Robotic Navio All Burr TKR by Dr. Anoop Jhurani

Description

In this instructional video, Dr. Anoop Jhurani presents a comprehensive demonstration of the all burr surgical technique utilizing the robotic NAVIO system, specifically focusing on a case of a valgus knee with bone-on-bone arthritis. The presentation begins with an overview of the patient's knee assessment, highlighting the valgus deformity and minimal lateral compartment arthritis.



The surgical approach involves the precise placement of pins in the femur and tibia, followed by a registration process to outline the boundary of these bones. Utilizing a 3D model, Dr. Jhurani illustrates how the robotic system assists in planning the components, adjusting sizes based on the flexion gap. The technique emphasizes gap balancing, showcasing the differences in flexion and extension gaps on either side of the knee, crucial for achieving optimal alignment.



The video details the steps of the all burr technique, emphasizing the obliteration of traditional sawing methods. Dr. Jhurani expertly navigates the new technology, which relies on a handheld robotic burr that automatically switches off if the surgeon deviates from the planned area, thereby protecting surrounding soft tissues.



The preparation of the femoral components is conducted meticulously, with emphasis on maintaining accuracy while adjusting for anatomical variations. Throughout the procedure, indications for soft tissue releases are discussed to achieve the desired gap measurements in both flexion and extension.



In concluding the presentation, the final component fitting is assessed, confirming it sits appropriately without struggle. The video highlights the high degree of accuracy achieved, as verified by real-time feedback from the robotic system, illustrating the advancements and benefits of using robotic assistance in total knee replacements.

DOI: 10.1302/3114-230417

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