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The Future of Knee Repair - February 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Sports Medicine South in Lawrenceville, Ga. He's placed more than 200 of the custom- made knees into his patients. "I hear people report that probably 60% of patients who get off- the-shelf implants do remarkably well," he says. "But what about the other 40%? With custom, it's more like 95% who do extremely well. Patients have told me that the custom-made knee feels more like a natural knee. Over time, they find they're not constantly saying, 'This is a replaced knee.'" For the past 4 years, Dr. Levengood has been obtaining customized joints from a Massachusetts-based firm called ConforMIS. He sends a CT scan of the knee, as well as imaging slices of the hip and ankle in order to map the center of alignment. Computerized printers that are able to create solid objects layer by layer use the CT imaging data to form a wax mold of the knee joint, with which the company casts metal implants precisely the shape and size of the patient's own anatomy. Along with the implants, the company sends sterile, single-use, calibrated instrumentation designed and 3D-printed specifically for use in each case. In the curvature of its condyles, the knee is more anatomically com- plex than the ball-and-socket hip joint. But recreating that unique F E B R U A R Y 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 5 3 • A UNIQUE KNEE "Patients have told me that the custom-made knee feels more like a natural knee," says Gary Levengood, MD. Sports Medicine South

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