The planning of surgical procedures is playing an increasingly important role in orthopedic surgery, especially in complex pathologies. New technologies are also providing more and more ways to help surgeons do this, making surgeries safer while saving time and money. mediCAD has developed 3D surgical planning modules to enable the planning of even complex cases. These can be used to create a 3D image of the pathology based on a CT or MRI scan. The virtual image of the body region can then be used to perform dimensioning, simulate incisions / bone realignments, and insert implants.

 If joint pain is not relieved by medication or external measures, the patient is usually faced with the question of undergoing surgery. In this scenario, the patient can choose to go to a clinic or be treated by an outpatient or inpatient orthopedic surgeon in private practice. The latter can operate on an outpatient and inpatient basis. In addition to the use of state-of-the-art technology, the advantage of specialized clinics is often the continuous personal care provided before, during, and after surgery.

Abgesehen von Infektionen und Lockerungen der Prothesenkomponenten, die im Jahresbericht der ERDP 2020 14,9 % bzw. 23,4 % ausgemacht haben 1), führen auch diverse andere Faktoren zu Revisionen in der Knieendoprothetik, wie die Implantatgrößen und deren Ausrichtung, welche unmittelbare Auswirkung auf die Innen- und Außenbänder haben. Die Abdeckung des Tibiaplateaus mit der Tibiakomponente ist dabei ein wiederkehrender Unsicherheitsfaktor genauso wie die Rotationsplanung der Komponenten, welche von der klassischen Röntgenplanung nicht abgedeckt werden.2) Viele dieser Implantationsfehler lassen sich schon durch Beiziehen von 3D-Material, beispielsweise eines Knie-CTs, -MRTs, oder DVTs vermeiden.

In the past preoperative planning on MRIs and CTs were limited to a few cases, e.g., corrections of complex deformities, revision cases, and torsional corrections via a single cut osteotomy. Standard primary arthroplasty cases and corrective osteotomies on the long leg are still commonly planned on an x-ray in AP with the patient being under weight-bearing conditions, i.e., in an upright position.

Taking 3D image material, such as an MRI or CT scan for such cases used to be considered not to be justifiable, because the radiation dose of a CT was far too high and scans could only be taken in a supine position of the patient, not in a weight-bearing condition and therefore without considering the band laxities...

The Medical Device Single Audit Program MDSAP was launched as a pilot project to help medical device manufacturers enter the market in different countries. The MDSAP audit process is expected to become compulsory in the future for all medical device manufacturers who wish to sell their products to other global markets.

The main idea of the Medical Device Single Audit Program (MDSAP) is to allow a single audit process of a medical device manufacturer's Quality Management System (QMS), which satisfies the requirements of multiple regulatory jurisdictions. Instead of many audits and inspections by the authorities of different countries, there should be only one.

Lange haben Bund und Länder im Gesundheitswesen rationalisiert, anstatt zu investieren. Zwar hat die medizinische Versorgung in Deutschland trotz mangelnder Unterstützung eine vergleichsweise hohe Qualität, doch die Digitalisierung blieb auf der Strecke. Wie wichtig eine digitale Vernetzung und modern ausgestattete Krankenhäuser jedoch sind, hat sich in der derzeitigen pandemischen Lage deutlich gezeigt. Das deutsche Bundesgesundheitsministerium hat die dringende Notwendigkeit von Digitalisierung und Modernisierung der Krankenhäuser nun endlich erkannt und mit dem Krankenhauszukunftsgesetz (KHZG) welches am 23. Oktober 2020 verabschiedet wurde gehandelt.

Patellar instability is a common problem especially among younger ladies often caused by internal torsion and/or a strong valgus. Diverse operational techniques have been presented such as trochleoplasty, MPFL reconstruction, or tubercle osteotomy, but what is the method of choice in which case?
At mediCAD^® we see how orthopedics is becoming more and more standardized by concepts like that and want to assist the surgeon in using such techniques without getting a knot in their head or to pore over books. Therefore, all patellofemoral measurements used for the common instability scores can be measured with mediCAD^® 3D Knee.

Technological progress in visualisation techniques like 3D print support clinics in developing customised surgical solutions for patients. Due to the increasing development of technologies and, thus, more complex surgical interventions, better surgery preparation, digital planning and further qualification of doctors are needed. Especially pre-operative planning in 3D can help create palpable models of boney structures in the shape of a 3D printed model and support at therapy decision, or they help visualise the actual situation to doctors-to-be and give them the possibility to simulate the operation in advance.

With mediCAD^® Web consultation of an area of interest can be done within a few clicks. Planning works even more effectively and quickly thanks to automatic measurement functions and corrections in a modern user interface with intuitive, reduced workflow. With careful, well-structured preoperative planning, a more patient-friendly environment is established because key information can be shared easily at all stages of patient care. Surgical teams run their planning on time, a fact, that contributes significantly to reducing delays and related operative costs.

In orthopedic terminology, arthroplasty is the name for surgery that aims to replace a damaged, or fractured joint with a prosthesis that is as close as possible to the original anatomy of the bone structures. mediCAD^® 3D Hip plays a vital role in optimizing the outcome of complex surgery. Pre-operative and Post-operative planning with this state-of-the-art software contributes to patients progressing the desired levels of functionality earlier and also to avoid secondary problems.

mediCAD^® offers you the possibility to plan the surgical procedure in the best possible way.
Only preoperative planning enables an optimal result. Here mediCAD^® Classic supports you in the best possible way. You are guided step by step through the planning and receive essential information for the operation, such as stem and, if necessary, cup size, leg length difference, femoral offset, CCD angle, and much more information. 

Is it the "End of an Era" like Riviere et al. claim, which happens now to mechanical alignment in total knee arthroplasty?

At mediCAD^® we think a lot about how to make the currently 20-30% unsatisfied TKA patients happy, and we know, since results are consistent throughout many countries with sufficient statistics, that there must be a systematic error in the implant alignment technique performed so far. Where can this error be?