Can Robotic surgery improve outcomes in orthopaedics? · • Robotic-arm assisted total knee...
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Can Robotic surgery improve outcomes in orthopaedics? Dirk van Bavel VPNG State Conference August 2019
Transcript of Can Robotic surgery improve outcomes in orthopaedics? · • Robotic-arm assisted total knee...
Can Robotic surgery improve outcomes in
orthopaedicsDirk van Bavel
VPNG State ConferenceAugust 2019
Conflict of Interest
bull Paid presentations education for stryker
Robots
bull What are they
bull How are they used
bull Outcomes
bull Future
What are they
bull Mako
bull Navio
bull Rosa
Background
bull Technology is changing how we do everything
What is an orthopaedic robot
bull Computer programmable bone cutting machine
bull Provides tactile feedback to the surgeon
bull Creates virtual boundaries that the surgeon cannot violate with tools
bull Provides safety and accuracy
In Australia
bull PKA 2015 (3rd Generation robot)
bull THA 2016
bull Limited TKA 2016
bull Commercial TKA release 2017
My MAKO Journey
bull March 2015 Visitation to HSS in NYC
bull 1st PKA Sept 2016
bull 1st THA Feb 2017ndash (2nd in Victoria)
bull 1st TKA Nov 2017ndash (1st in Victoria)
bull Now a trainer for MAKO
Robotic Knee replacement
Accuracy of Robotic TKA
bull Improved accuracy of implant positioning
bull Improved accuracy of limb alignmentndash Compared to manual jigs
bull Knee Surg Sports Traumatol Arthrosc 2018 Sep 17
bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning
bull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Outcome of Robotic Knee replacement
bull Prospective trial from London UK -Robotic Vs conventional jigged TKA
bull Robotic TKA hadndash Reduced painndash Decreased analgesic requirementsndash Decreased drop in Hb levelsndash Shorter time to SLRndash Decreased no of Physio sessionsndash Improved maximal knee flexion at dischargendash Shorter time to discharge
bull Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty
bull Kayani B1 Konan S1 Tahmassebi J2 Pietrzak JRT1 Haddad FS3ndash Bone Joint J 2018 Jul100-B(7)930-937
Other research
bull ldquoThere is reduced bone and periarticular soft tissue injury in patients undergoing RA-TKA compared to CJ-TKArdquo1
bull ldquono learning curve for achieving the planned implant positioning Robotic-arm assisted TKA improved accuracy of implant positioning and limb alignment compared to conventional jig-based TKArdquo 2
bull 1 J Arthroplasty 2018 Aug33(8)2496-2501 doi 101016jarth201803042 Epub 2018 Mar 27bull Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee
Arthroplasty A Prospective Cohort Study and Validation of a New Classification Systembull Kayani B1 Konan S1 Pietrzak JRT1 Haddad FS1bull 2 Knee Surg Sports Traumatol Arthrosc 2019 Apr27(4)1132-1141 doi 101007s00167-018-5138-5 Epub 2018 Sep 17bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning
curve effect for accuracy of implant positioningbull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Conflict of Interest
bull Paid presentations education for stryker
Robots
bull What are they
bull How are they used
bull Outcomes
bull Future
What are they
bull Mako
bull Navio
bull Rosa
Background
bull Technology is changing how we do everything
What is an orthopaedic robot
bull Computer programmable bone cutting machine
bull Provides tactile feedback to the surgeon
bull Creates virtual boundaries that the surgeon cannot violate with tools
bull Provides safety and accuracy
In Australia
bull PKA 2015 (3rd Generation robot)
bull THA 2016
bull Limited TKA 2016
bull Commercial TKA release 2017
My MAKO Journey
bull March 2015 Visitation to HSS in NYC
bull 1st PKA Sept 2016
bull 1st THA Feb 2017ndash (2nd in Victoria)
bull 1st TKA Nov 2017ndash (1st in Victoria)
bull Now a trainer for MAKO
Robotic Knee replacement
Accuracy of Robotic TKA
bull Improved accuracy of implant positioning
