The current concepts of total knee arthroplasty have been devel oped gradually over the last 25 years and have led to a consolidation of. The londonbased company reported that corrective followup surgery was needed for about 30 of the 3,000 patients fitted with the products in the united states, according to information first. Total knee arthroplasty tka is commonly considered to be a reliable procedure, with high implant survival rates at 10 to 15 years of followup. Surgical approach revision knee replacement surgery should not be attempted by an orthopedist unless they are familiar experienced in revision knee replacements. Over the past 10 years the genesis ii total knee system has grown to become one of the most trusted total knee systems on the market. The goal of total knee replacement surgery is to relieve pain and obtain better knee function. Cutting edge instrumentation, such as the user friendly mis system and the reamthru. This book covers a range of techniques for the realisation of functional joint motion and stability. The subjects were 33 patients 40 knees with oa and 12 patients 12 knees with ra. The genesis ii total knee system has been designed to offer the orthopaedic surgeon solutions to address intraoperative situations. Oct 27, 2014 this study aims to determine 1 whether the use of e.
Aug 01, 2007 total knee replacement using the genesis ii prosthesis. Pdf insert dissociation after fixed bearing ps constrained. Extramedullary tibial 100 alignment device with proximal fixation spike appendix v. The purpose of this study was to compare patellar tracking of the genesis ii knee system with that of the vanguard knee system, in which the femoral component is routinely implanted in a 3. I was at work today and totally forgot my knee, however i will never forget the pain and suffering i endured for years prior to the surgery. Over the 30 years since its inception, advances in implant design and surgical technique continue to improve the outcomes and make the operation applicable to overwhelming numbers of patients with advanced gonarthrosis. Affatato, in surgical techniques in total knee arthroplasty and alternative procedures, 2015.
This is achieved by ensuring correct patient selection, preoperative deformity, implant design and accurate surgical techniques. Figure 1 table 1 size compatibility tibial insert 12 34 56 femoral component 1,2,3 2,3,4,5 4,5,6 consensus orthopedics 1 introduction the consensus revision knee system was designed utilizing excellence in engineering, best. Today a patient can expect to rely on his new knee to serve him with comfort for a fair number of years if not his entire life. Total knee replacement tkr is a common and successful treatment for severe osteoarthritis of the knee. The genesis ii knee system nonporous tibial baseplate is a component used in total knee replacements. After opening the area by the usual technique, the. Total knee arthroplasty total knee replacement has been proven to be a predictably successful procedure with reliable pain relief, increased knee function, and im provement in quality of life 19,27, 35. After an introductory section on the native knee that covers the anatomy, physiology, biomechanics, and patterns of disease, all aspects of primary knee arthroplasty are discussed. Concise chapters cover indications, contraindications, complications, results, instrumentation, infection, preop planning, prosthetic choice, revision arthroplasty, and more with the. Femoral and tibial 103 insert compatibility charts appendix iv, surgical technique, edited by william l. Genesis i total knee system,the genesis total knee system provides the adaptability surgeons need to make each implant fit each patient. I also had a smithnephew genesis 2 total knee replacementin 2005 i had more pain after the surgery than before. A novel computerassisted surgical technique for revision.
Section i the basics 1 history of total knee replacement 2 indications and alternatives to total knee replacement 3 knee biomechanics and materials section ii the surgical technique of total knee replacement 4 soft tissue. Currently, younger and more active patients with arthritis, trauma and other joint diseases are getting predictable and durable results from total knee arthroplasty. Tenyear results of the first 100 genesis ii total knee. Total knee arthroplasty tka has become a wellestablished treatment modality for surgical correction of knee disorders and pain generated by arthritis and other disorders such as trauma. Csti porous coating provides potential for optimal ingrowth fixation.
Also known as the thigh bone, the femur is the largest and strongest bone in the human body. Today, almost 60,000 tkrs are performed in the uk each year. Extending to the ankle, the fibula is a thin bone on the lateral side of the leg that runs. This study aims to determine 1 whether the use of e. Chapter 104 surgical approaches in total knee arthroplasty standard and mis techniques nilesh patil, michael p.
An innovative computerassisted surgical technique for rtka is presented. This is what the arthritic patient expects from a total knee arthroplasty tka. As one of the most vital pieces of the knee, the acl typically requires surgical repair and significant rehabilitation when injured. Two wellknown knee experts have assembled a group of giants in the field to present a book encompassing the best techniques for total knee arthroplasty. The tibia, or shin bone, extends to the ankle and has two shockabsorbing menisci attached to the top, where it meets the knee fibula. The first part of the book will describe fundamentals in total knee arthroplasty and alternative procedures. We report a rare complication of spontaneous late dissociation of the tibial insert 2 years after total knee arthroplasty using a highflex posteriorstabilized genesis ii prosthesis smith. Revision total knee arthroplasty rtka is a skilldemanding intervention presenting several technical challenges to the surgeon due to bone deficiencies and lack of anatomical references. The attune intuition instrumentation is intended for use with the attune knee system implants only and should not be considered interchangeable with any other instrumentation.
