#348 Robotic-Arm Assisted Bilateral Total Knee Arthroplasty in Complex Knee Drs. Bhogadi & Mohan
This is one of the 2023 KS International Innovation Awards videos selected for inclusion in the Vattikuti Foundation – ORSI Humans at the Cutting Edge of Robotic Surgery Conference, October 6, 7 & 8, 2023 in Ghent, Belgium. Posting does not imply that is has been selected as a Finalist, just that the content will be discussed at the Conference.
From the entry: ROBOTIC ARM ASSISTED BILATERAL TOTAL KNEE ARTHROPLASTY IN COMPLEX KNEE In this video, we describe about Robotic Arm Assisted Total Knee Arthroplasty (TKA) in a knee which had the most severe deformity to be treated by a robot in the literature so far. The core diagnosis of the patient is Osteoarthritis which led to severe both knee deformities. Patient, being apprehensive about surgery, delayed any and all surgical intervention further worsening her deformity to the current state, where she is unable to perform her activities of daily living. So, she finally came, was assessed and was offered Robotic Arm Assisted TKA, for which she consented. X-Rays revealed severe bone loss, anatomical distortion, severe deformity and large osteophytes. CT scan pertaining to the MAKO Robotic protocol was taken and was processed and a personalized plan for her knees was prepared. She was taken up for Bilateral TKA. In this video presentation, we show the pre-operative mobilization status, clinical deformity, radiographs, CT videos and intra-operative steps and challenges faced during the surgery. The robot acted like the eyes of the surgeon in this blind distorted field, helped in making accurate cuts, balancing the gaps and placement of implants which otherwise would have been very difficult. We used enhanced mid-resection workflow in this patient to tackle the severe deformity. Post-operatively patient is able to weight bear and mobilize without support. To conclude, the Robot was the perfect tool for achieving full correction in complex deformities like this, giving the surgeon a stress-free work environment and the patient a desirable outcome.