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S U R G I C A L
N A V I G A T I O N
PROMISING POTENTIAL Improved results and faster case times are a must before robotics achieve widespread acceptance.
FUTURE FORECAST
Are Robotics Ortho's Next Big Thing?
Image-guided robotic systems mimic computer-assisted surgery, but instead of surgeons working manually within joints, they maneuver a robotically controlled burr to make cuts at pre-planned locations and angles.
Robotic surgery is being used most commonly and effectively to place implants more accurately during partial knee replacements. Hip surgery is also coming online as robotics assist with proper cup positioning, the most difficult part of the procedure for many surgeons who aim for reproducible results.
It seems surgeons are moving beyond computer-assisted surgery, which was anticipated to evolve into the standard of care. But while the use of robotics in orthopedics is increasing, it's not yet widespread. Much like the back-and-forth between proponents of robot-assisted and laparoscopic prostatectomy, orthopods are debating whether robotics help surgeons perform better surgery. Does it make a significant difference in clinical results or is it simply the hottest marketing trend?
That's yet to be determined, but I'm a firm believer that all surgeries will eventually be performed with some sort of robotic assistance. Why wouldn't surgeons use technologies that help them do their jobs easier and better? The vast majority of physicians performing joint replacements are over 40 years old and comfortable with traditional surgical techniques. But the robotic revolution will gain momentum as younger, technologically savvy surgeons become more experienced in joint replacement and healthcare leaders eventually accept that the technology can help control costs and improve outcomes.
— Brian R. Hamlin, MD
