes Soft Tissue Balancing

Less Revisions

Less blood loss

Shorter length of hospital stay

Less Revisions

Additional benefits of CAS

KNEE ARTHROPLASTYKNEE ARTHROPLASTY – VALUES OF CAS FOR TKA

HIPNAVIGATION

Main challenges of hip replacement surgeries:

Accurate component positioning and therefore risk of malpositioning

Restoration of leg length and joint offset

HIP ARTHROPLASTYHIP ARTHROPLASTY – THE CHALLENGES

Adverse outcomeDislocation

Implant wear

HIP ARTHROPLASTYHIP 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

HIP ARTHROPLASTYHIP NAVIGATION – OUR OPTIONS

Total Hip Replacement Hip Resurfacing

TRAUMA NAVIGATION

TRAUMATOLOGYTRAUMA 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-ray exposure

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

TRAUMATOLOGYTRAUMA NAVIGATION – THE SOLUTION

Bone man

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

TRAUMATOLOGYTHE xSPOT– SIMPLIFIED IMAGE ACQUISITION

SPINENAVIGATION

SPINE SURGERYSPINE 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

SPINE SURGERYSPINE NAVIGATION – SOLUTION

Benefits of Spine Navigation

Accurate placement of pedicle screws

Helps avoiding critical 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:

SPINE SURGERYSPINE NAVIGATION – OUR OPTIONS

Various options of using navigation for spinal surgeries

1) Spine navigation with preoperative planning

2) Spine navigation with preoperative CT

3) With intra-operative CT (ICT)

4) With intra-operative 3D C-Arm scans or 2D C-Arm images

YOUTHANK