Monday, April 15, 2024

Robotic Surgery For Knee Replacement

Frequently Asked Questions About Robotic Surgery

Knee replacement using the Stryker Mako Robot

Although called robot-assisted surgery, it is more accurately described as surgery where your highly skilled surgeon is assisted by computerized machines. The surgeon stands at a console in the operating room and controls robotic arms using a delicate system of hand controls. Using the robotic surgical system, which includes a high-definition, three-dimensional camera and miniaturized tools, the surgeon operates using microscopic, carefully controlled incisions. The robotic camera allows the surgeon to see highly magnified images that have greater resolution and clarity than what can be seen with the naked eye. Your surgeon is in control throughout the entire operation, and simply manipulates the robotic surgical system. A specialized and experienced surgical team will be in the operating room during the entire procedure to provide additional assistance to the surgeon.

As with any other procedure performed at Mass General, with a robot-assisted surgical procedure you can expect to:

Robotic surgery falls under the category of minimally invasive surgery, which refers to any surgical procedure that is performed through tiny incisions instead of a large opening. Other terms for minimally invasive procedures include laparoscopy, video thoracoscopy and endoscopy.

Though an option for many, it is not necessarily available for all. Talk with your doctor today about how it may or may not fit into your plan of care.

Mako Robotic Knee Replacement Reviews

Mako robotic knee replacement surgery is one of the most popular procedures performed today. There are many reasons for this, but the most common one is that it can provide a much higher level of accuracy than traditional methods. This leads to a quicker, more comfortable recovery for the patient. While there are many satisfied customers, there are also a few that were not as thrilled with their results. The two main complaints seem to be about the pain level during surgery and the length of the recovery process. Overall, the majority of people who have had the Mako robotic knee replacement surgery are very happy with their results.

The robotic arm of the Mako Total Knee assists in the removal of arthritic bone and cartilage from the knee. Your surgeon can use the data from Mako to continuously monitor your joint movement and tension. A survey of patients six months after surgery found that those who received a conventional joint replacement had lower pain scores than those who did not. It is not a good idea to perform knee replacement surgery on patients who have certain infections or mental or motor disorders. There is no fixed lifetime for a joint replacement, and each individuals experience will vary. Damage to the implant can result from a variety of factors, including loosening, loosening, fracture, and nerve damage.

What Are The Disadvantages Of Robotic Knee Replacement

  • Cost: Each Robot costs approximately $1-1.5million
  • Increased Surgical Time: Robotic surgery can take longer than traditional surgery due to the greater number of steps involved and the greater number of checks performed
  • New/ Unproven Technology: robotic knee replacement has been criticised for not having a long history and therefore safety profile. Robotic Surgery overall dates back to the 1980s, and Robotic Assisted Joint replacement has become more common since 2008 in the US. Both the Navio and MAKO systems have had extensive use and testing overseas, whilst only being recently approved for use in Australia by the Therapeutic Goods Administration . Both are compatible with prostheses with excellent long-term survival in the Australian Joint Registry .
  • Radiation and CT Cost: the Mako knee system requires the use of a CT scan which is taken prior to surgery to map the patients knee.

If you have any queries, concerns or comments regarding this procedure, its integral that you discuss these with your robotic knee replacement specialist.

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Value & Safety Provided By The Mako Pre

The preoperative CT scans often reveal important information pre-operatively. Large bone spurs, often not seen with imageless systems, are important to know about preoperatively, as they influence implant positioning and balance decisions during surgery, effecting proper joint tension. On the more advanced arthritis cases with lots of large bone spurs, the scans help tremendously in planning & ensuring their removal.

There can be a concern with CT scans related to radiation dosage and its potential detrimental effects. I have been concerned as well, so our radiologists have shared with us that the special protocol for this knee scan delivers a mean effective dose of only ~0.4mSv, which is equivalent to 1.5 months of natural environmental radiation, or 3 x-rays. Therefore, I strongly feel the benefit outweighs the minimal risk.

