Biomedical subjects

Ulrich Clemens

Publications and source records attributed to Ulrich Clemens.

3 recordsLinked to original sources

PubMed2005

Consistency of implantation of a total knee arthroplasty with a non-image-based navigation system: a case-control study of 235 cases compared with 235 conventionally implanted prostheses.

The aim of the study was to assess the consistency of the non-image-based navigation system OrthoPilot, Aesculap, Tuttlingen, Germany, in total knee arthroplasty (TKA) implantation in 5 European centers. Two hundred thirty-five TKAs implanted with this navigation system were matched (according to severity of the preoperative coronal deformation and body mass index) to a historical control group of 235 TKAs implanted with a conventional technique. Consistency of implantation was studied on a 3-month postoperative radiological control with coronal long-leg and sagittal standard x-rays. The use of the OrthoPilot navigation system allowed a statistically significant improvement in the consistent placement of both tibial and femoral components. In accordance with current literature, survival of the navigated implanted prostheses is expected to be longer.

Adult↗

PubMed2005

Advanced navigation planning including soft tissue management.

The OrthoPilot TKA Version 4.2 (B. Braun-Aesculap, Tuttlingen, Germany) offers software support for orthopedic surgeons. The system provides nearly normal manual workflow, creates perfect cuts, allows for sophisticated management of soft tissue, and respects individual anatomies. The OrthoPilot TKA Version 4.2 displays information to guide surgical decisions. However, surgeons decide if the information will be used during the resection. The most important advancements in the Version 4.2 software are the calculation of perfect rotation of the femoral component and optimal gap balancing.

Arthroplasty, Replacement, Knee↗

PubMed2003

Experience using the latest OrthoPilot TKA software: a comparative study.

The OrthoPilot (Aesculap, Tuttlingen, Germany) Knee Navigation System represents a computed tomography (CT)-free system. In older software versions, a rigid-body at the iliac crest was necessary to calculate the centre of the hip. The latest software versions, 3.0 and 4.0, use a new mathematical algorithm to reconstruct the mechanical axis. Using the OrthoPilot system, an intraoperative cinematic study can be done that results in calculation of the mechanical axis and navigation of resection cuts. According to flexion- and extension-gap balancing, the anterior/posterior (a.p.) position and rotation of the femoral component also are navigated. Thirty navigated SEARCH (Aesculap, Tuttlingen, Germany) total knee arthroplasties (TKA) using the software version 3.0 of an uninterrupted series were evaluated, versus 30 navigated knees using older software and a manual group. Results concerning alignment were determined to be superior to the older navigation and manual groups. The number of cases with a good mechanical axis, 0; low; or 2 of deviation from optimum, was reached in 17 of the manual, 19 of the older-version, and 27 of the newer-version navigation cases. More features were solved in a convincing manner. The numbers of ouliers were diminished. Navigation in TKA using the OrthoPilot has become more safe and effective.

Aged↗