Hip Replacement

A New Level of Precision with the Most advanced Leo II MAKO Robotic Total Hip Replacement platform now at your doorsteps……at No Extra Costs ……

At Anup Institute, Leo II Robotic Joint Replacement care unit we strive to give the best to our patients and Fingerprints lasts forever in the lives we touch! We also endeavour to provide world class care within the reach of every individual/patients!

With This in our minds we are Offering Robotic Total Joint Replacements at No Extra cost. In fact, the prices are far less than offered than most of the Hospitals not only in India but around the world.

Thus, providing World’s Best Platform, Best available implant with Robotic Precision at no extra cost

ROBOTIC GUIDED TOTAL HIP REPLACEMENT….Is is a scifi or Real …

We as Surgeons want to perform a perfect total hip replacement (THR) with every operation. Human performancedoes have limitations, especially when performing a mechanical operation in a biological environment. Fifty years of innovation by surgeons has certainly improvedtotal hip replacement (THR)operation.Despite the substantial improvements, complications and early mechanical failures do occur. Dislocation, periprosthetic fractures, excessivewear because of poor component position and squeaking and fractureof articulations, again because of poor component position, have diminished results of THR.

As surgeons, during our operations, we cannot visualize the relationship of the socket(acetabulum) to the pelvis  through its spinopelvic dynamics, nor can we visualize the inner contour of the thigh bone(femur) that affects the  positioning of the components of Total Hip Replacement.The judgment errors made because of inaccurate information of anatomy may cause short term complications such as dislocation and impingement pain, which cause feelings of failure for the surgeon; or later complications of wear and loosening which are absolute failures for the patient.

The Question is How do we minimise all this that a Total Hip replacement lasts forever….

Today, every human endeavour that involves a device has used modern technology of computers and robotic platform to minimize the human errors. A computer can provide quantitative knowledge which changes qualitative judgment decisions to accurate and precise ones. This Leo II Mako – the smart Robotic platform eliminates all this and is the solution we surgeons can use to solve our intraoperative dilemmas.

Let us Understand and get there….

Steps of How the Leo II Mako System Improves Total Hip Replacement (THR) for Someone with Arthritis Pain: with 100% precision.

STEP 1 :INVESTIGATIONS AND SEGMENTATION

The X rays and  CT scan of the patient’s Pelvis  is segmented and fed into the robot to obtain a three-dimensional model of the hip  joint -the femur(thigh bone), the socket(acetabulum) and the surfaces that have been damaged by arthritis

Figure 1 -Pre-Planning and Segmentation of the CT SCAN image

The surgeon with his or her own preferences can then preoperatively plan the best location for the femoral component and tibia component over the model bone, based on factors including patient size, angle of legs, location of articulating surface, and how the  head of femur moves in the socket(acetabulum)

STEP 2: PATIENT SPECIFIC PERSONALIZED PRE-OPERATIVE PLANNIG PRIOR TO SURGERY

Figure 2 – Patient Specific Personalized Pre-Operative Planning prior to Surgery

The health provider team then loads the plan onto the robot. The surgeon in the operating room compares the plan to the individual patient’s motion — bending the hip, flexing, straightening it out, all while looking at how the motion is replicated on the robot’s screen. Based on whether ligaments are lax or tense, the surgeon might tweak component positioning by fractions of millimetres before locking in the final plan. The robot arm will lock the plane of its reamer into a place relative to the position of the final three-dimensional plan — and assists the surgeon with performing the cuts. The surgeon pushes the reamer, but the robot limits where the reamer can go in space. It is important to understand that the surgery is performed by an orthopaedic surgeon, who guides Leo II Mako’s robotic arm during the surgery to position the implant in the hip joint. Leo II Mako Smart Robotic arm does not perform surgery, make decisions on its own or move without the surgeon guiding it. It also allows the surgeon to adjust your plan during surgery as needed.

STEP 3: EXECUTION OF PLAN WITHIN PRE-DEFINED LIMITS OF HAPTIC BOUNDARY ENABLING MORE THAN 99% ACCURACY

Figure 3 – Execution of Plan within Predefined Limits of Haptic Boundary so Soft tissue and Neurovascular damage cannot be done, and accurate Position is visualized on a screen whist operating

“The surgeon still performs the surgery, but now with the accuracy and precision specific to a plan, specific to a patient, which was not possible before with conventional, manual instruments,”

The robot’s haptic boundary prevents soft-tissue trauma. There are several peer-reviewed publications on the benefits, including reduction in post-operative pain, increased patient satisfaction, increased flexion, less opioid drug use; reduction in length of stay, and fewer readmissions due to complications from the procedure has been published

Benefits of Robotic-Assisted Total Knee Replacement Positive outcomes

Robotic surgery is being adopted to have the best surgical plan, the best execution and to have a positive clinical outcome for the patient. Robotic surgery has been increasingly chosen as an option to address human errors that could potentially result in misalignment and decreased longevity of the prosthesis. The precision of robotic-assisted surgery allows for: More accurate implant positioning, which can result in a more natural feeling after surgery ,Improved safety and reduced risk of injury to adjacent tissues as there is lesser retraction, Value & Safety Provided by the Pre-Op CT, Small incisions, which can mean a quicker recovery, a shorter hospitalization, and less pain and a potential for better long-term function.

In a nutshell The Robotic Technology helps in –

  • More accurate implant positioning, which can result in a more natural feeling after surgery,
  • Improved safety and reduced risk of injury to adjacent tissues as there is lesser retraction,
  • Value & Safety Provided by the Pre-Op CT,
  • Small incisions, which can mean a quicker recovery, a shorter hospitalization, and less pain and a potential for better
  • Minimal blood Loss
  • Precision in Mapping of the Joins
  • Leo II Mako AccuStop™ technology allows your surgeon to cut less by cutting precisely what is planned to help protect your healthy bone.
  • Early mobilization and Early Discharge from the Hospitals(less Hospital Stay)
  • A Happy Patient

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