Partial Knee Replacement

Description

This video presents an in-depth discussion led by David Mayman on performing a medial partial knee replacement surgery using robotic guidance. It begins with an introduction to an active patient in his 50s, who experiences medial knee pain and has been diagnosed with patellofemoral arthritis and some medial compartment wear visible in X-rays. Mayman highlights his surgical approach and decisions regarding the appropriate replacement type for this patient, considering the alignment and the patient's satisfaction with a previous partial replacement on the opposite knee.



The surgical technique is detailed, discussing the incision strategy, retraction methods, and preparation of the tibia and femur for the installation of robotic navigation arrays. The video goes on to cover the registration process essential for the robotic system to create an accurate three-dimensional representation of the patient's anatomy.



As the narration proceeds, Mayman discusses specific techniques for balancing the soft tissue, ensuring correct implant positioning, and preparing the knee joint for the burring process. He emphasizes the importance of precision during the surgery to achieve optimal alignment and functioning of the implant post-operation. The use of robotic assistance allows for a more accurate knee replacement, enhancing the potential outcome for the patient.



Furthermore, he shares insights on managing cement during the procedure and ensuring effective placement of the implants within the joint, addressing common challenges encountered during knee replacement surgeries. Overall, the video serves as an educational resource on contemporary practices in knee surgery, highlighting the use of advanced technology and surgical techniques to improve patient outcomes.

Specialties