About Robotic Orthopedic Surgery

Robots &  Joint Replacement Sydney

The Department of Orthopaedic Surgery at Massachusetts General Hospital is home to the latest innovations in surgical technology. Our surgeons are board-certified, Harvard Medical School-affiliated physicians with a shared goal to make the surgical experience as smooth, fast, precise and painless as possible. A robotic surgical system enhances your surgeons ability to see your body clearly and operate carefully and exactly with a steady, computer-guided tool.

Surgeons in the Center for Hip and Knee Replacement utilize a cutting-edge robotic surgery system to offer patients the most advanced surgical care available. Using this system, surgeons acquire:

  • Enhanced three-dimensional visuals of the surgical area
  • More delicate surgical precision and deliberate implant placement
  • A superior range of motion in hard-to-reach spaces inside the human body

It may be helpful to think of our robotic surgical system as a complement to, rather than a replacement of, our skilled surgeons merely one tool in our arsenal as we take a layered and multifaceted team approach to your surgery.

In the hands of an expert multidisciplinary team that includes highly skilled surgeons, anesthesiologists, nurses and practitioners, you can feel confident in the care that you and your loved ones receive at Mass General.

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What Does The Procedure Involve

Your surgeon will use Mako to make a 3-D virtual model of your knee. He or she will then virtually put the implant in place, and once its in the proper position, this plan can be implemented during surgery.

As youre under general anesthesia, Makos robot arm, along with the doctor, will hold the surgical instrument. Your surgeon will be able to see the pre-surgical plan overlaid on the real-time surgery to use as a guide, and the instruments are under his or her control the entire time.

The robotic instrument has tracking eyes and can adjust for very small movements of the knee if they occur. It precisely prepares the bone according to visual boundaries that protect the essential structure of the knee and removes only the part thats been affected. The implant is placed, the joint is properly balanced, and if necessary, your surgeon can make adjustments if needed.

Total Knee Replacement Surgery

A total knee replacement is a surgery to replace an entire knee joint with an artificial one. It is usually done when severe arthritis has caused the knee joint to become severely damaged. The artificial joint is usually made of metal and plastic.

It is only necessary to replace your knee if your knee causes you pain, stiffness, instability, or is causing you to lose function. Arthritis causes hard cartilage to thin and become worn down. During a replacement procedure, the worn-out ends of the bones and cartilage are removed and replaced with metal or plastic parts. Total knee replacement typically involves the joint surface being replaced at the end of your thigh bone and the top of your shin bone . Arthritis on only one side of the knee typically the inner side could be enough to necessitate a partial knee replacement. There is no age limit for partial knee replacement. The kneecaps groove and the under-surface of the kneecap are both replaced.

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How Do You Treat Arthritis In The Knee

Knee arthritis is initially treated with non-surgical techniques. All of these modalities do not repair or replace the damaged cartilage but rather just control the inflammation in the knee. Modalities range from anti-inflammatory agents such as Motrin®, Celebrex® or Voltaren® to injections of Hyaluronic acid or Steroids. When the symptoms are mild these are the first line of treatment. Physical therapy also will help a knee early on in the disease process. Newer treatment options such as PRP or stem cell injections also may work and are good options to consider initially while recognizing these treatments dont repair or regenerate the lost cartilage. Therefore, when the non-surgical options have been exhausted or if there are medical reasons that prevent the usage of the non-surgical modalities, partial or total knee replacement may be the best option.

Minimally Invasive And Robotic

Robotic-Assisted Knee Replacement Surgery at TriStar Stonecrest

Minimally invasive knee replacement procedures involve laparoscopic techniques and robotic-assisted surgery technology. Many patients opt for minimally invasive knee arthroscopy because of its advantages over the alternatives. Though ideal for most knee and joint replacement situations, the procedure is not suitable for certain patients, such as those who are obese or have certain risk factors.

Robotic-assisted knee replacement surgery is performed by a highly skilled orthopedic surgeon who uses the surgical arms of the ROSA knee system to execute the procedure with better precision and accuracy than possible in alternative surgery types.