bull Improved accuracy of limb alignmentndash Compared to manual jigs
bull Knee Surg Sports Traumatol Arthrosc 2018 Sep 17
bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning
bull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Outcome of Robotic Knee replacement
bull Prospective trial from London UK -Robotic Vs conventional jigged TKA
bull Robotic TKA hadndash Reduced painndash Decreased analgesic requirementsndash Decreased drop in Hb levelsndash Shorter time to SLRndash Decreased no of Physio sessionsndash Improved maximal knee flexion at dischargendash Shorter time to discharge
bull Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty
bull Kayani B1 Konan S1 Tahmassebi J2 Pietrzak JRT1 Haddad FS3ndash Bone Joint J 2018 Jul100-B(7)930-937
Other research
bull ldquoThere is reduced bone and periarticular soft tissue injury in patients undergoing RA-TKA compared to CJ-TKArdquo1
bull ldquono learning curve for achieving the planned implant positioning Robotic-arm assisted TKA improved accuracy of implant positioning and limb alignment compared to conventional jig-based TKArdquo 2
bull 1 J Arthroplasty 2018 Aug33(8)2496-2501 doi 101016jarth201803042 Epub 2018 Mar 27bull Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee
Arthroplasty A Prospective Cohort Study and Validation of a New Classification Systembull Kayani B1 Konan S1 Pietrzak JRT1 Haddad FS1bull 2 Knee Surg Sports Traumatol Arthrosc 2019 Apr27(4)1132-1141 doi 101007s00167-018-5138-5 Epub 2018 Sep 17bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning
curve effect for accuracy of implant positioningbull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Robots
bull What are they
bull How are they used
bull Outcomes
bull Future
What are they
bull Mako
bull Navio
bull Rosa
Background
bull Technology is changing how we do everything
What is an orthopaedic robot
bull Computer programmable bone cutting machine
bull Provides tactile feedback to the surgeon
bull Creates virtual boundaries that the surgeon cannot violate with tools
bull Provides safety and accuracy
In Australia
bull PKA 2015 (3rd Generation robot)
bull THA 2016
bull Limited TKA 2016
bull Commercial TKA release 2017
My MAKO Journey
bull March 2015 Visitation to HSS in NYC
bull 1st PKA Sept 2016
bull 1st THA Feb 2017ndash (2nd in Victoria)
bull 1st TKA Nov 2017ndash (1st in Victoria)
bull Now a trainer for MAKO
Robotic Knee replacement
Accuracy of Robotic TKA
bull Improved accuracy of implant positioning
bull Improved accuracy of limb alignmentndash Compared to manual jigs
bull Knee Surg Sports Traumatol Arthrosc 2018 Sep 17
bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning
bull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Outcome of Robotic Knee replacement
bull Prospective trial from London UK -Robotic Vs conventional jigged TKA
bull Robotic TKA hadndash Reduced painndash Decreased analgesic requirementsndash Decreased drop in Hb levelsndash Shorter time to SLRndash Decreased no of Physio sessionsndash Improved maximal knee flexion at dischargendash Shorter time to discharge
bull Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty
bull Kayani B1 Konan S1 Tahmassebi J2 Pietrzak JRT1 Haddad FS3ndash Bone Joint J 2018 Jul100-B(7)930-937
Other research
bull ldquoThere is reduced bone and periarticular soft tissue injury in patients undergoing RA-TKA compared to CJ-TKArdquo1
bull ldquono learning curve for achieving the planned implant positioning Robotic-arm assisted TKA improved accuracy of implant positioning and limb alignment compared to conventional jig-based TKArdquo 2
bull 1 J Arthroplasty 2018 Aug33(8)2496-2501 doi 101016jarth201803042 Epub 2018 Mar 27bull Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee
Arthroplasty A Prospective Cohort Study and Validation of a New Classification Systembull Kayani B1 Konan S1 Pietrzak JRT1 Haddad FS1bull 2 Knee Surg Sports Traumatol Arthrosc 2019 Apr27(4)1132-1141 doi 101007s00167-018-5138-5 Epub 2018 Sep 17bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning
