Overview
Robotic knee replacement surgery is a minimally invasive procedure, used to replace the damaged knee joint with an artificial joint with the aid of a robotic arm. Robotic surgery can be performed with smaller incisions, higher accuracy, minimal blood loss and comparatively shorter surgical duration.
Due to fewer complications as compared to traditional knee replacement surgery, patients are more compliant and recover faster after undergoing a robotic knee replacement surgery. It is indicated for people with complex degeneration, extract or replace prosthesis after failed primary surgery, deformities in the femur, complex knee-joint conditions and osteoarthritis.
Alternate Name of Robotic Knee Replacement Surgery
- Computer-aided Knee Replacement Surgery
- Robot-assisted Knee Replacement Surgery
Body Location
Knees
Procedure Type
Minimally invasive
How is Robotic Knee Replacement Surgery Performed?
Robotic-assisted knee joint replacement surgery is one of the latest advancements in computerized surgical procedures. This innovative approach involves creating a virtual model of a patient's knee using Computed Tomography (CT) scans, allowing for a new degree of precision in implant positioning. Some newer systems have even eliminated the need for a CT scan.
During the procedure, the surgeon makes smaller incisions to access the knee. Using the robotic system's probe, the surgeon can accurately assess the knee's wear and tear and the ligaments' condition. Based on this information, a surgical plan is formulated, and the bone preparation is carried out using the robotic arm, which may be equipped with either a saw or a burr-based system.
The robotic system's screen displays all information about the accuracy, which is typically less than 0.5mm or 0.5 degrees. The robotic arm remains under the direct control of the surgeon at all times, ensuring safety throughout the procedure.
Patients often report decreased discomfort in the two weeks following surgery when the prosthesis is positioned correctly. There is also a reduced risk of blood loss and infection.
Additionally, robotic surgery can shorten the recuperation time by up to 50%. As a result, patients can resume their normal activities sooner, contributing to a quicker and more comfortable recovery process. This technological advancement in knee replacement surgery offers significant benefits, making it a highly appealing option for both surgeons and patients alike. The knee joint replacement could be partial or total.
Partial Knee Replacement: If the knee joint is partially damaged either from the medial (inside) or lateral (outside), only the specific part of the joint is replaced with the artificial joint.
Robotic Total knee Replacement: In case of total knee damage, the whole of the knee is replaced with an artificial joint.
Preparation for Robotic Knee Replacement Surgery
- The team of surgeons will hold a pre-operative consultation with patients and caregivers to discuss the surgical plan and possible complications. A series of necessary diagnostic tests and pre-anesthesia review will be performed to confirm if the patient is fit to undergo the procedure. Imaging tests such as X-rays, CT scans, and magnetic resonance imaging (MRI) are performed to avoid any last-minute panic in case any test results are abnormal.
- It is ideal to reach the hospital at least 6 hours in advance to ensure adequate time for the pre-operative assessment and observation.
Follow-Up
Follow-ups with your surgeon are crucial to monitor recovery and assess the need for any additional interventions. Strictly follow the diet recommendations and physiotherapy routine to ensure a speedy recovery.
Physical activity is crucial to improve the knee joint’s health. Choose activities such as walking and climbing stairs as recommended by the physiotherapist. Avoid strenuous activities such as cycling, running, weight lifting, or jogging during the recovery mode. Handle your knee with care, place a cushion beneath your calf or ankle to elevate the leg. Consult the surgical team immediately if you experience pain.
Risks For Robotic Knee Replacement Surgery
Like any surgical procedure, there is 1% incidence of complications following robotic knee replacement done by a competent and experienced surgeon. The possibilities and nature of these complications will be explained to you during pre-operative counseling.
Recovery From Robotic Knee Replacement Surgery
Recovery will depend upon your age, body weight, nutrition, and physical activity. Usually, recovery following the robotic knee replacement surgery is quick and complication-free. However, if you observe signs of infection, or experience unbearable pain while walking, seek immediate medical attention. You should ensure proper follow-ups with your surgeon as per the schedule to assess the anticipated progress. In addition, you will be undergoing physical therapy (physiotherapy) for better joint movement and quicker recovery. Ensure to complete the physical therapy program as per the schedule. Take your medications and supplements as prescribed by your doctor.
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