Description
In this presentation, Chloe Scott discusses advancements in technologies related to digital and robotic surgery in musculoskeletal (MSK) operations, particularly focusing on knee replacements. She mentions that orthopedic surgeons are typically enthusiastic about new technologies. The session aims to explore the reasons for interest in robotic technology, various systems available for alignment and balance in surgeries, and the distinctions between different robotic systems, including the importance of haptic boundaries in ensuring precision during operations.
Scott references her experience with robotic systems, particularly MAKO, and highlights the dissatisfaction among knee replacement patients, noting the potential for robotics to enhance outcomes by improving alignment and balance, ultimately addressing dissatisfaction in patients.
She explains the differences between kinematic and mechanical alignments for knee replacements, with evidence suggesting that kinematic alignment may yield better outcomes. Various robotic systems are reviewed, including those from MAKO, DePuy's Velys, Smith & Nephew's CORI, and Zimmer Biomet's ROSA. The discussion encompasses their functionalities, such as image guidance and haptic feedback, and emphasizes the necessity of understanding how each system works to choose the appropriate technology for specific surgical needs.
Furthermore, Scott discusses sensor technology, particularly VERASENSE, which offers insights into knee pressures during motion, but she notes the lack of clear evidence emphasizing its positive impact on patient outcomes. She addresses the problem of information overload when using advanced technologies in surgeries and the learning curve that comes with them. Scott concludes by stressing the importance of proper technology adoption in surgical practice, recommending orthopedic surgeons remain aware of the capabilities and limitations of the robotic systems available.