title: Universal bone cutting device for precision knee replacement arthroplasty and osteotomy.
abstract: Since malplacement contributes most to loosening of total knee replacements (TKR), a jig was devised, aligned to and mounted on the tibia, with a 3 degrees of freedom sliding saw. A central distractor, attached to the jig, positions and aligns the knee at 0 degrees or 90 degrees. The femur is then rigidly linked to the jig for bone cutting. Resurfacing designs (Cloutier and Townley) have been regularly implanted, aligned +/- 1 degree. This precision should minimize loosening and improve function.
mesh_terms: D000368:Aged; D001842:Bone and Bones / Q000601:surgery*; D005260:Female; D006801:Humans; D007720:Knee Prosthesis; D010027:Osteotomy / Q000295:instrumentation*