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good morning thank you Dave and thank you again to Matt ACTA Ive been asked to talk about psi in total knee arthroplasty what are the advantages these are my disclosures which are relevant related to my knee Bob born from London Ontario was one of my mentors and he published a study looking at a cross-section of 1,700 total knees across southwestern Ontario and found a 19% dissatisfaction rate and this studies been replicated around the world we have a procedure thats good for most but not great for all we need to continue to evolve and explore different techniques implant options and technologies my knee was conceived on the back of a napkin and my partners kitchen dr. Lucas and I and Francescos Accardi within a year the first case was done in Switzerland and then shortly thereafter in the US and theres now over a thousand performed every month what is my knee its a CT or MRI based we prefer CT dimensionally CT is more accurate and theres issues with MRI estimating cartilage th
