Abstract：Objective To evaluate the research progress of osteotomy technique in total knee arthroplasty (TKA).Methods To analyze and summarize all the related literatures about the osteotomy technique in TKA by the key words of TKA, bone cutting, computer navigation and individual template in the database of PubMed, Springer Link, FMJS and Wanfang data from January 1988 to June 2014.ResultsTKA became standard classic surgery in the treatment of middle-late knee joint diseases, and the methods in the process of bone cutting included mainly traditional instruments, computer navigation and individual template. In traditional TKA, bone cutting was operated depending for mechanical guided localization and the experience of surgeons with a strong subjectivity, low precision, high risk and poor operative results. Compared with traditional operations, many factors affected the accuracy of bone cutting, consumed much time and higher complication rate in computer navigation assisted TKA. Besides, the long training time, the high expense of equipment and high technical requirement limited the application of the navigation system. The technology of individual template could design accurate cutting method or tool to realize individual operation for TKA. This method had advantages of improving accuracy, reducing the operation time and the surgical injury, and the post-operation recovery was good for the knee joint.Coclusions With the continuous development of digital orthopedics, TKA surgery scheme will be more personalized, more accurate bone cutting. Digital and individualized bone cutting technology will become the new direction of the development of the TKA in the future.
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Li Wei, Fang Xuewei, Lu Sheng. Department of Orthopedics, Kunming General Hospital of Chengdu Military Command, Kunming 650032, China. Research progress of osteotomy technique in total knee arthroplasty. Chinese Journal of Anatomy and Clinics, 2014, 19(6): 515-518.
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2014, Vol. 19 