curve effect for accuracy of implant positioningbull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
What are they
bull Mako
bull Navio
bull Rosa
Background
bull Technology is changing how we do everything
What is an orthopaedic robot
bull Computer programmable bone cutting machine
bull Provides tactile feedback to the surgeon
bull Creates virtual boundaries that the surgeon cannot violate with tools
bull Provides safety and accuracy
In Australia
bull PKA 2015 (3rd Generation robot)
bull THA 2016
bull Limited TKA 2016
bull Commercial TKA release 2017
My MAKO Journey
bull March 2015 Visitation to HSS in NYC
bull 1st PKA Sept 2016
bull 1st THA Feb 2017ndash (2nd in Victoria)
bull 1st TKA Nov 2017ndash (1st in Victoria)
bull Now a trainer for MAKO
Robotic Knee replacement
Accuracy of Robotic TKA
bull Improved accuracy of implant positioning
bull Improved accuracy of limb alignmentndash Compared to manual jigs
bull Knee Surg Sports Traumatol Arthrosc 2018 Sep 17
bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning
bull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Outcome of Robotic Knee replacement
bull Prospective trial from London UK -Robotic Vs conventional jigged TKA
bull Robotic TKA hadndash Reduced painndash Decreased analgesic requirementsndash Decreased drop in Hb levelsndash Shorter time to SLRndash Decreased no of Physio sessionsndash Improved maximal knee flexion at dischargendash Shorter time to discharge
bull Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty
bull Kayani B1 Konan S1 Tahmassebi J2 Pietrzak JRT1 Haddad FS3ndash Bone Joint J 2018 Jul100-B(7)930-937
Other research
bull ldquoThere is reduced bone and periarticular soft tissue injury in patients undergoing RA-TKA compared to CJ-TKArdquo1
bull ldquono learning curve for achieving the planned implant positioning Robotic-arm assisted TKA improved accuracy of implant positioning and limb alignment compared to conventional jig-based TKArdquo 2
bull 1 J Arthroplasty 2018 Aug33(8)2496-2501 doi 101016jarth201803042 Epub 2018 Mar 27bull Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee
Arthroplasty A Prospective Cohort Study and Validation of a New Classification Systembull Kayani B1 Konan S1 Pietrzak JRT1 Haddad FS1bull 2 Knee Surg Sports Traumatol Arthrosc 2019 Apr27(4)1132-1141 doi 101007s00167-018-5138-5 Epub 2018 Sep 17bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning
curve effect for accuracy of implant positioningbull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Background
bull Technology is changing how we do everything
What is an orthopaedic robot
bull Computer programmable bone cutting machine
bull Provides tactile feedback to the surgeon
bull Creates virtual boundaries that the surgeon cannot violate with tools
bull Provides safety and accuracy
In Australia
bull PKA 2015 (3rd Generation robot)
bull THA 2016
bull Limited TKA 2016
bull Commercial TKA release 2017
My MAKO Journey
bull March 2015 Visitation to HSS in NYC
bull 1st PKA Sept 2016
bull 1st THA Feb 2017ndash (2nd in Victoria)
bull 1st TKA Nov 2017ndash (1st in Victoria)
bull Now a trainer for MAKO
Robotic Knee replacement
Accuracy of Robotic TKA
bull Improved accuracy of implant positioning
bull Improved accuracy of limb alignmentndash Compared to manual jigs
bull Knee Surg Sports Traumatol Arthrosc 2018 Sep 17
bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning
bull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Outcome of Robotic Knee replacement
bull Prospective trial from London UK -Robotic Vs conventional jigged TKA
bull Robotic TKA hadndash Reduced painndash Decreased analgesic requirementsndash Decreased drop in Hb levelsndash Shorter time to SLRndash Decreased no of Physio sessionsndash Improved maximal knee flexion at dischargendash Shorter time to discharge
