Robotic Surgery in Knee Prosthesis Surgery

Osteoarthritis is the most common cause of knee pain. Today, there is no treatment that eliminates calcification. However, new treatment methods developed with technology continue to offer more successful results against knee pain day by day. Knee prosthesis surgeries performed with robotic technology are one of these latest developments. In traditional knee replacement surgeries, the surgeon cuts out the damaged joint surfaces that cause pain in the knee and replaces them with an artificial piece called a prosthesis. The surgeon himself would do all the technical measurement calculations required during the procedure. Various devices have been developed to assist the surgeon in this complex surgical procedure. Recently, with the development of robotic technology in the world, studies have accelerated. After the successful use of the first robotic surgery platforms, more advanced robotic systems have been produced in recent years. Today, the latest technology product in knee joint prosthesis surgery; The New Generation Robotic Surgery System NAVIO is at the forefront with its superior features.

1. Knee prosthesis surgeries performed with the New Generation Robotic Surgery System NAVIO.

Knee joint prosthesis surgery, for those who have pain, difficulty in movement, difficulty in walking due to knee joint calcification, who have limitations in their daily life and whose other treatments (such as drug use, intra-articular injections, physical therapy, exercise) do not get results or whose complaints begin again in a short time. must be done. Depending on whether the knee calcification has caused widespread or regional damage to the joint, total knee replacement or partial knee replacement can be applied. With the New Generation Robotic Surgery System NAVIO, total knee replacement and partial knee replacement surgeries are successfully performed. An infected, loose, expired, or failing knee replacement may need to be replaced with a new prosthetic component. These surgeries are called knee prosthesis revision surgery. With the revision surgeries where the old prosthesis is removed and the new prosthesis is attached, joint mobility is increased and a return to daily life activities is provided. It is possible to perform knee revision prosthesis surgeries in patients whose knee prosthesis has expired or whose prosthesis needs to be replaced due to various problems, with the help of the New Generation Robotic Surgery System NAVIO.

2. No pre-operative tomography is required with NAVIO.

In robotic knee prosthesis surgeries, it was necessary to take a knee tomography in order to make the surgical planning and transfer it to the computer. This was one of the most important disadvantages of robotic systems that can only perform surgical planning on preoperative radiological imaging. Robotic surgical systems dependent on radiological imaging caused patients to receive additional radiation. This situation is now over.

New Generation Robotic Surgery System NAVIO, which is the latest technology product of today, there is no need for tomography before knee prosthesis surgeries. Thus, our patients do not face the risk of excessive radiation. Since the New Generation Robotic Surgery System NAVIO is not a system dependent on radiological imaging, there is no need for additional planning with preoperative tomography. All surgical planning and surgical procedure are done at once and simultaneously during the operation. Moreover, since the joint map is made on the knee exposed during the surgery, the collected information is more precise. In addition, NAVIO, the New Generation Robotic Surgery System, allows the joint mapping to be extracted and saved by making necessary changes in the planning in any situation that develops during the surgery, so the surgery is continued on the final state of the joint without a break. However, this option is not available in imaging-dependent robotic surgery systems. The New Generation Robotic Surgery System NAVIO contributes to the protection of patient health and safety by eliminating the need for additional radiological imaging in knee prosthesis surgeries.

3. Knee prosthesis surgery is performed by the surgeon using the robotic handpiece, not the robot.

One of the most common misconceptions about robotic knee replacement surgery is to think that the surgery is performed by a robot. The surgery is not performed by a robot. A robotic hand is used by the doctor during the surgery, but the control is completely under your doctor. The task of the robotic hand is to enable the surgeon to perform the surgery with higher accuracy and precision. The Next Generation Robotic Surgery System NAVIO is a semi-active system. Semi-active robotic systems operate under the surgeon’s control and provide feedback to the surgeon. This feedback is in the form of auditory, visual and vibration alerts. The NAVIO handpiece, which the surgeon also uses when making bone incisions in the knee, helps the surgeon perform the programmed task. In addition, it warns in case of going out of duty and stops the incision immediately, preventing mistakes.

4. The orthopedic doctor makes the surgical procedure much more comfortable with NAVIO.

Since the old robotic knee prosthesis surgery technologies were systems dependent on radiological imaging, preoperative tomography had to be taken and surgical planning had to be done. This situation both caused the patient to be exposed to excessive radiation and required the surgeon to work on the radiological images and save the surgical planning on the computer. In any different situation encountered during the operation, it was not possible to re-introduce the joint to the computer, so the surgeon had difficulty continuing the operation. However, the Next Generation Robotic Surgery System NAVIO is not a system dependent on radiological imaging. There is no need for tomography before knee prosthesis surgery. Surgical planning is done simultaneously during surgery. In any situation that develops during the surgical procedure, the surgeon can easily continue the operation, as it allows the necessary planning changes to be made on the final state of the joint and saved on the computer by re-creating the joint mapping. Also, in older robotic systems, the surgeon operated with a long arm attached to a large robotic device. This large device and robotic arm had difficulties in use, such as being bulky, occupying space, and difficult to move. In knee replacement surgeries performed with the Next Generation Robotic Surgery System NAVIO, the surgeon performs the operation with the help of a robotic handpiece connected to a smaller device. The NAVIO handpiece allowed the surgeon to perform the operation with ease.

