Robot ROSA: Personalized functional knee kinematic arthrplasty

Dr. Professor of Orthopedic Surgery of A.P.TH., Director of the University Clinic of Nos. Papageorgiou, Director of Clinical Robotic Orthopedic Surgery of A.P.TH.In recent years robotic technology has forcefully invaded orthopaedic surgery. As this technology progresses it is constantly accepted that it is not a promotional or decorative method of surgery, but is in essence a new tool that has changed the overall knee arthroplasty as an operation. Today it is very important that patients undergoing total arthrplasty or partial knee arthrplasty have a sense after surgery that their knee works in a way that is almost normal. This in the past was not entirely possible because with the mechanistic perception of the replacement of the joint, in other words the removal of the articular section of the joint and the replacement of the space and surface with a mechanism reminiscent of a rectangular parallel layer, this was not possible. Personalized functional kinematic artholiplasty Now with the help of robotic technology we have the ability to apply the completely modern conception of knee arthroplasty which is called individualized functional kinematic arthroplasty. This means that the surgeon does not simply replace the joint, but respects its particular anatomy and functionality, which is certainly different in each person. The robots, therefore, and in particular the , that we have at the Tsiridis Orthopaedic Institute our specialized orthopedic group in , have the ability to pre-operatively record the function and kinematic knee of each patient. It also has the ability during surgery to record the deformity of the knee joint that the patient has suffered due to arthritis. The above two information is recorded dynamically in time and space during the operation. Thus, the surgeon has the potential in a dynamic and functional way not just to replace the joint but to restore it to where it will work best for the patient concerned. Robotic technology undoubtedly helps in this new surgery of knee arthroplasty and will no doubt be the future of arthroplasty in the coming years. Often they sound ambiguous or even negative views about robotic technology. Fear of new technologies is often justified and causes stress to doctors because it changes the way the surgery is performed and requires the development of new skills. But the literature is now extremely powerful in terms of the advantages of robotic personalized functional knee artefacts. In the Robotic Orthopedic Surgery Clinic of Medical Inter-Balkanic Thessaloniki, we have performed more than 500 knee arthropplastics with the robotic method of personalized functional kinematics. The results of these interventions over a period of more than 4 years and compared to non-robotic interventions have already been published in international literature with excellent results. Our results are also presented at international medical conferences and confirm along with the announcements of other pioneering colleagues from the world the superiority and diversity of robotic knee arthroplastics in relation to the non-robotic interventions of the previous generation. Robotic surgery is safe, shows a smaller injury during surgery, respect the tissues and bone due to high precision, personalize the operation 100% and enable the recorded control of the result which is delivered to the patient if he so desires at the end of the operation. Also, the planning and execution of the operation are identified and also dynamically altered during the surgery for the benefit of the patient and based on the individualised perception of medicine. Finally, we should point out that new technologies despite being a huge development in the execution of medical acts and especially robots in the execution of knee arthroplasty, however, they should be performed by highly technical physicians with a great deal of experience and expertise in the subject of arthroplastic interventions. Dr Eleftherios Tsirides Read more articles on health issues