My Knee Patient Matched Technology In Replacement Brochure
2015-01-29
: Pdf Myknee Patient Matched Technology In Knee Replacement Brochure MyKnee_Patient_Matched_Technology_in_knee_replacement_Brochure 1 2015 pdf
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E D technolog C U T T I N G ByL O C K S P atient MYKNEE ® ADVENTURE INNOVATION: THE KEY TO SUCCESS Patient matched technology LBS 1. Medacta® receives the CT or MRI images of the patient‘s leg. MIS Special features of MyKnee ®: 2. A virtual positioning of the implant is proposed to the surgeon who can modify the planning as he wishes. HOW TO START with myknee ■ Complete in-house technology ensuring the assistance of a personal MyKnee® technician and only 3 weeks lead time! d esigned f or you by you ! MyKnee® is a patient-specific cutting block, allowing the surgeon to realize his pre-operative 3D planning, based on CT or MRI images of the patient’s knee. This innovative concept combines different features giving potential benefits to both the surgeon and to the patient. 4. Once the planning has been validated by the surgeon, the in-house manufacturing process starts. ■ Accurate implant positioning[1-11] ■ No intramedullary canal violation ■ Up to 60% reduction of surgical steps for bone resection and related time ■ Potentially one extra case per surgery session ® ■ Up to 66% reduction of time and cost in washing, assembling and sterilization procedures MYKNEE EDUCATION PROGRAM When attempting a new procedure or working with new technology one is always challenged with the associated learning curve. This can often lead to discouragement and could even prevent perseverance which would prevent one from taking full advantage of the benefits offered by the new procedure or technology. To minimize this learning curve and guided by the successful AMIS® Education Program (continuously training hundreds of surgeons worldwide), the M.O.R.E. Institute has created a comprehensive Education Program which supports the surgeon step-by-step in the application of the MyKnee® system. ■ 1st step: The Reference Center Available in several countries worldwide you will have the opportunity to visit a Reference Center and attend live MyKnee® surgeries. ■ 2nd step: The Learning Center The MyKnee® Learning Center offers you the opportunity to attend live MyKnee® surgeries, meet experienced surgeons and discuss the clinical and economical aspects of MyKnee® technology. ■ 3rd step: Support Upon request you will receive the assistance of an experienced Reference Surgeon to assist with your first surgeries in your own hospital. ■ 4th step: Continuous Education You can continue your education through GMK® and MyKnee® user meetings, M.O.R.E. International events, Reference Center visits and other educational tools. ® Designed for you by you! ■ Actual Cutting Blocks, not only pin positioners ■ Online case management Medacta’s core philosophy is based on the belief that innovation is the key to success. This leads to a constant effort towards the development of cutting edge solutions for Orthopaedics. ED ■ THIS ONE WORKS! Proven accuracy and effectiveness of MyKnee® [1-11] ■ CT or MRI based 3. Starting from the 3D reconstruction of the joint and following the surgeon preferences, the MyKnee® preoperative planning is performed. IN KNEE REPLACEMENT T EN T PA Just contact Medacta® and we will arrange the Education Program for You! Medacta International Strada Regina - 6874 Castel San Pietro - Switzerland Phone +41 91 696 60 60 - Fax + 41 91 696 60 66 Info@medacta.ch -www.medacta.com match E D Medacta USA 4725 Calle Quetzal Suite B - Camarillo California 93012 Phone +1 805 437 7085 - Fax +1 805 437 7089 info@medacta.us.com MyKnee® Leaflet 99.my26.11US rev.03 ■ Interactive 3D web planning Brochure Hip Knee Spine Navigation Designed for you by you! P atient Accurate implant positioning matched technolog y MYKNEE ® OFFERS YOU MORE. . . [1-11] Interactive 3D web planning The MyKnee® cutting blocks are made to accurately match the surgeon‘s preoperative planning, based on individual patient‘s anatomy and his mechanical axis: ■ THIS ONE WORKS! Published articles prove the accuracy and effectiveness of MyKnee® [1-11] ■ Unmistakable positioning: The MyKnee® guides are positioned on the bone referring to distinct references: the osteophytes. ■ Maximized visibility through the guides during both blocks positioning and resections. ■ Telescopic alignment rod: The guides allow a drop rod to be connected, allowing you to validate intraoperatively the actual positioning and axial alignment of the blocks. ■ Actual Cutting Blocks, not only pin positioners The bone resections are performed directly through the slots and all the checks can be done intraoperatively before pinning the cutting blocks. ■ Less risk of emboli[14] Mean blood loss (ml) 1747 ■ A personal MyKnee® technician just for you Each surgeon is assigned a MyKnee® technician who is his reference person for all questions and needs. ■ CT or MRI based Freedom to choose the preferred imaging technology. No intramedullary canal violation ■ Less bleeding[13] ■ Complete in house technology The MyKnee® process is entirely kept in house from the 3D anatomical reconstruction to