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Surgical Navigation

Computer-assisted navigation brings GPS-like precision to orthopaedic surgery, improving implant alignment and helping deliver more predictable outcomes.

Computer navigation console in theatre
Computer navigation console in theatre

Computer-assisted navigation in orthopaedic surgery works on the same principle as a GPS system in a car. Infrared cameras and reflective trackers attached to surgical instruments and the patient's anatomy create a real-time, three-dimensional map of the operative field. The surgeon can see—on a screen in the operating theatre—exactly where each instrument is positioned relative to the patient's bones, enabling cuts and implant placement with sub-millimetre accuracy.

  • What Is Computer-Assisted Navigation?

    Computer-assisted navigation in orthopaedic surgery works on the same principle as a GPS system in a car. Infrared cameras and reflective trackers attached to surgical instruments and the patient's anatomy create a real-time, three-dimensional map of the operative field. The surg

  • How Navigation Works in Joint Replacement

    During a navigated total knee replacement, for example, the process unfolds as follows: Registration — The surgeon maps key anatomical landmarks on the patient's knee using a tracked pointer. The navigation system builds a virtual model of the joint. Planning — The system calcula

  • Benefits of Navigated Surgery

    Published studies and registry data demonstrate several advantages of computer-navigated joint replacement: Improved implant alignment — Navigation reduces the incidence of outlier alignment (implants placed outside the target range) compared with conventional techniques. Reduced

  • When Is Navigation Used?

    We employ computer-assisted navigation selectively in cases where precision is particularly critical: Primary total knee replacement, especially in patients with extra-articular deformity or previous trauma affecting bony landmarks. Revision joint replacement, where distorted ana

  • Navigation vs. Conventional Surgery

    Navigation is a tool, not a replacement for surgical skill and judgement. It enhances the surgeon's ability to execute a plan accurately but does not replace the need for meticulous soft-tissue balancing, careful implant selection, and thoughtful post-operative management. Our su

Frequently asked

Common questions

Navigation improves implant alignment accuracy, which is associated with better function and potentially longer implant life. While it does not eliminate all surgical risks, it adds an objective layer of precision to the procedure.
The registration process adds approximately 10–15 minutes to the procedure. However, this is offset by more efficient bone preparation and reduced need for intraoperative adjustments.
The navigation system represents an investment in technology, but at our practice the cost to the patient is not significantly higher than conventional surgery. We view it as part of our commitment to optimal outcomes.
Yes. Computer navigation is used in hip replacement to optimise cup positioning (anteversion and inclination), which is critical for reducing the risk of dislocation and impingement.
Navigation provides real-time visual guidance while the surgeon performs all actions manually. Robotic surgery adds a mechanical arm that can constrain or assist the surgeon's movements for even greater precision. Both are used in our practice as complementary technologies.
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