Outpatient Surgery Magazine

Manager's Guide to Joint Replacement - January 2016

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Realizing the benefits You spend additional computer time on the front end mapping out the joint, but you save time during the cutting phase because it's planned out so precisely. I haven't yet had to revise the cuts the computer mapped out. The robotic system is also amazing in its accuracy. For example, notching the anterior cortex of the femur during conventional surgery has a high incidence of periprosthetic fracture. I'm always impressed with how the robot makes that cut perfectly every time. When reviewing post-op X-rays, I'm also amazed that the placement of the implant looks exactly as it did in the 3D model displayed on the screen in the OR. Even slight variations to the bone cuts made during conventional sur- gery could overload one part of the knee, which might lead to an early failure of an implant within 20 years. In contrast, the robotic system's increased accuracy in placing implants results in a more exact recre- ation of the knee's mechanical axis. It also ensures the replacement is perfectly aligned, so the balance of the forces that go through the implant are equivalently balanced on all parts of the knee. I believe increased accuracy in aligning the mechanical axis will increase the J A N U A R Y 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 5 1 • EXACT FIT The added precision offered by robotic-assisted surgery improves the long-term survivability of implants. John Hickey (Buffalo News)

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