The ROSA knee system offers patients several distinct advantages to traditional and alternative knee and joint replacement and treatment options, including:

Minimally invasive and robotic-assisted knee replacement is best suited for patients who are:

  • Do have not severe arthritis or osteoporosis
  • Without severe limb or joint deformities or defects

Benefits of ROSA robotic-assisted knee replacement surgery include:

Lower treatment costs When considering knee replacement and alternative treatment options for joint pain, movement impairments, and stiffness, it helps to consider short- and long-term medical expenses. Robotic-assisted surgery enables patients to spend less time recovering so they can get back to work or leisure activities faster to minimize their medical costs.

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Bvrmc Offers Highly Advanced Robotic

Amber Chrischilles | November 18th, 2022

Innovative robotic technology allows surgeons to personalize total knee, partial knee and total hip replacement procedures to each patient in the Storm Lake community.

Buena Vista Regional Medical Center now offers Mako SmartRobotics to the Storm Lake communities we serve. This advancement in joint replacement surgery transforms the way total knee, partial knee and total hip replacements are performed, by helping surgeons know more and cut less.

Mako SmartRobotics combines three key components, 3D CT-based planning, AccuStop haptic technology and insightful data analytics, into one platform that has shown better outcomes for total knee, total hip and partial knee patients.

With Mako SmartRobotics, we know more about our patients than ever before, and were able to cut less. For some patients, this can mean less soft tissue damage for others, greater bone preservation, said Dr. Seth Harrer, Orthopedic Surgeon for Northwest Iowa Bone, Joint & Sports Surgeons. Makos 3D CT allows us to create a personalized plan based on each patients unique anatomy before entering the operating room. During surgery, we can validate that plan and make necessary adjustments while guiding the robotic arm to execute that plan. Its exciting to be able to offer this transformative technology across the joint replacement service line to perform total knee, total hip and partial knee replacements.

How Does A Navio Surgery Work

The surgeon uses advanced image-free navigation to create a virtual reconstruction of the patients knee anatomy, ligament tension, and kinematic motion. This information is used to tailor the position of the implant to the patients femur and tibia shape, taking into account the patients unique cartilage wear, bone shape, and soft-tissue balance. The surgeon then uses Navios robotic-assisted handpiece to sculpt damaged bone away from remaining healthy bone. The handpiece enforces bone resection within the surgeon defined plan, ensuring final placement of the implant is positioned where it can perform optimally.

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What Are The Disadvantages Of Robotic Knee Surgery

The robotic system had a variety of problems, including pin-hole fractures, pin-related infections, iatrogenic soft tissue and bony injuries, and excessive bleeding. The disadvantage was that a robotic TKA was more expensive, had a longer operative duration, had a higher learning curve, and had to be aborted due to a variety of reasons.

The Mako Robotic-Arm Assisted Total Joint Replacement is a minimally invasive, robotic-assisted solution for people suffering from mid to late-stage knee osteoarthritis that causes pain and mobility issues. After the CT scan has been performed on your knee, you will be uploaded to the Mako System software. A surgeon is always in charge of the procedure, and they have the ability to change their original plans if necessary. There are a few technologies that are relatively new to robotic assisted knee replacement. With the Mako system, surgeons can individually optimize each joint that needs to be replaced. In addition, by making the first fitting more precise, they reduce the risk of complications as well as the need for a second operation.

The use of robotic surgery in the treatment of knee arthritis has been shown to be comparable to that of traditional surgery. A shorter recovery period and less pain will be expected.

Ial Knee Replacement Surgery & Robotic Partial Knee Replacement Surgery In Dubai At Cmc

10 Benefits of Robot Assisted Knee Replacement  Best Orthopedic ...

A partial knee replacement, also known as unicompartmental knee replacement, is a surgical procedure that is used to replace only one part of a damaged knee. The technique, which is used as an alternative to total knee replacement, is used as a treat option for individuals with joint disease resulting from degenerative and post-traumatic arthritis that is limited to one side of the knee.

