Clinical Technique for the Robotic Surgical Assistant (ROSA®)-Technical Video

Description

The video transcript features a presentation by Akash Sharma, a consultant orthopaedic knee surgeon at the Royal Hospital in Birmingham. In this 10-minute talk delivered at the BOA Annual Congress CAOS revalidation session, Sharma shares his two years of clinical experience utilizing the ROSA robotic system in knee surgeries. He thanks his colleagues and emphasizes the innovative nature of his trust, highlighting their access to multiple robotic systems from different manufacturers and the goal to become recognized as a robotic center.



Sharma outlines his use of ROSA, focusing on two types of systems: image-based and imageless technology. He explains his preference for imageless technology for most cases but resorts to image-based methods for more complex situations, detailing a specific case involving a patient with end-stage arthritis and past fractures that complicate alignment. He demonstrates his systematic approach to pre-operative planning, surgical execution, and post-operative assessments, emphasizing the importance of revalidation of anatomical checkpoints using data collected prior to and during surgery.



Throughout the presentation, Sharma illustrates the intraoperative process, explaining how he facilitates robotic technology through preparation, staff training, and operational efficiency. He discusses specific techniques employed with the robotic system, including registration of anatomical landmarks, intraoperative assessments of soft tissue tightness, and detailed components of knee alignment. The talk concludes with Sharma reflecting on his outcomes and expressing gratitude for the opportunity to share his insights, offering to connect with attendees at the conference.

DOI: 10.1302/3114-230090

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