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PFC Total knee replacement (De Puy-Synthes) surgical technique

Overview

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Professional Guidelines Included

Learn the PFC Total knee replacement (De Puy-Synthes) surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the PFC Total knee replacement (De Puy-Synthes) surgical procedure.

There are two principle designs of the PFC, a posterior cruciate sacrificing (PS) and an cruciate retaining (CR) PFC  knee. The PS design incorporates a polyethylene intercondylar post which compensates for the resected posterior cruciate ligament. This post engages the corresponding femoral component receptacle enabling roll back.

The PFC design was first released in 1996, nearly 1/3 of a million have been implanted. It has a 3.58% cumulative percentage probability of a first revision at 15 years recorded on the NJR, which clearly supports its use. The kit to insert it, is as you will see, is straightforward and the implant has predictable outcomes; features beneficial to both patient and surgeon. This is why I use it.

There are many implant designs on the market, each purporting to be the best. Some incorporate differing radius of femoral curvature, others low contact stresses, others have rotating platforms, others a medial pivot. In my opinion though outcome is as dependant on soft tissue handling, an understanding of knee biomechanics & intra-operative balancing and pre and post operative rehabilitation.

This technique details the posterior cruciate sacrificing PFC (Depuy) total knee replacement.

Author: Andrew Gordon FRCS (Tr & Orth)

Institution: The Northern General Hospital, Sheffield.

Feedback

  • Each operation and the questions associated become a named course in the CPD section
  • The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
  • You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
  • The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
  • There are four possible answers of which one is correct (or on occasion more correct) than the others.
  • There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
  • The course is completed once all the lessons are read and quizzes submitted and passed.
  • On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
  • Your dashboard also will contain a record of the time you have spent logged onto and using the site.
  • The timer suspends after 5 minutes though if there is no activity.
  • When you restart you will resume at the same point in the module.
  • Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
    The pass mark is 75%.
  • If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
  • Once these have been read you can re-do just the questions you failed on.
  • Once you have passed the quiz you can return at a future stage & resit .

CPD Points:

  • Operation Quiz – 1 CPD point
  • Surgical steps Quiz – 1/4 CPD point
  • Implants Quiz – 1/4 CPD point
  • Problem case Quiz – 1/2 CPD point

One CPD point equates to one hour of academic activity

COURSE

Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.

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