Surgical Planning

Although very successful hip and knee arthroplasty do not come without penalty to patients. We need to provide a better patient experience including forgetting about residual symptoms, experiencing a natural joint and a normal gait. It is interesting to note that, recent advancements in both material and design of prosthetic components as well as precise positioning technologies have not significantly improved outcome. This may be due to the fact that gold standard techniques for implanting hip and knee components aim to implant all patients similarly (systematic techniques originally introduced to standardise implantation). Growing evidence is showing that we need to move away from the systematic hip and knee implant orientation.

The modern approach to hip and knee arthroplasty involves a targeted treatment relying on the use of advanced image modalities for both diagnosis and treatment. Preoperative 3D surgical planning helps determine the correct implant size, orientation and fixation, achieve restoration of limb lengths. Moreover it enables the use of customised Patient Specific Instrumentation PSI which is sometimes an incorporated step in specialized planning software and used intra-operatively helps deliver the plan. Aiming for anatomy reproduction, the right target with precision will deliver an accurate surgery.