Total Knee Replacement MAKO

Every Patient is unique, and one can experience joint pain for different reasons. It’s very important to talk to us about the reason for your knee pain so you can understand the treatment options available to you and what we can offer you the best .Arthritis is basically degeneration of the joint and may be attributed to trauma or rheumatoid arthritis or any other disease and can affect Knee , hip or for that matter any joint of the body. Pain can be constant or come and go, occur with movement or after a period of rest, or be in one spot or many parts of the body. It is common for patients to try medication and other conservative treatments to treat their knee Pain in particular. It is obviously therefore particularly important to consult a specialist.

If you have not experienced adequate relief with those treatment options given by the doctor, you may be offered a Total Knee Replacement, which may provide you with relief from your knee pain.

The advent of total knee replacement (TKR) was an important milestone in the history of orthopaedic surgery. The development of TKA began in the early 1970s which sprouted independently in both the United States and abroad. incredibly successful medical intervention which absolutely changed lives worldwide. Total knee replacement (TKR) is one of the most preferred treatment for end-stage knee after failed non-surgical treatment. It relieves pain and improves the health-related quality of life. According to studies, an estimated increase in primary TKR by as much as 673% is predicted from 2005 to 2030 and everyday more than a milliontotal knee replacements are performed worldwide.

Unfortunately, TKA failure does happen in less than 2-3 % and is multifactorial and early revisionsresult mostly from poor surgical technique. Good surgical technique and accurate implantation of the components are likely to improve the longevity and function of TKA.

Here Comes the Role of Technology and Medical science and when this combination is synergistic,and we achieve accuracy, More safety,and an excellent outcome.

Leo II Mako Robotics is an innovative solution and the best Solution for many suffering from painful arthritis of the knee.

 

“Leo II MAKO ROBOTIC ARM” is changing the way joint replacement surgeries are performed.

Routine radiographs are obtained followed by a Computed Tomography (CT) scan for the patient. This CT scan is segmented and loaded into the system. Once in the system the surgeon can Use a virtual 3D model, to personalize each patient’s surgical plan pre-operatively, thereby providing complete clarity on implant positioning before entering the operating room. During surgery, the surgeon can validate that plan and make any necessary adjustments. During the procedure, the robotic arm enables the surgeon to execute that plan with a high level of accuracy and predictability using haptic boundaries that restricts bone preparation to happen within the region of interest. The combination of these three features of the system has the potential to lead to better outcomes and higher patient satisfaction.” Further he adds that the accuracy and haptic boundaries ensure that only the required amount and planned part of bone is removed This helps with bone conservation and availability of more bone stock if a revision surgery is required. A lesser retraction of soft tissue is done enabling enhanced recovery.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 knee 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.

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

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

 STEP 1 : INVESTIGATIONS AND SEGMENTATION:

The X rays and  CT scan of the patient’s knee is segmented and fed into the robot to obtain a three-dimensional model of the knee joint -the femur, the tibia, 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 femur moves on top of the tibia.

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 knee, 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 saw blade 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 saw, but the robot limits where the saw 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 knee 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
  • Early mobilization and Early Discharge from the Hospitals(less Hospital Stay)
  • A Happy Patient

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