{"id":29360,"date":"2021-08-04T11:20:51","date_gmt":"2021-08-04T09:20:51","guid":{"rendered":"https:\/\/artiqo.de\/anatomical-reconstruction-yes-just-please\/"},"modified":"2023-12-11T16:51:17","modified_gmt":"2023-12-11T15:51:17","slug":"anatomical-reconstruction-yes-just-please","status":"publish","type":"post","link":"https:\/\/artiqo.de\/en\/anatomical-reconstruction-yes-just-please\/","title":{"rendered":"Anatomical reconstruction? Yes, just please!"},"content":{"rendered":"

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” z_index=””][vc_column css=”.vc_custom_1613035748057{margin-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1628074806563{margin-bottom: 50px !important;padding-bottom: 10px !important;background-color: #ffffff !important;}” el_class=”kasten”]\"Join<\/a>[\/vc_column_text][vc_column_text css=”.vc_custom_1628073018099{padding-bottom: 10px !important;}”]<\/p>\n

Course report 4-motion\u00ae workshop, July 3, 2021<\/h5>\n

Anatomical reconstruction? Yes, just please!<\/h1>\n

[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” z_index=””][vc_column width=”1\/2″ css=”.vc_custom_1613035748057{margin-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1628069466227{padding-bottom: 10px !important;}”]Is it still up to date to mechanically align all knees to 90\u00b0\/90\u00b0 degrees? “No” is the answer of the “4-motion\u00ae Workshop: Better Outcomes with Kinematic Alignment”, which was held in Essen for the first time on July 3, 2021 thanks to the low number of Covid-19 infections. Under the scientific direction of Prof. Dr. Henrik Schroeder-Boersch, Wiesbaden, the participants discussed the complexity of the knee anatomy and various alignment strategies before they got to know the 4-motion\u00ae knee system practically on the specimen under the guidance of expert instructors. The conclusion of the participants: Finally there is a simple and well thought-out implementation for the anatomical reconstruction.<\/strong><\/p>\n

For years, the literature has confirmed that between 15% and 25% of patients are dissatisfied after TKA, Schroeder-Boersch referred to the study situation. \u201cThe question has clinical relevance. In the past 5 to 10 years, the specialist community has been increasingly discussing the move away from the 90\u00b0\/90\u00b0 alignment of the knee towards a kinematic-anatomical alignment,\u201d explained Schroeder-Boersch.<\/p>\n

Restoring the natural joint line is the central element for anatomical reconstruction. “We should realize that we want to go back to where the cartilage surface used to be,” summarized Schroeder-Boersch.[\/vc_column_text][\/vc_column][vc_column width=”1\/2″][vc_column_text css=”.vc_custom_1628071150377{padding-bottom: 10px !important;}”]Two thirds of patients have an 87\u00b0\/87\u00b0 joint line<\/strong><\/p>\n

Preoperative anatomical CT data from 143 patients, which the company ARTIQO evaluated in the course of developing the 4-motion\u00ae knee prosthesis, confirm the frequency of a medially inclined articulation plane. About two thirds of the patients (n=92) showed a varicose joint plane between 80.5 and 87.9 degrees. A smaller group (n=25) still had a slightly inclined plane between 88 and 89.5 degrees, while the last sixth (n=26) had a neutral or slightly valgus joint plane between 89.6 and 93.2 degrees.<\/p>\n

“The reconstruction of the joint line<\/a> also means that we achieve the movement around the correct axis when flexing the knee joint,” emphasized Schroeder-Boersch. In addition to the correct joint line, the evenness of the flexion and extension gaps and the ligament stability in the various flexed positions are important prerequisites for a good clinical result, a stable joint and good function. If this does not succeed, the distances between the inner and outer ligaments to the joint surface change and with it the stabilizing function of the ligament structures. “Then the knee no longer works as it should, although we leave the ligaments alone,” stated Schroeder-Boersch.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” css=”.vc_custom_1628067378807{padding-bottom: 50px !important;}” z_index=””][vc_column][vc_column_text]<\/p>\n