5. With NAVIO, simultaneous mapping and surgery are performed during surgery.

The Next Generation Robotic Surgery System NAVIO, with the robotic handpiece, the patient’s knee joint information is transferred to the computer simultaneously and a 3-dimensional digital model of the knee is created on the screen. On this 3-dimensional digital joint model, the areas where the prosthetic parts will be placed and the places to be cut are determined and marked. Fine technical details such as bone cutting rates, prosthesis dimensions, compatibility of prosthesis parts and placement angles are calculated on the computer. Thus, the doctor can place the prosthesis on your knee in the most accurate way and without damaging the surrounding tissues. In your surgery, all the details are carried out in one go and simultaneously. In the New Generation Robotic Surgery System NAVIO, the condition of the ligaments in the knee is checked at all angles of motion of the knee and the functional suitability of your prosthesis is evaluated in the computer program. Older robotic systems were able to do this at a maximum of two or three angles of motion of the knee. However, with NAVIO, it is possible to control the condition of the soft tissues at all angles of motion of the knee.

6. With NAVIO, knee prosthesis placement is performed in the most accurate and error-free way.

The New Generation Robotic Surgery System NAVIO ensures the most accurate placement of the prosthesis on your joint by making extremely precise technical measurements and fine millimetric incisions, and prevents mistakes by going out of planning. NAVIO is not a navigation system. Navigation devices assist the surgeon in performing the procedure in accordance with surgical planning, but cannot prevent a mistake. Even an experienced orthopedic surgeon has some margin of error when adjusting the position of the prosthesis. NAVIO, the New Generation Robotic Surgery System, guides the surgeon visually, audibly and physically during the surgery and prevents going out of planning and making mistakes. Thus, it is ensured that the surgical procedure is performed with extreme precision and high accuracy. The new generation Robotic Surgery System NAVIO is a high-level technology that is both patient and doctor-friendly, reducing the risk of making mistakes in knee prosthesis surgeries and increasing the success rate of the surgeon.

7. Recovery time is shorter after NAVIO robotic knee replacement surgery.

Recovery is faster in knee replacement surgeries performed with the new generation robotic surgery system NAVIO. Thanks to the NAVIO robotic surgery system, operations are performed with greater precision and accuracy during surgery. Since the healthy tissues are maximally protected with NAVIO, the prosthesis can be placed on the knee in the most accurate way without damaging the surrounding tissues. This accelerates the body’s natural healing process. While the margin of error is eliminated with the NAVIO robotic knee prosthesis surgery method, the postoperative recovery period is also shorter, painless and easier. Generally, walking with support is started on the same day or the next day after the surgery. Patients return to their daily lives after a few weeks, depending on their general health status.

8. Knee surgery performed with NAVIO-guided kinematic method provides a more natural knee feel.

As you go about your daily life, we should be able to completely forget that you have a prosthesis in your knee. However, for many patients after prosthesis surgery, even simple movements such as going up and down stairs and kneeling trigger conditions such as stiffness, numbness and even pain in the knee, and the presence of the prosthesis causes discomfort. The goal in full knee prosthesis surgeries is to plan and apply a special surgical procedure according to the characteristics of each person’s own knee joint structure. Since the anatomical structure of each person’s knee is unique, the position and fit of the implants should also be individual when knee replacement surgery is required. Knee prosthesis surgery with the kinematic method provides this harmony. The kinematic method is a surgical technique that has succeeded in performing full knee prosthesis surgeries while preserving individual characteristics. When the Kinematic Method is applied with NAVIO, the desired personalized planning can be done precisely and accurately. In knee prosthesis surgeries performed with the new generation robotic surgery system NAVIO and with the kinematic method, you can have your special knee performed with precision, by making extremely detailed measurements, with the technique in which your natural joint features are preserved. Thus, you will feel your new knee as if it is your own natural knee, and you will move and walk comfortably.

9. With NAVIO, the life of the knee prosthesis is extended.

Generally, the life of knee prostheses is 10 to 20 years. Therefore, knee replacement surgery was not recommended for patients under the age of 60. Knee replacement surgeries performed with robotic surgery have begun to change this challenge. Thanks to the new generation robotic surgery system NAVIO, the prosthesis is placed on your knee in the most accurate way. Thus, our younger patients can also have a safe and long-lasting knee prosthesis and lead an active life. However, it should be known that artificial joints will not last forever. Many factors such as your lifestyle, doctor, surgical technique, and the prosthesis used determine the life of the prosthesis. With NAVIO, since the surgery is performed with smaller incisions and high accuracy, mechanical problems that determine the life of the prosthesis such as premature wear-loosening occur less. With the new generation robotic surgery system NAVIO, the calculation of technical measurements with high accuracy and sensitivity and placing the knee prosthesis parts in the most ideal position in the patients ensures a longer life of the joint prosthesis.

10. Doctor’s experience is always important in knee replacement surgeries.

The state-of-the-art robotic surgical system offers great advantages in knee replacement surgeries. However, it is important to choose an orthopedic surgeon experienced in robotic surgeries to get the best results. Knee joint replacement surgery is an important decision. If you want to know if you are a good candidate for surgery, you can contact us. You can also evaluate whether you need surgery by performing the Oxford knee test.