the cutting blocks manufacturing, allowing a direct contact between the surgeon and his personal MyKnee® technician. Emboli distribution as a percentage of patients operated comparing using IntraMedullary jigs with not using IntraMedullary jigs. ■ Only 3 weeks lead time The shortest delivery time in today‘s market for this technology. ■ Online case management The MyKnee® cases are managed entirely online, without the need of installing any software. The cases database is available to the surgeon at any time from everywhere and, moreover, the information on the website is always kept up-to-date. 1351 The user interface may change without notice. The picture is only indicative and shows the information provided by the interactive website. ■ No IM jigs ■ IM jigs For every case the surgeon can modify all femur and tibia parameters such as: ■ Femoral distal and anterior-posterior resection levels, femoral rotation, femoral flexion, femoral and tibial varus/valgus, ■ Tibial resection level and tibial slope. The MyKnee® team is always at surgeon‘s disposal and is pleased to collaborate. 50 No IM jigs 45 IM jigs Designed by you! The MyKnee® preoperative planning is based on the surgeon‘s specific preferences and submitted to the surgeon for approval through an interactive website available at https://myknee.medacta.com. 40 ■ Less haemoglobin loss Mean hemoglobin loss (g/dl) Patients (%) 35 Up to 60% reduction of surgical steps for bone resection and related time 30 25 [13] 20 Only 3 surgical steps are needed using MyKnee® cutting guides: fit – pin – cut, saving more than 20 steps. 5 0 0 1 2 3 4 5 6 7 8 9 > 10 Having a smaller number of surgical steps may reduce the overall surgical time, potentially adding one extra case per surgery session.[8] 36 No IM jigs IM jigs [10,16] 15 10 53 Up to 66% reduction of time and cost in washing, assembling and sterilization procedures Having less blood loss allows the hospital structure and patient to save money associated with transfusions[10] Moreover the patient may benefit: ■ Less exposure to the risk of infection[15] ■ Less time under anaesthesia ■ Less tourniquet time ■ Only 2 MyKnee® trays opened vs. 6 or more for a conventional TKR ■ Specific implants ready in the operative room ■ Less set-up time & turnover time ■ Less risk of losing and damaging pieces ■ Fewer cleaning requirements ■ Improved overall operative room logistics and efficiency Once approved by the surgeon, Medacta® produces MyKnee® cutting blocks using in house laser sintering technology. The guides are then shipped to be setup for surgery. References [1]Leon V, Patient matched technology vs conventional instrumentation and CAS, Poster at the 13th EFORT Congress, Berlin, May 23-25 2012. [2] Koch P, Müller D, Pisan M, Fucentese S, Radiographic accuracy in TKA with CT-based patient-specific cutting block technique, Knee Surg Sports Traumatol Arthrosc. 2013 Oct;21(10):2200-5. [3] Dussault M, Goldberg T, Greenhow R, Hampton D, Parry S, Slimack M - Preoperative planning accuracy of MyKnee system. M.O.R.E. Journal. 2012 May; 2:22-25. [4] Müller D et al, CT based patient specific cutting blocks for total knee arthroplasty: technique and preliminary radiological results. Podium Presentation at the 71st Annual Congress of the SSOT, Lausanne, Switzerland, June 22-24, 2011. [5] Goldberg T et al, Ct-Based Patient-Specific Instrumentation Is Accurate for TKA: A Single-Surgeon Prospective Trial, Bone Joint Journal vol. 95-B no. SUPP 34 325, 2013 [6] Goldberg T et al, Ct-Based Patient-Specific Instrumentation Is Effective in Patients With Pre-Existing Hardware about the Knee, Bone Joint Journal vol. 95-B no. SUPP 34 326, 2013 [7] Trong M, Helmy N et al, Improved positioning of the tibial component in unicompartmental knee arthroplasty with patient-specific cutting blocks, Knee Surg Sports Traumatol Arthrosc. 2014 Jan, Epub ahead of print. [8] Goldberg T - MyKnee economical and clinical results. Podium Presentation at the 6th M.O.R.E International symposium, Stresa, Italy, May 13-14, 2011. [9] Koch P - MyKnee System : A new vision in total knee replacement. Leading Opinions - Orthopädie & Rheumatologie 2, 2011: 32-35. [10] Gagna G - Aspects economiques de la technologie sur mesure MyKnee en chirurgie prothetique du genou, Podium Presentation at the SOFCOT Annual Meeting, Paris, November 11-14, 2012. [11] Baldo F, Boniforti B – Patient-specific cutting blocks for total knee arthroplasty: preoperative planning reliability. J Orthopaed Traumatol 2011; 12 (Suppl 1): S23-S88 [12] Ritter MA. et al. Postoperative alignment of total knee replacement: its effect on survival. Clin Orthop. 1994; 299:153-156. [13] Kalairajah Y. et al. Blood loss after total knee replacement: effects of computer-assisted surgery. JBJS Br. 2005 - Nov;87(11):1480-2. [14] Kalairajah Y. et al. Are systemic emboli reduced in computer-assisted knee surgery?: A prospective, randomised, clinical trial. JBJS Br. 2006 Feb;88(2):198-202. [15] Peersman G. et al. Prolonged Operative Time Correlates with Increased Infection Rate after Total Knee Arthroplasty. Hospital for Special Surgery Journal 2006 -Feb;2(1):70-2. [16] Data on file: Medacta
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