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Anterior Hip Replacement :: Robotic Hip :: Robotic Knee

 

Anterior Hip Replacement

Direct Anterior Hip Replacement is a technique in which hip replacement surgery is performed through an alternative approach compared to conventional hip replacement surgery. Historically, hip replacement surgery was performed utilizing traditional posterior or lateral approaches. This necessitates that certain muscles or tendons are cut in order to access the hip joint and perform the surgery.

The direct anterior approach utilizes a muscle interval in front of the hip joint in which muscles and tendons are not cut for exposure of the joint. Because exposure can be more challenging, special instruments and a custom operating table are used to assist in performing the surgery.

Patients who have undergone Direct Anterior Hip Replacement surgery report that the post operative pain and discomfort is markedly less than traditional approaches. In addition, their recovery is expedited. Most patients are discharged from the hospital by post op day #2 and are off of all walking aids (cane/crutches) by the 2nd week from surgery.

The Direct Anterior Approach is not applicable to all patients. Most patients who are undergoing Revision Total Hip Arthroplasty will be better served by more traditional approaches. Those patients who have hip deformities from childhood also, on occasion, are not candidates for the direct anterior approach.

Robotic hip

Degenerative joint disease (DJD), a common cause of hip pain, is a chronic condition hampering the quality of life of affected individuals. There are different types of DJD and the most common ones include osteoarthritis (OA), post-traumatic arthritis, rheumatoid arthritis (RA), avascular necrosis (AVN), and hip dysplasia.

Robotic hip or MAKOplasty® Total Hip Replacement is a novel surgical alternative for patients with degenerative joint disease (DJD). In this procedure a Robotic Arm Interactive Orthopedic System (RIO®) assists the surgeon in aligning and positioning implants more precisely.

MAKOplasty can be considered in patients with pain while bearing weight on the affected joint, pain or stiffness in the hip while walking or performing other activities, and also in patients not responding to a conservative line of management.

Procedure

Accurate placement and alignment of the hip implant is crucial in hip replacement surgery. MAKOplasty® Total Hip Replacement utilizes a CT scan of the patient’s hip to generate a 3-D model of their pelvis and femur. This aids the surgeon in planning your surgery.

During surgery, the RIO® software provides dynamic information to enhance accuracy of the procedure. Such real-time information assists the surgeon in precise placement of the implant, which can be difficult to achieve with traditional surgical techniques.

The benefits of Robotic Hip include:

  • Precise placement of the hip implant using the surgeon-controlled robotic arm system with a decline in the possible risk of hip dislocation
  • Uniformity in leg length, reducing the requirement of a shoe lift
  • Increased longevity of the implant due to a reduction in abnormal rubbing between implant and bone

Robotic Arm Interactive Orthopedic System (RIO®)

The RIO® Robotic Arm Interactive Orthopedic System has three dimensional pre-surgical planning. During surgery, the RIO® provides the surgeon with real-time visual, tactile and auditory feedback to facilitate optimal joint resurfacing and implant positioning. Such optimal placement can result in a more natural hip motion following surgery.

RIO® Features:

  • Accurately plan implant size, orientation and alignment utilizing CT-derived 3-D modeling
  • Enabling the pre-resection capture of patient-specific kinematic tracking through full flexion and extension
  • Real-time intra-operative adjustments for correct hip kinematics and soft-tissue balance
  • Minimally invasive and bone sparing, with minimal tissue trauma for faster recovery

Robotic Knee

Robotic knee or MAKOplasty® Partial Knee Resurfacing is an innovative treatment option for adults living with early to midstage osteoarthritis (OA) in either the medial (inner), patellofemoral (top), or both compartments of the knee. It is powered by the RIO® Robotic Arm Interactive Orthopedic System, which allows for consistently reproducible precision in performing partial knee resurfacing.

The RIO® System empowers surgeons and hospitals to address the needs of a large and growing, yet currently underserved patient population. Patients who desire a restoration of lifestyle, minimized surgery, reduced pain and rapid recovery may benefit from MAKOplasty®.

Procedure

During the procedure, the diseased portion of the knee is resurfaced, sparing the patient’s healthy bone and surrounding tissue. An implant is then secured in the joint to allow the knee to move smoothly again. MAKOplasty® Partial Knee Resurfacing can:

  • Facilitate optimal implant positioning to result in a more natural feeling knee following surgery
  • Result in a more rapid recovery and shorter hospital stay than traditional knee replacement surgery
  • Be performed on an outpatient basis
  • Promote a rapid relief from pain and return to daily activities

As a knee arthroplasty procedure, MAKOplasty® is typically covered by most Medicare-approved and private health insurers.

Robotic Arm Interactive Orthopedic System (RIO®)

The RIO® Robotic Arm Interactive Orthopedic System features three dimensional pre-surgical planning. During surgery, the RIO® provides the surgeon with real-time visual, tactile and auditory feedback to facilitate optimal joint resurfacing and implant positioning. It is this optimal placement that can result in more natural knee motion following surgery.

RIO® Features:

  • Accurately plan implant size, orientation and alignment utilizing CT-derived 3-D modeling
  • Enabling the pre-resection capture of patient-specific kinematic tracking through full flexion and extension
  • Real-time intra-operative adjustments for correct knee kinematics and soft-tissue balance
  • Minimally invasive and bone sparing, with minimal tissue trauma for faster recovery
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