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[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” z_index=””][vc_column width=”1\/2″ css=”.vc_custom_1613035748057{margin-bottom: 30px !important;}”][vc_column_text css=”.vc_custom_1628071889062{padding-bottom: 10px !important;}”]A recently published meta-analysis certifies that kinematic alignment <\/a>better results than the mechanical approach. Eleven randomized controlled trials that met the inclusion criteria and included 1,103 patients were included in the analysis. Alignment was kinematic in 553 patients and mechanical in 550 patients. The follow-up period was mostly between 6-24 months. The WOMAC score (599 patients) was significantly better in the kinematic group with 10 points (p<0.001), as was the combined Knee Society Score (KSS) with 18 points (p<0.001). The KOOS score, which measures symptoms, pain, activities of daily living, exercise, and quality of life (291 patients), was not significantly different between the two groups, while flexion (ROM) was slightly better in the kinematic group at 5 degrees than in the comparison group. In addition, there was significantly less ligament release in the kinematic than in the mechanical group.<\/p>\n

“These are very good clinical results that we cannot ignore,” emphasized Schroeder-Boersch. However, this requires a prosthesis system that was designed for an anatomical reconstruction and that can reproduce the variability of the human knee.<\/p>\n

Simplicity and anatomical reconstruction are not mutually exclusive<\/strong><\/p>\n

That’s why Schroeder-Boersch has been working with the 4-motion\u00ae knee system for three quarters of a year: “Anyone who knows Ulli B\u00fccken knows that anatomical alignment has been a matter close to his heart for years.” This is not an exclusive idea from ARTIQO, but only the discussion the endoprosthetic community in recent years, which has increasingly doubted mechanical alignment. With the 4-motion\u00ae knee system<\/a> there is now a system that allows this procedure.[\/vc_column_text][\/vc_column][vc_column width=”1\/2″ css=”.vc_custom_1628067449966{padding-bottom: 50px !important;}”][vc_column_text css=”.vc_custom_1628071985339{margin-bottom: 50px !important;padding-bottom: 10px !important;}”]The 4-motion\u00ae knee system approaches this topic from three directions: It has three-dimensional preoperative planning, patient-specific cutting blocks and implant components that are designed and approved for individual anatomical alignment.<\/p>\n

“The preoperative planning and the algorithm follow the current state of the literature,” explained Mario Frank, member of the management and developer of ARTIQO GmbH. “The 3D planning shows the surgeon transparently how the components are positioned based on the state-of-the-art planning.” In order to meet the precise planning specifications, patient-specific cutting blocks are manufactured. In addition, the 4-motion\u00ae prosthesis system was designed and approved for the anatomical reconstruction of the joint line. “Right from the start of development, we wanted to be able to reconstruct the anatomical variability of the joint line,” explained Frank.<\/p>\n

The course participants were also able to convince themselves of this in a very practical way by looking at the various preparations. The preparations were anatomically reconstructed according to the specifications using the three-dimensional planning that had been created in advance with the planning algorithm, the PSI cutting blocks and the implant components. The conclusion: finally there is a simple and well thought-out implementation for anatomical reconstruction.[\/vc_column_text][vc_column_text css=”.vc_custom_1628075038675{padding-top: 30px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;background-color: #ffffff !important;}” el_class=”kasten”]<\/p>\n

Links<\/h3>\n

Read more on this topic:<\/p>\n

Consistently anatomical<\/a>
\nLecture EKB Endokongress | ARTIQO Knee Symposium<\/p>\n

4-motion\u00ae knee system<\/a>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” css=”.vc_custom_1628067378807{padding-bottom: 50px !important;}” z_index=””][vc_column][vc_column_text]<\/p>\n

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[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” css=”.vc_custom_1628067378807{padding-bottom: 50px !important;}” z_index=””][vc_column][vc_column_text]
\nImpressions from the 4-motion\u00ae workshop on July 3, 2021 in the TripleZ in Essen
\n[\/vc_column_text][vc_gallery type=”image_grid” images=”28341,28343,28349,28347,28345,28364″ img_size=”700″ column_number=”6″ grayscale=”no” images_space=”gallery_without_space”][\/vc_column][\/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” css=”.vc_custom_1628067378807{padding-bottom: 50px !important;}” z_index=””][vc_column][vc_column_text]<\/p>\n

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[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

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