Aesculap® OrthoPilot®
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Aesculap® OrthoPilot® OrthoPilot® KneeSuite – TKA Total Knee Arthroplasty e.motion®, e.motion® Pro System, Columbus®, VEGA System® Aesculap Orthop

OrthoPilot ® TKA – Total Knee Arthroplasty THA Cup only THA Cup & Stem THA Stem only THA Dysplasia Jenny JY, Clemens U, Kohler S, Kiefer H, Konermann W, Miehlke RK. 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. J Arthroplasty. 2005 Oct;20(7):832-9. Jenny JY, Miehlke RK, Giurea A. Learning curve in navigated total knee replacement. A multi-centre study comparing experienced and beginner centres. Knee. 2008 Mar;15(2):80-4. Epub 2008 Feb 11. Bäthis H,...

OrthoPilot® The OrthoPilot® system assists in the precise implantation of knee and hip endoprostheses.1 Integration in the surgical workflow as well as minimal prolongation of operation time were essential criteria in the development of the OrthoPilot® system2. At the same time, we focussed on a navigation system that is non-traumatic for the patient. From the beginning, a method was developed that dispenses with CTs and MRIs exposure or expenses that these entail, and requires only very little extra operation time. CT Scan not required Ergonomic instruments precisely aligned to the surgery...

OrthoPilot ® TKA – Total Knee Arthroplasty Content 1 Instrument overview 1.2 Standard and MIOS Instruments Preoperative planning using radiographic images Preoperative planning 5 OrthoPilot setup and transmitter position ® Entering patient-related information Anterior cortex point and posterior condyle line 7.1 Recording the medial and lateral posterior condyle 7.2 Recording the anterior cortex point Recording the epicondylar line - option Palpation of the tibial reference points 9.1 Reference for the medial cutting height indicator 9.2 Reference for the lateral cutting height indicator...

Femoral planning 20.3 Display and control elements (centre) 20.4 Control elements (bottom) Distal femur resection, control and rotational orientation 21.1 Distal femur resection 21.2 Reassessing the distal resection 21.3 Setting the rotational alignment Mechanical axis Femur First technique 23.1 Condyle recording/Recording Whiteside’s Line 23.2 Optimization of anterior cortex 23.3 Distal femur resection 23.4 Reassessing the distal resection 23.5 Setting the rotational alignment Mechanical axis Instrument set overview OrthoPilot TKA 25.3 Reset IQ instruments navigation 26.2 Consumeable...

OrthoPilot ® TKA – Total Knee Arthroplasty 1 Instrument overview 1.1 General instruments Drill, drill sleeve, screw length gauge Tissue protection sleeve, bicort. screws, RB adapter Passive transmitters MIOS® tissue protection sleeve NQ941R Drill sleeve Screw length gauge Rigid Body Pointer, straight Tibia cut control plate Laminar spreader, spreading forceps Tibia control plate Laminar spreader Tibia control plate Pointer, straight Spreading forceps

1.2 Standard and MIOS® Instruments* Femoral alignment block with foot plates Tibial sawing guide Standard right e.motion MIOS Standard left e.motion® MIOS® short MIOS® right MIOS left Columbus® MIOS® Columbus MIOS short Distal femoral sawing guide Note: * Not for VEGA System®.

OrthoPilot ® TKA – Total Knee Arthroplasty 1 Instrument overview 1.3 IQ Instruments Femoral alignment block with foot plates Tibial/Distal femoral sawing guide and RB adapter, modular Alignment block Tibial/femoral sawing guide NS334R 4-in-1 Femoral sawing guide and RB adapter, modular e.motion® 4-in-1 Femoral sawing guide F2-F8 VEGA System® 4-in-1 Femoral sawing guide F1-F8 Columbus® 4-in-1 Femoral sawing guide F1-F8 8

Preoperative planning using radiographic images The OrthoPilot® system and the TKA software can be used in all cases where total knee arthroplasty with a total knee endoprosthesis is indicated. There must be sufficient bone quality and hip joint mobility. Note: The corresponding notes in the respective surgical technique description, instruction for use and package inserts, in particular in the instruction for use for the OrthoPilot® application software TKA TA013595 must be observed.

OrthoPilot ® TKA – Total Knee Arthroplasty 3 Preoperative planning Aesculap considers it necessary to carry out an adequate preoperative planning based on the following X-ray images: Selected information which can be obtained on the basis of the X-ray images: Whole leg image in standing position Knee joint in an A/P projection Knee joint in lateral projection Slope, A/P implant size Tangential image of the patella Patella shape, joint gap Axis deviation Implant alignment, joint gap, ML implant size

The analysis of the need for a full knee endoprosthesis is essential in the preoperative planning. In addition to the standard radiological examinations, the surgeon should take the following points into consideration before performing a knee endoprosthesis surgery: Soft tissue situation Functionality of the extensor mechanism n Bone preservation n Restoration of good axis orientation n Functional stability n Restoration of the joint line The surgeon can obtain the following information when analysing the X-ray images with the help of the X-ray templates of the Aesculap prosthesis systems...

OrthoPilot ® TKA – Total Knee Arthroplasty 4 Positioning and sterile draping of the patient is carried out according to the standard procedures which are also applied in the conventional technique. Aesculap recommends using a leg holder, which facilitates leg control during the various phases of the operation. In order to record the points to be registered and to carry out all the necessary bone cuts, it is necessary to change the leg position several times. The leg holder enables the knee position to be varied between full extension and full flexion. TIP To facilitate mobilisation of the...