항법 장치 시스템을 이용한 개방형 근위 경골 절골술

• Published in: The journal of the Korean Orthopaedic Association Vol. 49; no. 2; pp. 107 - 117
• Main Authors: 선종근(Jong-Keun Seon), 김하성(Ha-Sung Kim), 김도연(Do-Youn Kim), 송은규(Eun-Kyoo Song)
• Format: Journal Article
• Language: Korean
• Published: 대한정형외과학회 01.04.2014
• Subjects: 정형외과학; knee; navigation; osteotomy; computer-assisted surgery; 슬관절; 절골술; 컴퓨터를 이용한 수술; 항법 장치 시스템
• ISSN: 1226-2102

Navigation systems are currently being widely used in orthopedic surgery. The mechanical axis alignment can be judged accurately via a navigation system. High tibial osteotomy (HTO) is a procedure that aims to change the mechanical axis of the lower limb, transferring the body weight across healthy articular cartilage. Several studies have shown that accurate correction is the leading predictor for success. And, by using a navigation system, accurate multiplane measurements of the lower limb alignment can be performed intraoperatively in real time, and alignment adjustments can be made as the surgeon desires. Compared with the conventional cable-method, computer navigation significantly improves the accuracy of postoperative leg axis, reduces correction variability with fewer outliers, and reduces radiation time. This paper reviews the advantages, clinical results, complications, pitfalls, and posterior tibial slope control in navigation guided open wedge HTO. KCI Citation Count: 0