Arthroplasty Today (Jun 2023)

Surgical Technique: Robotic-Assisted 1.5-Stage Exchange Total Knee Arthroplasty for Periprosthetic Joint Infection

  • Jonathan R. Danoff, MD,
  • Jamie Heimroth, MD,
  • Max Willinger, MD,
  • Sally Trout, MD,
  • Nipun Sodhi, MD

Journal volume & issue
Vol. 21
p. 101126

Abstract

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A 1.5-stage exchange total knee arthroplasty for periprosthetic joint infection has been described; however, achieving a balanced and well-aligned construct can sometimes be difficult given the bony defects often encountered in these cases. The use of robotic navigation technologies allows for accurate and precise implant placement. This technique report details the utilization of robotic navigation in a 1.5-stage exchange total knee arthroplasty for periprosthetic joint infection and describes the outcome of 6 patients. This technique guide highlights how robotic technology can account for many commonly encountered bone voids, joint line identification, and component orientation, while achieving a balanced and well-aligned knee.

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