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Robotic Arm Assisted Partial Knee Resurfacing: Patient Education Video скачать в хорошем качестве

Robotic Arm Assisted Partial Knee Resurfacing: Patient Education Video 12 лет назад

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Robotic Arm Assisted Partial Knee Resurfacing: Patient Education Video
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Robotic Arm Assisted Partial Knee Resurfacing: Patient Education Video

My name is Dr. Andrew Pearle, and I'm an orthopedic surgeon at the Hospital for Special Surgery. This video is an introduction to Robotic Knee Resurfacing, a procedure performed to treat various types of knee arthritis. At the Hospital for Special Surgery, I developed a computer assisted surgery center, and have helped pioneer the use of robotics to treat knee problems. An example of this is robotic knee resurfacing as a treatment option for knee arthritis. Knee arthritis, or the loss of cushioning in the knee, is an epidemic in the US. It is estimated that 20% of us will develop symptomatic knee arthritis in our lifetime. The classic surgical treatment for knee arthritis is a total knee replacement, a procedure where the entire joint is removed and replaced. This time honored procedure provides a durable, or a long lasting result, but requires extensive rehabilitation. In addition, the artificial knee does not move quite like a normal knee, which often makes it difficult for patients to return to sports. In many situations, TKR is the only option for patients. For the past five years, I have used robotic assistance for partial knee replacement, a minimally invasive procedure, where only the damaged portion of the knee is fixed, saving healthy tissue and bone. We call this robotic knee resurfacing because the robot allows us to remove a minimal amount of bone to resurface a joint. Preoperatively, we obtain a CAT scan. From this CAT scan, I can make a 3D model of the patient's knee. On this model, I optimize the plan so that the implants are perfectly aligned and so that the minimal amount of bone is removed. When we get into the O.R., I can track normal knee motions on the computer screen before I ever touch the bone. I can then fine tune the position of the implant, moving it in such a way, so that I can reproduce normal knee motions. This helps restore a more natural knee movement and a natural knee feel. I can perform a patient's operation 20 or 30 times virtually before I actually touch the patient's skin. Once the plan is finalized, the robotic arm allows me to sculpt the bone in a very precise way so that the plan is actualized. This is what the robotic arm looks like. At the end of the arm is a small burr that allows us to sculpt the bone. The burr allows us to remove the precise amount of bone that we planned on the computer. The robot prevents me from drawing outside the lines and removing excess bone. These are the implants that we use in robotic knee resurfacing procedures. After the bone is prepared, these implants are cemented into place, and the operation is complete. Robotic knee resurfacing allows for a rapid return to work and to play. It's a wonderful alternative to more invasive treatments of knee arthritis. Thank you for watching.

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