| 摘要 |
A bone cutting guide block has a saw guide surface thereon and has a body shaped to conform to the anterior-medial shape of the proximal left tibia and distal left femur and also to the anterior-lateral shape of the proximal right tibia or the distal right femur. The block is used by placing the curved inner surface adjacent the anterior-medial or anterior-lateral quadrant of either the tibia or the femur and utilizing images from a computer database utilizing an optical tracking system mounted on the cutting block and referencing to the bone to be cut. Utilizing the tracking system, the cutting guide is positioned preferably by hand in the proximal-distal direction to set the depth of the resection. The cutting guide surface is, then oriented by hand to the correct varus-valgus and/or flexion-extension angles and pinned to the bone. Preferably, the block is pinned using a single pin in either the correct varus-valgus or flexion-extension position and then the other of the angles not initially selected is set by rotating the block about the single pin. Once the other of the varus-valgus or flexion-extension angles is determined, additional pins are utilized to fix the guide in position for use during the resection of the proximal tibia or distal femur. A second block is provided conforming to the anterior-lateral left tibia and femur as well as the anterior-medial shape of the right tibia and femur. <IMAGE> |
