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Patient Matched Knee Replacement
or
Custom Fit Knee Replacement
at
Gurgaon Knee and Shoulder Clinic
Further information at...
DR. JAYANT ARORA
MS(ORTH), DNB(ORTH), MRCS(UK)
Fellowship in Joint Replacement and Arthroscopy, Newcastle,UK
Senior Consul...
What is it?
• Patient matched disposable total knee replacement cutting
blocks designed using the patient’s anatomy
• Util...
VISIONAIRE instrumentation vs standard
TKA
• Reduces surgery time and set up by eliminating 20-22
surgical steps from a st...
VISIONAIRE instrumentation vs standard
TKA
• Reduces sterilization due to less instruments required for
surgery
Standard T...
VISIONAIRE instrumentation vs standard
TKA
• Eliminates need to violate the intramedullary canal,
reducing blood loss and ...
VISIONAIRE instrumentation vs standard
TKA
• Improves alignment and sizing by using computer
generated images of the patie...
Who benefits?
Surgeons
• More efficient surgery – less number of instruments and trays
• Greater accuracy – preop determin...
System Flexibility
This technology is patient specific and surgeon specific
• Cutting blocks built based on patients anato...
Step 1: Doctor’s office enters patient specific
information and schedules patient MRI and full leg X-
Ray
™Trademark of Sm...
Surgeon Preferences
Femur
• Varus/valgus alignment
• Flexion
• External Rotation
• Distal femoral resection
• Size and AP ...
Step 2: Patient completes full leg X-Ray and MRI scan
and patient images are uploaded to secure website
™Trademark of Smit...
Step 3: Smith & Nephew engineer receives images via
secure website and design work begins on patient
matched instrumentati...
Step 4: Patient specific 3D bone models are created
™Trademark of Smith & Nephew.
Step 5: Instrumentation designed to patient specific
anatomical features
Step 6: Preop plan generated
™Trademark of Smith ...
Preop plan – femur
™Trademark of Smith & Nephew.
Preop plan – tibia
™Trademark of Smith & Nephew.
Step 7: Patient matched cutting blocks
are manufactured
™Trademark of Smith & Nephew.
Step 8: Sterile blocks sent for patient surgery
Patient and Surgeon names are mentioned on blocks
Advantages
Improved alignment and implant positioning
Reduced surgical steps
Reduced surgery time– less blood loss
No Need...
Custom Fit or Patient Specific Knee Replacement Surgery in Gurgaon by Dr Jayant Arora.
Custom Fit or Patient Specific Knee Replacement Surgery in Gurgaon by Dr Jayant Arora.
Custom Fit or Patient Specific Knee Replacement Surgery in Gurgaon by Dr Jayant Arora.
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Custom Fit or Patient Specific Knee Replacement Surgery in Gurgaon by Dr Jayant Arora.

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We offer most advanced technique of Knee replacement surgery-- Custom Fit implants. Dr Jayant Arora is a renowned Knee replacement surgeon in Gurgaon with years of experience in England and Scotland. He is the Chief of Orthopedic Surgery at Columbia Asia Hospital in Gurgaon since 2008. He is a pioneer of this technique in Gurgaon. Hundreds of patients have benefited from this latest technique leading to a painless quick recovery after the surgery. There are many advantages of this technique as compared to traditional way of doing the surgery, namely shorter surgery time, less blood loss, smaller incision and better precision in the fitting of the implants. This leads to your artificial knee feeling as natural knee!!

Feel free to email us at gurgaonkneeshoulderclinic@gmail.com if you have any queries about knee replacement surgery

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Custom Fit or Patient Specific Knee Replacement Surgery in Gurgaon by Dr Jayant Arora.

