Description
This transcript is a detailed discussion led by Anthony Adili, focusing on the integration of robotics in surgical practices, specifically for knee and hip replacements. Adili opens with gratitude for the invitation and expresses enthusiasm for the topic, referencing previous discussions which highlighted the necessity of evolving surgical paradigms. He emphasizes the importance of understanding the fundamentals of navigation versus robotics in surgery, mentioning the criticality of managing innovation responsibly.
He goes on to explain two types of navigation systems: image-based, which utilizes pre-operative CT scans or X-rays to produce 3D models for surgical planning, and non-image-based, which relies on anatomical landmarks identified during surgery. He discusses the advantages and disadvantages of both approaches, noting that while image-based systems allow for pre-operative planning, they come with increased costs and potential radiation exposure.
Adili describes the role of robotics by distinguishing between fully active and semi-active systems, with the latter involving greater surgeon control. He shares his insights into various robotic systems used for total and partial knee replacements, such as the MAKO, Navio, and ROSA systems. He illustrates the benefits of robotic assistance in achieving better surgical outcomes, increasing accuracy, and enhancing reproducibility compared to traditional manual techniques.
Throughout the talk, Adili mentions the high patient satisfaction rates associated with total joint replacements and stresses the goal of achieving optimal implant positioning. He addresses the evolving technology landscape in robotics, including how 3D printing and artificial intelligence could shape the future of surgical interventions by allowing for patient-specific implants.
The presentation concludes with Adili's vision of robotics as an enabling technology in surgery, capable of producing more successful, less invasive procedures, ultimately leading to improved patient outcomes.