Orthopedics This Week - 2018 | July 17, 2018 | Page 17
ORTHOPEDICS THIS WEEK
VOLUME 14, ISSUE 23 | JULY 17, 2018
alignment. We’ve demonstrated this
with a lot of our young colleagues.
Moderator Thornhill: Every time I start
a knee, I sit there for a moment and I
feel the knee to get an understanding of
whether it’s tight or loose; whether it’s
flexed, whether it’s not and as Rob said, the
soft tissues are different. In rheumatoids,
osteoarthritics, young people, old people.
Are you as good with CAS at individual-
izing the soft tissue balance of that knee or
are you better at just the alignment?
Dr. Mullaji: I think alignment is a
given with navigation. The real advan-
tage is balancing your soft tissues and I
use a tensioner and we did some stud-
ies with transducers and I think that’s
going to be future.
When we combine sensors with naviga-
tion we get a number to the ‘feel’.
We did that with transducers. We got
an accurate sense of balancing pressure
medially and laterally. If you can get a
number with these sensors then you
know if you’re tight medially. Do that
maneuver, check with navigation to
see if you achieved what you wanted to
set out with. Balancing the flexion gap,
17
again, is something that you can flare
out on the computer and make sure that
it’s balanced as you like before doing
your cuts. If you’re not happy with that,
you can change that and achieve more
or less what you’ve set out to achieve.
And that may be tighter in a younger
person and more lax in an older person.
Moderator Thornhill:
Gentlemen,
thank you so much. Very good job,
both of you. ♦
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