bull Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty
bull Kayani B1 Konan S1 Tahmassebi J2 Pietrzak JRT1 Haddad FS3ndash Bone Joint J 2018 Jul100-B(7)930-937
Other research
bull ldquoThere is reduced bone and periarticular soft tissue injury in patients undergoing RA-TKA compared to CJ-TKArdquo1
bull ldquono learning curve for achieving the planned implant positioning Robotic-arm assisted TKA improved accuracy of implant positioning and limb alignment compared to conventional jig-based TKArdquo 2
bull 1 J Arthroplasty 2018 Aug33(8)2496-2501 doi 101016jarth201803042 Epub 2018 Mar 27bull Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee
Arthroplasty A Prospective Cohort Study and Validation of a New Classification Systembull Kayani B1 Konan S1 Pietrzak JRT1 Haddad FS1bull 2 Knee Surg Sports Traumatol Arthrosc 2019 Apr27(4)1132-1141 doi 101007s00167-018-5138-5 Epub 2018 Sep 17bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning
curve effect for accuracy of implant positioningbull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
What is an orthopaedic robot
bull Computer programmable bone cutting machine
bull Provides tactile feedback to the surgeon
bull Creates virtual boundaries that the surgeon cannot violate with tools
bull Provides safety and accuracy
In Australia
bull PKA 2015 (3rd Generation robot)
bull THA 2016
bull Limited TKA 2016
bull Commercial TKA release 2017
My MAKO Journey
bull March 2015 Visitation to HSS in NYC
bull 1st PKA Sept 2016
bull 1st THA Feb 2017ndash (2nd in Victoria)
bull 1st TKA Nov 2017ndash (1st in Victoria)
bull Now a trainer for MAKO
Robotic Knee replacement
Accuracy of Robotic TKA
bull Improved accuracy of implant positioning
bull Improved accuracy of limb alignmentndash Compared to manual jigs
bull Knee Surg Sports Traumatol Arthrosc 2018 Sep 17
bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning
bull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Outcome of Robotic Knee replacement
bull Prospective trial from London UK -Robotic Vs conventional jigged TKA
bull Robotic TKA hadndash Reduced painndash Decreased analgesic requirementsndash Decreased drop in Hb levelsndash Shorter time to SLRndash Decreased no of Physio sessionsndash Improved maximal knee flexion at dischargendash Shorter time to discharge
bull Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty
bull Kayani B1 Konan S1 Tahmassebi J2 Pietrzak JRT1 Haddad FS3ndash Bone Joint J 2018 Jul100-B(7)930-937
Other research
bull ldquoThere is reduced bone and periarticular soft tissue injury in patients undergoing RA-TKA compared to CJ-TKArdquo1
bull ldquono learning curve for achieving the planned implant positioning Robotic-arm assisted TKA improved accuracy of implant positioning and limb alignment compared to conventional jig-based TKArdquo 2
bull 1 J Arthroplasty 2018 Aug33(8)2496-2501 doi 101016jarth201803042 Epub 2018 Mar 27bull Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee
Arthroplasty A Prospective Cohort Study and Validation of a New Classification Systembull Kayani B1 Konan S1 Pietrzak JRT1 Haddad FS1bull 2 Knee Surg Sports Traumatol Arthrosc 2019 Apr27(4)1132-1141 doi 101007s00167-018-5138-5 Epub 2018 Sep 17bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning
curve effect for accuracy of implant positioningbull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
In Australia
bull PKA 2015 (3rd Generation robot)
bull THA 2016
bull Limited TKA 2016
bull Commercial TKA release 2017
My MAKO Journey
bull March 2015 Visitation to HSS in NYC
bull 1st PKA Sept 2016
bull 1st THA Feb 2017ndash (2nd in Victoria)
bull 1st TKA Nov 2017ndash (1st in Victoria)
bull Now a trainer for MAKO
Robotic Knee replacement
Accuracy of Robotic TKA
bull Improved accuracy of implant positioning
bull Improved accuracy of limb alignmentndash Compared to manual jigs