This surgical technique provides guidelines for the implantation of the attune knee system family of fixed bearing knees with the attune intuition instrumentation. Implant function is directly related to accurate surgical technique. The genesis ii total knee system is a cemented primary and revision knee replacement system from smith and nephew, implanted since the 1990s. Since its introduction in 1996, the genesis ii total knee system has produced good clinical results in patients undergoing primary total knee replacement. Early results of total knee arthroplasty using a builtin 3. Restoration of function is a goal of a different order and forms the scope of this book. Genesis i, genesis ii, legion and journey ii, natural knee.
This book offers a comprehensive guide to total knee arthroplasty tka that will assist in achieving excellent outcomes based on a sound understanding and technique. The acl is a cruciate ligament, meaning it is located inside the knee, while the collateral ligaments are located on either side of the knee. Computerassisted navigation systems can potentially solve these problems. Total knee arthroplasty tka is a successful procedure with very satisfactory results at longterm followup. None of the equipment posted for sale on is owned by medwow, should you have any questions regarding a specific item, please direct them to the appropriate seller by making use of the available communication channels on the items page. Jan 02, 2002 studies show that this procedure maintains a high level of performance, longevity and patient satisfaction for all age groups. The role of polyethylene design on postoperative tka. Smith and nephew announced a voluntary recall of the cementless versions of their oxinium genesis ii and oxinium profix ii knee replacement systems.
Studies show that this procedure maintains a high level of performance, longevity and patient satisfaction for all age groups. And you do it all,medicine,medical supply,medical supplies,medical. Knee prosthesis is usually composed of three components, to replicate the function of a healthy knee. More than 90% of people who have total knee replacement surgery experience a dramatic reduction of knee pain and a significant improvement in the ability to perform common activities of daily living. Two wellknown knee experts have assembled a group of giants in the field to. The choice of incision is based on many factors including old scars, stiffness of the knee, bone quality, age and health of the patient. The genesis ii instrumentation has been developed to be an easytouse system that will assist the surgeon in. By virtue of standardization of the tka procedure, surgeons can nowadays solve the pain issue for the majority of the patients. With such knowledge, the pathologic condition, anatomy, and planned. Thieme ejournals the journal of knee surgery full text.
Total knee replacement is one of the most successful interventions in orthopaedic surgery. Versatile, simple instrumentation, comprehensive in function and fewer in number, reduces surgical time, makes intraoperative management easier, and provides. Total knee replacement tkr became popular during the 1970s and 1980s as a treatment for endstage degeneration of the knee joint. The genesis ii total knee system has been designed. When the primary implantation fails, a new surgical procedure, revision total knee. The osteoarthritis cant give much insight on the brands or manufacturer. The genesis ii total knee system has been designed to offer the orthopaedic surgeon. Early results of total knee arthroplasty using a builtin. Knee replacement recalls, zimmer nexgen knee, safety. An important factor in deciding whether to have total knee replacement surgery is understanding what the procedure can and cannot do. The genesis ii total knee system has been designed to offer the.
In this book we focus on the longterm outcome of tka, and we hope it. Cutting edge instrumentation, such as the user friendly mis system and the reamthru femoral trials, was designed to create the most comprehensive system available. Shortterm results of genesis ii total knee arthroplasty. However, arthroplasties of the knee and hip continue to improve and increase based on charnleys design of metal on polyethylene and improved technology figure 1. Outcome comparison of two total knee arthroplasty systems. The wide selection of stems, wedges, modules, articular inserts and patellar components allow surgeons to address the unexpected with certainty. The external femoral 94 alignment system appendix iii. The high performance knee is a total knee system which. Total knee replacement using the genesis ii prosthesis. T he genesis ii total knee system has been designed to offer the orthopaedic surgeon solutions to address intraoperative situations.
We compared the outcomes of total knee arthroplasty tka using the genesis ii prosthesis in which 3 of external rotation was incorporated into the femoral component and nexgen lps prosthesis in which the degree of external rotation was determined by the extent of intraoperative bone cutting. Genesis ii revision surgical technique sterilization microbiology. Genesis ii total knee replacement system from smith. I totally forget that i have a implant less than 10 months old in my knee.
The genesis ii total knee system has grown to become one of the most trusted total knee systems on the market. Preoperative planning and meticulous surgical technique are. Genesis ii instrumentation has been developed to be an easytouse system that will assist the surgeon in obtaining. Surgical techniques in total knee arthroplasty and. Manufacturer specifications genesis 2 total knee system. Section i the basics 1 history of total knee replacement 2 indications and alternatives to total knee replacement 3 knee biomechanics and materials section ii the surgical technique of total knee replacement 4 soft tissue techniques in total knee. Scuderi critical to exposing the knee during total knee arthroplasty is a complete understanding of the local anatomy, which is described in chapter 1. The attune knee system is designed to address implant fit femoral component overhang of 3 mm is associated with an almost twofold increased risk of knee pain more severe than occasional or mild at 2 years after surgery. Knee patient education genesis orthopedics and sports.
Genesis ii knee system nonporous tibial baseplate used in. Two metal parts, generally in cobaltchrome alloy, are fixed to the distal femur and to the proximal tibia. The rate of complications after tkr is relatively low. There were 9 men and 36 women, and their mean age at the time of surgery was 71.1131 1429 578 587 430 1208 789 1147 1114 215 1175 580 328 877 887 1455 656 378 152 1565 293 758 989 399 1443 1085 185 1611 94 1109 510 400 1253 480 1469 638 323 522 58 834 67 1442