Navigation in anterior cruciate ligament reconstruction: State of the art

Simple item page
dc.contributor.authorFigueroa, Francisco
dc.contributor.authorFigueroa, David
dc.contributor.authorGuiloff, Rodrigo
dc.contributor.authorPutnis, Sven
dc.contributor.authorFritsch, Brett
dc.contributor.authorItriago, Minerva
dc.date.accessioned2023-01-09T16:02:49Z
dc.date.available2023-01-09T16:02:49Z
dc.date.issued2023
dc.description.abstractComputer navigation (CN) for anterior cruciate ligament (ACL) surgery has been used mainly for two purposes: to enhance the accuracy of tunnel position and to evaluate the kinematics of the ACL reconstruction (ACLR) and the stability achieved bydifferent surgical techniques.Many studies have shownthatnavigationmay improve the accuracy of anatomical tunnel orientation and position during ACL reconstructive surgery compared with normal arthroscopic tunnel placement, especially regarding the femoral side. At the same time, it has become the gold-standardmethod for intraoperative knee kinematic assessment, as it permits a quantitative multidirectional knee joint laxity evaluation. CN in ACL surgery has been associated with diverse problems. First, in most optic systems additional skin incisions and drill holes in the femoral bone are required for fixation of a reference frame to the femur. Second, additional radiation exposure and extra medical cost to the patient for preoperative planning are usually needed. Third, CN, due to additional steps, has more opportunities for error during preoperative planning, intraoperative registration, and operation. Fourth, soft tissues, including the skin and subcutaneous tissues, are usually not considered during the preoperative planning, which can be a problem for kinematic and stability assessment. Many studies have concluded that ACLR using a CN system is more expensive than conventional surgery, it adds extra time to the surgery and it is not mitigated by better clinical outcomes. This, combined with costs and invasiveness, has limited the use of CN to research-related cases. Future technology should prioritize less invasive intra-operative surgical navigation
dc.description.versionVersión publicada
dc.format.extent7 p.
dc.identifier.citationFigueroa F, Figueroa D, Guiloff R, Putnis S, Fritsch B, Itriago M. Navigation in anterior cruciate ligament reconstruction: State of the art. J ISAKOS. 2023 Feb;8(1):47-53. doi: 10.1016/j.jisako.2022.09.001
dc.identifier.doihttps://doi.org/10.1016/j.jisako.2022.09.001
dc.identifier.urihttps://repositorio.udd.cl/handle/11447/6902
dc.language.isoen
dc.subjectACL
dc.subjectNavigation
dc.subjectCAS
dc.subjectComputer-assisted surgery
dc.subjectAnterior cruciate ligament
dc.titleNavigation in anterior cruciate ligament reconstruction: State of the art
dc.typeArticle
dcterms.accessRightsAcceso abierto
dcterms.sourceJournal of ISAKOS

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
1. Navigation in anterior cruciate ligament reconstruction State of the art.pdf
Size:
684.88 KB
Format:
Adobe Portable Document Format
Description:
Texto Completo
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Artículos Medicina y Ciencias de la Salud

Implementado por OpenGeek Services