Ideal Candidate for Partial Knee Replacement

For one to be considered for partial knee replacement procedure, he/she should fit certain criteria. These include:

  • Individuals with medial , or lateral knee osteoarthritis.
  • Before undergoing the procedure, it must be confirmed that the patient has a stable knee, an intact anterior cruciate ligament, and enough range of motion in the knee.
  • Patients whose knee pain persists even after using anti-inflammatory medications and maintaining a healthy weight.

Benefits of Partial Knee Replacement

  • Faster rehabilitation and recovery
  • Improved range of motion in the knee
  • Preservation of all healthy bone and ligaments

Why Partial Knee Replacement is Recommended

The most frequent justification for replacing a knee joint is to relieve severe pain. However, the orthopedic surgeon may recommend a partial knee replacement if the patient is experiencing the following:

  • Persistent knee pain even after other treatments
  • The pain interferes with the patients daily activities
  • The knee pain interferes with the patients quality of life like inability to sleep

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Periarticular Soft Tissue Injury

Balanced flexion-extension gaps and proper mediolateral ligamentous tensioning are essential for optimizing knee kinematics, stability, and long-term implant survivorship.3538 In conventional jig-based TKA, controlled soft tissue releases are performed in 5076% of patients to balance mediolateral laxity, with some authors advocating for all non-navigated TKAs to undergo ligamentous releases.17,20,3840 Robotic TKA uses optical motion capture technology to assess intraoperative alignment, component positioning, range of motion, flexion-extension gaps, and mediolateral laxity. This real-time intraoperative data can then be used to fine-tune bone resection and guide implant positioning to achieve the desired knee kinematics, and limit the need for additional soft tissue releases.42,44 Robotic TKA also utilizes haptic boundaries that limit the action of the sawblade to the confines of the preoperative surgical plans for femoral and tibial resections, and therefore limit iatrogenic periarticular soft tissue injury. Khlopas et al conducted a cadaveric study in which six blinded observers reported soft tissue trauma following bone resection in cruciate-retaining TKAs with either conventional jig-based TKA or robotic TKA. The authors found that robotic TKA was associated with reduced posterior cruciate ligament injury, tibial subluxation, and patella eversion compared with conventional manual TKA.44

Is There Less Pain With Robotic Surgery

Because less-invasive robotic procedures can provide less pain during recovery, fewer pain medications are prescribed. Dr. Bethany Malone, a private practice colon and rectal surgeon in Fort Worth, Texas, who specializes in robotic surgery, stated that the decreased pain resulted in less narcotic use.

Robotic surgery, in addition to being faster and easier to recover, reduces the amount of time spent in the hospital. In nine hospitals in the United Kingdom, a study involving 338 patients with non-metastatic bladder cancer was carried out. minimally invasive surgery, in which surgeons guide minimally invasive instruments via remote control, is carried out using robotic surgery. According to the researchers, the study shows that surgeons are aware of what is currently known. Fewer invasive procedures mean less pain during recovery and less pain medication. Allowing patients to leave earlier reduces stress in hospitals as well, according to research. Dr. Ahmad stated that the only disadvantage he could see was a learning curve in master this modality.

The majority of patients will return home the following day or two following robotic colon surgery. The trocars size also helps to minimize scarring after robotic surgery. It is a brave new world of surgery, said Dr. Georgakis, a surgical oncologist at the hospital.

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More Information Means Better Outcomes

Mako Robotic-Assisted Joint Replacement gives surgeons more information during the procedure, which means you get better results. For example, heres how a knee replacement works:

  • Your surgeon makes a small cut in your knee to expose your knee joint.
  • Using the Mako robotic software, theyre able to see how your joint moves.
  • This allows the surgeon to align the joint precisely and balance the ligaments.

Because Mako technology gives your surgeon greater precision, you get a more natural-feeling joint. And, because your surgeon can see in advance how a particular cut will affect your joint and surrounding structures, they don’t have to make additional cuts to get that balance right. This means less trauma for you during surgery and a faster, more accurate procedure with a more predictable outcome.

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