The hip and knee joints are among the most frequently used body parts in daily life, which take all the weight of the body while standing and enable actions such as sitting, standing and bending. Therefore, knee and hip joint problems appear as problems that significantly reduce the quality of life. Pain in the knee and hip can occur due to different reasons. Sometimes medication, injections or physical therapy may be sufficient to solve these problems, and sometimes surgery may be required. Robot technology, which has come to the fore in hip and knee joint prosthesis surgeries in recent years, provides significant contributions to the patient with higher patient comfort and faster recovery time. Specialists of Memorial Bahçelievler and Şişli Hospitals Robotic Prosthesis Surgery Department gave information about knee and hip problems and treatment methods.
Knee and hip problems can occur due to many reasons.
Osteoarthritis, which is popularly known as calcification, is one of the leading causes of knee pain that can occur as a result of wrong shoe selection, obesity, weak muscles, and unconscious sports. In addition, rheumatic diseases, infections, cartilage problems, knee ligament injuries and meniscus damage can cause knee pain. Hip pain can be caused by osteoarthritis (calcification), osteoarthrosis (joint calcification), trauma and fractures, muscle problems, hip dislocations and various infections. Although knee and hip problems are usually seen in advanced age, they can occur at any age for various reasons.
Total hip replacement should not be delayed in patients requiring surgery.
In the early stages of joint abrasions in the presence of childhood diseases such as calcification, hip dislocation and growth plate slippage, rheumatic diseases, inflammatory sequelae, tumors, advanced age hip fractures and bone necrosis after blood supply problems, drugs, physical therapy applications, intra-articular injections such as PRP or stem cells Non-surgical treatments such as injections and the use of a cane can be applied according to the progression of the disease and complaints. However, total hip replacement surgery should be performed without delay in cases where non-surgical treatments fail or in advanced stages of hip joint wear (calcification). Because when the treatment is delayed, both knees, other hips, and even the lumbar region are at risk of serious calcification and deterioration. Since the intact areas will be more burdened, delaying the surgery creates the possibility of future surgery in these areas.
Total knee replacement for patients who do not benefit from drugs, physical therapy, PRP or stem cells.
Knee pain is common especially in middle and advanced ages. Knee pain; If it does not heal despite non-surgical treatments such as drugs, physical therapy applications, intra-articular injections such as PRP or stem cells, and the use of a cane, total or half (partial) knee replacement may be a suitable option. Total and half (partial) knee prosthesis is defined as the surface coating technique of the worn knee joint consisting of special alloy metals and a compressed special implant. The aim of knee replacement surgery is to cut the contact between the damaged joint surfaces; It is the patient's ability to walk as much as he wants and go up and down stairs without pain.
Robot technology can be applied in all hip and knee surgeries
Today, with robot technology, it can be applied in all basic joint prosthesis surgeries called total hip, total knee and half (partial) knee in the field of orthopedics and traumatology. It is also expected to be used in shoulder, spine and tumor surgeries in the near future. The method defined as "Robotic Arm Supported Orthopedic Surgery System", thanks to its three main units consisting of a computerized control and guidance module, a camera and a display stand, allows the physician to perform a correct and precise surgery by making a special planning for the patient before the case, as well as to get the same result after each case. and has many advantages such as rapid recovery of the patient and increase in the quality of life.
Offers significant advantages
The advantages of "Robotic Prosthetic Surgery" are listed as follows:
Thanks to the patient-specific advanced pre-operative planning performed on the 3-dimensional model created from the patient's own CT (Computer Tomography) scan, the most accurate implant positioning is assisted in the patient. This provides more protection of soft tissues in the patient compared to the classical method.
Implant (prosthesis) placement is provided in the best way.
For physicians, thanks to its advanced haptic feedback technology, false and extra incisions are prevented, as well as providing more precise control and confidence to the physician himself.
After the procedure, patients are provided with better and faster mobility compared to conventional (manual) surgical methods.
It is expected that the life of the implants placed in the patient will be higher than in conventional surgeries. In other words, the risk of wear and loosening of the prosthesis may be less.
Since the robotic arm assisted orthopedic surgery system causes less soft tissue damage compared to the classical (manual) technique, less painkillers are used in the postoperative period and patient satisfaction is higher.
Surgery performed with the robotic arm supported orthopedic surgery system has separate advantages for the patient and the physician compared to conventional surgeries. Patients may have a higher chance of joint mobility compared to conventional methods. Physicians, on the other hand, can perform more controlled surgery thanks to the robotic arm.
It is expected that the quality of life in the recovery process will be higher and the return to daily life will be shorter.
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