bull Knee Surg Sports Traumatol Arthrosc 2018 Sep 17
bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning
bull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Outcome of Robotic Knee replacement
bull Prospective trial from London UK -Robotic Vs conventional jigged TKA
bull Robotic TKA hadndash Reduced painndash Decreased analgesic requirementsndash Decreased drop in Hb levelsndash Shorter time to SLRndash Decreased no of Physio sessionsndash Improved maximal knee flexion at dischargendash Shorter time to discharge
bull Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty
bull Kayani B1 Konan S1 Tahmassebi J2 Pietrzak JRT1 Haddad FS3ndash Bone Joint J 2018 Jul100-B(7)930-937
Other research
bull ldquoThere is reduced bone and periarticular soft tissue injury in patients undergoing RA-TKA compared to CJ-TKArdquo1
bull ldquono learning curve for achieving the planned implant positioning Robotic-arm assisted TKA improved accuracy of implant positioning and limb alignment compared to conventional jig-based TKArdquo 2
bull 1 J Arthroplasty 2018 Aug33(8)2496-2501 doi 101016jarth201803042 Epub 2018 Mar 27bull Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee
Arthroplasty A Prospective Cohort Study and Validation of a New Classification Systembull Kayani B1 Konan S1 Pietrzak JRT1 Haddad FS1bull 2 Knee Surg Sports Traumatol Arthrosc 2019 Apr27(4)1132-1141 doi 101007s00167-018-5138-5 Epub 2018 Sep 17bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning
curve effect for accuracy of implant positioningbull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
My MAKO Journey
bull March 2015 Visitation to HSS in NYC
bull 1st PKA Sept 2016
bull 1st THA Feb 2017ndash (2nd in Victoria)
bull 1st TKA Nov 2017ndash (1st in Victoria)
bull Now a trainer for MAKO
Robotic Knee replacement
Accuracy of Robotic TKA
bull Improved accuracy of implant positioning
bull Improved accuracy of limb alignmentndash Compared to manual jigs
bull Knee Surg Sports Traumatol Arthrosc 2018 Sep 17
bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning
bull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Outcome of Robotic Knee replacement
bull Prospective trial from London UK -Robotic Vs conventional jigged TKA
bull Robotic TKA hadndash Reduced painndash Decreased analgesic requirementsndash Decreased drop in Hb levelsndash Shorter time to SLRndash Decreased no of Physio sessionsndash Improved maximal knee flexion at dischargendash Shorter time to discharge
bull Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty
bull Kayani B1 Konan S1 Tahmassebi J2 Pietrzak JRT1 Haddad FS3ndash Bone Joint J 2018 Jul100-B(7)930-937
Other research
bull ldquoThere is reduced bone and periarticular soft tissue injury in patients undergoing RA-TKA compared to CJ-TKArdquo1
bull ldquono learning curve for achieving the planned implant positioning Robotic-arm assisted TKA improved accuracy of implant positioning and limb alignment compared to conventional jig-based TKArdquo 2
bull 1 J Arthroplasty 2018 Aug33(8)2496-2501 doi 101016jarth201803042 Epub 2018 Mar 27bull Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee
Arthroplasty A Prospective Cohort Study and Validation of a New Classification Systembull Kayani B1 Konan S1 Pietrzak JRT1 Haddad FS1bull 2 Knee Surg Sports Traumatol Arthrosc 2019 Apr27(4)1132-1141 doi 101007s00167-018-5138-5 Epub 2018 Sep 17bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning
curve effect for accuracy of implant positioningbull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Robotic Knee replacement
Accuracy of Robotic TKA
bull Improved accuracy of implant positioning
bull Improved accuracy of limb alignmentndash Compared to manual jigs
bull Knee Surg Sports Traumatol Arthrosc 2018 Sep 17
bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning
bull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Outcome of Robotic Knee replacement
