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A better knee replacement begins with you

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Page 1: A better knee replacement begins with you - Smith & Nephew...2. Noble JW, Moore CA, Liu N. The Value of Patient-Matched Instrumentation in Total Knee Arthroplasty. J Arthroplasty in

A better knee replacement begins with you

Page 2: A better knee replacement begins with you - Smith & Nephew...2. Noble JW, Moore CA, Liu N. The Value of Patient-Matched Instrumentation in Total Knee Arthroplasty. J Arthroplasty in

X-Ray

upload data

manufacturing

MRI

preop planning

diagnostics

surgery

recovery

Why your scans are so importantVISIONAIRE™ Cutting Guides is a patient specific product that requires MRI and an X-Ray to make the product. The images are used to create a custom cutting guide for knee arthroplasty designed for that specific patient.

VISIONAIRE Cutting Guides also eliminates multiple steps from surgery and provides patients with a less invasive alternative to total knee replacement.

Invasion of the IM canal with standard operation

With VISIONAIRE Cutting Guides, invasion of the IM canal is avoided during alignment

VISIONAIRE Cutting GuidesTraditional total knee replacement

Page 3: A better knee replacement begins with you - Smith & Nephew...2. Noble JW, Moore CA, Liu N. The Value of Patient-Matched Instrumentation in Total Knee Arthroplasty. J Arthroplasty in

Benefit to patients

• Less blood loss during procedure1

• An easier operation could get patients home faster2

• Potentially less pain following the procedure3

• Patient specific alignment may lead to better patient outcomes

• VISIONAIRE™ Cutting Guides eliminate as many as 22 steps and may shorten surgery time, meaning your patient needs less time under anesthesia4

The accuracy of your images is critical to the success of the patient’s surgery

Page 4: A better knee replacement begins with you - Smith & Nephew...2. Noble JW, Moore CA, Liu N. The Value of Patient-Matched Instrumentation in Total Knee Arthroplasty. J Arthroplasty in

Benefit to surgeons

• VISIONAIRE™ Cutting Guides may reduce OR time and set up by eliminating 20 – 22 surgical steps from a standard TKA4

• Reduces sterilization due to less instruments required for surgery

• Eliminates need to violate the intramedullary canal, reducing blood loss and complications from fat emboli1

• Improves alignment and sizing by using computer –generated images of the patient’s anatomy to determine bone cuts and implant positioning preoperatively

Page 5: A better knee replacement begins with you - Smith & Nephew...2. Noble JW, Moore CA, Liu N. The Value of Patient-Matched Instrumentation in Total Knee Arthroplasty. J Arthroplasty in

Build a reputation of excellence with VISIONAIRE™ technologyIn the competitive world of imaging, building a reputation of excellence is key to success. When surgeons, hospitals and patients know they can rely on your images for better outcomes, the benefits are endless.

Page 6: A better knee replacement begins with you - Smith & Nephew...2. Noble JW, Moore CA, Liu N. The Value of Patient-Matched Instrumentation in Total Knee Arthroplasty. J Arthroplasty in

What makes VISIONAIRE™ Cutting Guides different

VISIONAIRE Cutting Guides uses the patient’s own MRI and full leg X-Ray to design cutting guides specific to that patient.

MRI• Images are used for measurement and not diagnostic purposes

• We are not looking for ACL/PCL insertion points or meniscus tears like traditional MRI

• Only one sequence from sagittal view is required

• Full DICOM format only (no compression)

• Intra-acquisitional or general patient motion is not acceptable

X-Ray• All joint spaces must be visible (hip, knee, ankle)

• Unilateral X-Rays are preferred, but not required

• Leg must be in true A/P position

• Correct letter markers are preferred to be applied to all images

• Patient identifiers (DOB and patient name) must be present

• No patient movement between exposures is critical (if doing the multiple exposure X-Ray, instead of single exposure on a scoliosis like film)

Page 7: A better knee replacement begins with you - Smith & Nephew...2. Noble JW, Moore CA, Liu N. The Value of Patient-Matched Instrumentation in Total Knee Arthroplasty. J Arthroplasty in

Benefit to imaging centers

• Expand your portfolio with the cutting-edge technology of VISIONAIRE™ Cutting Guides

• Improve Marketability for you and your Imaging Center

• Become a crucial part of improving patient’s lives

Page 8: A better knee replacement begins with you - Smith & Nephew...2. Noble JW, Moore CA, Liu N. The Value of Patient-Matched Instrumentation in Total Knee Arthroplasty. J Arthroplasty in

References 1. Monto RR, Garcia J, Callaghan JJ. Fatal fat embolism following total condylar knee arthroplasty. J Arthroplasty. 1990. (5):291–299. 2. Noble JW, Moore CA, Liu N. The Value of Patient-Matched Instrumentation in Total Knee Arthroplasty. J Arthroplasty in Press, 2011. 3. Novak EJ, Silverstein MD, Bozic KJ. The Cost Effectiveness of Computer-Assisted Navigation in Total Knee Arthroplasty. J Bone Joint Surg Am.

2007. (89):2389–97. 4. 40420112 GENESIS™ II DCF Surgical Technique

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