  1. 1. Patient Matched Knee Replacement or Custom Fit Knee Replacement at Gurgaon Knee and Shoulder Clinic Further information at gurgaonkneeandshlolderclinic.com
  2. 2. DR. JAYANT ARORA MS(ORTH), DNB(ORTH), MRCS(UK) Fellowship in Joint Replacement and Arthroscopy, Newcastle,UK Senior Consultant Orthopedics and Joint Replacement Surgeon Columbia Asia Hospital, Palam Vihar Gurgaon Knee and Shoulder Clinic 570/ Sector 56, Gurgaon www.gurgaonkneeandshoulderclinic.com
  3. 3. What is it? • Patient matched disposable total knee replacement cutting blocks designed using the patient’s anatomy • Utilizes preoperative MRI and full-leg X-Ray • Based off the gold standard of mechanical axis alignment ™Trademark of Smith & Nephew.
  4. 4. VISIONAIRE instrumentation vs standard TKA • Reduces surgery time and set up by eliminating 20-22 surgical steps from a standard TKA* *Source: GENESIS™ II Surgical Technique. Standard cutting blocks should be available for back-up. ™Trademark of Smith & Nephew.
  5. 5. VISIONAIRE instrumentation vs standard TKA • Reduces sterilization due to less instruments required for surgery Standard TKA VISIONAIRE instrumentation ™Trademark of Smith & Nephew.
  6. 6. VISIONAIRE instrumentation vs standard TKA • Eliminates need to violate the intramedullary canal, reducing blood loss and complications from fat emboli *Source: GENESIS™ II Surgical Technique. ™Trademark of Smith & Nephew.
  7. 7. VISIONAIRE instrumentation vs standard TKA • Improves alignment and sizing by using computer generated images of the patient’s anatomy to determine bone cuts, and implant positioning preoperatively *Source: GENESIS™ II Surgical Technique. ™Trademark of Smith & Nephew.
  8. 8. Who benefits? Surgeons • More efficient surgery – less number of instruments and trays • Greater accuracy – preop determination of alignment and sizing • Increase in patient satisfaction – less traumatic surgery Hospitals • Cost savings – less number of instruments and trays to clean and sterilize • Inventory reduction – less number of trays to store and maintain • Increase in orthopaedic surgeries – market technology to patients in local and regional campaigns Patients • Less invasive procedure – no violation of the intramedullary canal • Faster surgery – leads to less blood loss and anesthesia use • A faster return to life's activities is possible – faster and more productive recovery ™Trademark of Smith & Nephew.
  9. 9. System Flexibility This technology is patient specific and surgeon specific • Cutting blocks built based on patients anatomy and deformity • Surgeon’s surgical preference set specifically for each surgeon Intra-operative flexibility includes: • Downsize/Upsize • Additional Distal Femoral/Proximal Tibial Cut • Larger poly insert due to ligament releases ™Trademark of Smith & Nephew.
  10. 10. Step 1: Doctor’s office enters patient specific information and schedules patient MRI and full leg X- Ray ™Trademark of Smith & Nephew.
  11. 11. Surgeon Preferences Femur • Varus/valgus alignment • Flexion • External Rotation • Distal femoral resection • Size and AP placement Tibia • Varus/valgus alignment • Posterior slope • External rotation • Proximal tibial resection • Size and Placement ™Trademark of Smith & Nephew.
  12. 12. Step 2: Patient completes full leg X-Ray and MRI scan and patient images are uploaded to secure website ™Trademark of Smith & Nephew.
  13. 13. Step 3: Smith & Nephew engineer receives images via secure website and design work begins on patient matched instrumentation MRI Scan Full Leg X-Ray ™Trademark of Smith & Nephew.
  14. 14. Step 4: Patient specific 3D bone models are created ™Trademark of Smith & Nephew.
  15. 15. Step 5: Instrumentation designed to patient specific anatomical features Step 6: Preop plan generated ™Trademark of Smith & Nephew.
  16. 16. Preop plan – femur ™Trademark of Smith & Nephew.
  17. 17. Preop plan – tibia ™Trademark of Smith & Nephew.
  18. 18. Step 7: Patient matched cutting blocks are manufactured ™Trademark of Smith & Nephew.
  19. 19. Step 8: Sterile blocks sent for patient surgery Patient and Surgeon names are mentioned on blocks
  20. 20. Advantages Improved alignment and implant positioning Reduced surgical steps Reduced surgery time– less blood loss No Need to open the medullary canal– Less risk of fat embolism and less blood loss Better function and quick recovery Better than Computer navigation surgery

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