bull Prospective trial from London UK -Robotic Vs conventional jigged TKA
bull Robotic TKA hadndash Reduced painndash Decreased analgesic requirementsndash Decreased drop in Hb levelsndash Shorter time to SLRndash Decreased no of Physio sessionsndash Improved maximal knee flexion at dischargendash Shorter time to discharge
bull Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty
bull Kayani B1 Konan S1 Tahmassebi J2 Pietrzak JRT1 Haddad FS3ndash Bone Joint J 2018 Jul100-B(7)930-937
Other research
bull ldquoThere is reduced bone and periarticular soft tissue injury in patients undergoing RA-TKA compared to CJ-TKArdquo1
bull ldquono learning curve for achieving the planned implant positioning Robotic-arm assisted TKA improved accuracy of implant positioning and limb alignment compared to conventional jig-based TKArdquo 2
bull 1 J Arthroplasty 2018 Aug33(8)2496-2501 doi 101016jarth201803042 Epub 2018 Mar 27bull Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee
Arthroplasty A Prospective Cohort Study and Validation of a New Classification Systembull Kayani B1 Konan S1 Pietrzak JRT1 Haddad FS1bull 2 Knee Surg Sports Traumatol Arthrosc 2019 Apr27(4)1132-1141 doi 101007s00167-018-5138-5 Epub 2018 Sep 17bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning
curve effect for accuracy of implant positioningbull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Accuracy of Robotic TKA
bull Improved accuracy of implant positioning
bull Improved accuracy of limb alignmentndash Compared to manual jigs
bull Knee Surg Sports Traumatol Arthrosc 2018 Sep 17
bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning
bull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Outcome of Robotic Knee replacement
bull Prospective trial from London UK -Robotic Vs conventional jigged TKA
bull Robotic TKA hadndash Reduced painndash Decreased analgesic requirementsndash Decreased drop in Hb levelsndash Shorter time to SLRndash Decreased no of Physio sessionsndash Improved maximal knee flexion at dischargendash Shorter time to discharge
bull Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty
bull Kayani B1 Konan S1 Tahmassebi J2 Pietrzak JRT1 Haddad FS3ndash Bone Joint J 2018 Jul100-B(7)930-937
Other research
bull ldquoThere is reduced bone and periarticular soft tissue injury in patients undergoing RA-TKA compared to CJ-TKArdquo1
bull ldquono learning curve for achieving the planned implant positioning Robotic-arm assisted TKA improved accuracy of implant positioning and limb alignment compared to conventional jig-based TKArdquo 2
bull 1 J Arthroplasty 2018 Aug33(8)2496-2501 doi 101016jarth201803042 Epub 2018 Mar 27bull Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee
Arthroplasty A Prospective Cohort Study and Validation of a New Classification Systembull Kayani B1 Konan S1 Pietrzak JRT1 Haddad FS1bull 2 Knee Surg Sports Traumatol Arthrosc 2019 Apr27(4)1132-1141 doi 101007s00167-018-5138-5 Epub 2018 Sep 17bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning
curve effect for accuracy of implant positioningbull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Outcome of Robotic Knee replacement
bull Prospective trial from London UK -Robotic Vs conventional jigged TKA
bull Robotic TKA hadndash Reduced painndash Decreased analgesic requirementsndash Decreased drop in Hb levelsndash Shorter time to SLRndash Decreased no of Physio sessionsndash Improved maximal knee flexion at dischargendash Shorter time to discharge
bull Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty
bull Kayani B1 Konan S1 Tahmassebi J2 Pietrzak JRT1 Haddad FS3ndash Bone Joint J 2018 Jul100-B(7)930-937
Other research
bull ldquoThere is reduced bone and periarticular soft tissue injury in patients undergoing RA-TKA compared to CJ-TKArdquo1
