Robotic orthopedic surgery enhances precision in minimally invasive procedures. It offers two main systems: haptic (surgeon-guided) and autonomous, along with passive surgery systems gaining popularity. These surgical robots, like active systems, aid in precise bony surface preparation during orthopedic surgery.

Advantages of Robotic Orthopedic Surgery:

  • Advantages of Robotic Orthopedic Surgery.
  • Precise implant placement for a more natural feeling post-procedure.
  • Enhanced safety, reducing the risk of injury to neighboring tissues.
  • Reduced risk of infection as procedures can be performed in a clean room.
  • Improved cosmesis with decreased scarring.
  • Reduced post-surgery pain and discomfort

Robotic Hip Replacement Surgery

Persistent hip pain for over three months, often caused by issues like hip impingement, torn labrum, or osteoarthritis, can lead to permanent problems. Surgical options like total hip replacement, arthroscopic hip surgery, and hip resurfacing aim to alleviate this pain, with modern robotic surgery being highly effective. Arthroscopic surgery targets inflammation and pain, while procedures like total hip replacement focus on repairing damaged hip joint parts.

Total Hip Replacement Surgery

Total hip replacement is a common orthopedic procedure involving the replacement of the femoral head with advanced artificial implants. These implants are durable and last a lifetime. Recovery time is reduced through procedures like ceramic hip implants, which minimize joint wear, direct anterior muscle separating arthroplasty, which operates between muscles instead of cutting through them, and short stem hip implants, designed for smaller incisions.

Robotic Hip Arthroscopy

When there is hip pain caused by other tissues or broken cartilage around the hip joint, this minimally invasive surgery is performed. The goal is to clear debris from the hip joint and reduce inflammation as a result. The procedure can also help with the painful symptoms of a variety of conditions that damage the articular cartilage, soft tissues around the hip joint, or the labrum.

Robotic Knee Replacement Surgery:

Robotic knee replacement surgery is performed to alleviate chronic knee arthritis or injuries. It involves joint replacement surgery to relieve discomfort caused by bone and cartilage degeneration. Knee resurfacing and replacement procedures are recommended for arthritis treatment. Options include:

Arthroscopic Knee Surgery:

  • Minimally invasive procedure repairing damaged knees.
  • Surgeon examines joint damage using fiber optic cameras.
  • Fewer incisions reduce recovery time.
  • Removes loose bodies to facilitate healing of damaged cartilage and ligaments.

Makoplasty Partial Knee Resurfacing/Replacement:

  • Uses a robotic arm for precise planning and preparation.
  • Alleviates mid-stage knee osteoarthritis pain.
  • Focuses on damaged knee parts, preserving healthy tissues.
  • Relieves knee pain, enhances function, and improves motion and alignment.

Total Knee Replacement:

  • Treats severe degenerative knee conditions.
  • Advanced artificial joints replicate knee motion.
  • Surgeon customizes joint based on age, activity, and body type.

Categories of Robotic-Assisted Surgery:

  • General surgery
  • Cardiothoracic surgery
  • Urologic surgical procedures
  • Brain surgery
  • Neck surgery
  • Cardiovascular surgery
  • Orthopedic surgery

Orthopedic Applications of Robot-Assisted Surgery:

  • Orthopedic Applications of Robot-Assisted Surgery:
  • Correction of spinal deformities like scoliosis and kyphosis
  • Total knee replacement and total hip replacement

Tests Required for Robotic-Assisted Orthopedic Surgery:

  • MRI
  • CT scan
  • X-rays of the knee area
  • Preoperative blood tests

Preparation for Surgery:

  • Tobacco cessation
  • Abstinence from alcohol
  • Avoiding blood-thinning agents and over-the-counter pain relievers
  • Fasting from the night before surgery, except for minimal water consumption for essential medications

Surgical Procedure:

  • Duration: Approximately one hour and thirty minutes
  • Surgeon-controlled robotic system guides surgical instruments and provides live images via a camera and magnifying lenses
  • Precise incisions made according to robotic instructions, resulting in minimal scarring
  • Correctional repairs made with improved precision, reducing the risk of implant issues post-surgery

Recovery:

  • Minimal discomfort post-surgery
  • One-week hospital stay for total knee/hip replacement surgery
  • Patient education on implant usage and commencement of physiotherapy sessions
  • Discharge instructions include medication adherence, elevated knee positioning, regular physiotherapy, fall prevention, and wound care

Complications:

  • Excessive bruising
  • Damage to surrounding tissues due to poor system management
  • Risk of port site hernia due to small incisions

Cost of Robotic Orthopedic Surgery in India:

  • Starts from USD 2,000 (INR 1,58,553) and may range up to USD 10,000 (INR 7,92,766), depending on factors like surgeon, hospital, and city.