Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Orthopedics - August 2017

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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2 4 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E A U G U S T 2 0 1 7 and the robot doesn't impact that aspect of care, says Dr. Ball. He views com- puter-assisted navigation and robotic platforms as simply just another tool sur- geons can use to place an implant, at least for now. He believes the technology will reach its full clinical potential in the future when it's paired with smarter implant technology. That brings us to the third surgeon-endorsed game-changing development. 3. High-performance hardware Implant materials have improved significantly in recent years, says Dr. Kayiaros. "The polyethylene bearings used in hips and knees are manufactured so that the wear is essentially negligible," he explains. "That's been a huge advancement." The knee implant Dr. Kayiaros uses is a "high-flex design," so the geometry of the prosthesis is designed to maximize the joint's post-op range of motion. He also points out that most manufacturers produce a wide range of implant sizes that can be tailored to the patient's anatomy during surgery. Dr. Harwin says cementless total knee replacement systems provide biological bonds, which produce better stability and rotation, so post-op joint function more closely resembles the body's natural movements. He also says that advancements in hip socket prostheses are more evolutionary than revolution- ary, but notes that dual-mobility designs provide a better range of motion with added stability in hip replacement patients. OSM

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