bull ldquono learning curve for achieving the planned implant positioning Robotic-arm assisted TKA improved accuracy of implant positioning and limb alignment compared to conventional jig-based TKArdquo 2
bull 1 J Arthroplasty 2018 Aug33(8)2496-2501 doi 101016jarth201803042 Epub 2018 Mar 27bull Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee
Arthroplasty A Prospective Cohort Study and Validation of a New Classification Systembull Kayani B1 Konan S1 Pietrzak JRT1 Haddad FS1bull 2 Knee Surg Sports Traumatol Arthrosc 2019 Apr27(4)1132-1141 doi 101007s00167-018-5138-5 Epub 2018 Sep 17bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning
curve effect for accuracy of implant positioningbull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Other research
bull ldquoThere is reduced bone and periarticular soft tissue injury in patients undergoing RA-TKA compared to CJ-TKArdquo1
bull ldquono learning curve for achieving the planned implant positioning Robotic-arm assisted TKA improved accuracy of implant positioning and limb alignment compared to conventional jig-based TKArdquo 2
bull 1 J Arthroplasty 2018 Aug33(8)2496-2501 doi 101016jarth201803042 Epub 2018 Mar 27bull Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee
Arthroplasty A Prospective Cohort Study and Validation of a New Classification Systembull Kayani B1 Konan S1 Pietrzak JRT1 Haddad FS1bull 2 Knee Surg Sports Traumatol Arthrosc 2019 Apr27(4)1132-1141 doi 101007s00167-018-5138-5 Epub 2018 Sep 17bull Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning
curve effect for accuracy of implant positioningbull Kayani B12 Konan S34 Huq SS34 Tahmassebi J3 Haddad FS34
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Robotic Partial Knee replacement
bull Precision preop planning
bull Intraop ligament tension and implant tracking data
bull Intraop implant plan adjustment
bull Anatomic designed robotic implants
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Intraop plan optimisation
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Results
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Results ndash AOANJRR 2017
bull Partial knee replacement -08 at 1 year
bull For all components Ave 22 after 1 year
bull Patellofemoral - no revisions after 1 year
bull For all components Ave 25 revision after 1 year
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Robotic hip
bull Cup position version and abduction angle
bull Leg length and offset
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Evidence for THRs
bull More accurate cup positioning1
bull Lower dislocation rate2
bull Better functional scores at 1 year3
bull Decreased leg length discrepancy
bull Highest Forgotten Joint score for THA in literature4
bull 1 Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA A Matched-pair Controlled Study
bull Benjamin G Domb MD Youssef F El Bitar MD Adam Y Sadik BS Christine E Stake MA Itamar B Botser MD
bull Clin Orthop Relat Res (2014) 472329ndash336
bull 2 Robotic-Assisted Total Hip Arthroplasty Outcomes at Minimum Two-Year Follow-Up
bull Surgical Technology International [24 May 2017 30365-372]
ndash 3 Surg Technol Int 2016 Oct 26XXIX303-308Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty Bukowski BR1 Anderson P1 Khlopas A2 Chughtai M2 Mont MA2 Illgen RL 2nd1
ndash 4 Perets I Walsh JP Close MR Mu B Yuen L Domb BG Robotic-arm assisted total hip arthroplasty clinical outcomes and complication rate Int J Med Robotics Comput Assis Surg 2018 1-8
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
Robotics Summary
bull More accurate more reliable more reproducible
bull Quicker recovery better functional results
bull Long term survivorship
ndash Hip and knee prosthesis are most commonly used in Australia
bull Long term survivorship already proven
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
The future
bull Ankle shoulder replacement
bull ACL reconstruction
bull Osteotomies
bull Tumour surgery
bull FAI surgery
bull Arthroscopy
