Glendive Medical Center Now Offers Robotic Knee Replacement Surgeries
Glendive News
Innovative Robotic Technology Allows Surgeons to Personalize Total Knee and Partial Knee Replacement Procedures to Each Patient in Glendive, Montana
[GLENDIVE, MT, 9/19/19] – Glendive Medical Center is the first hospital in Montana to offer robotic-arm assisted total knee and partial knee replacements with Stryker’s Mako System. This highly advanced robotic technology transforms the way knee replacement surgery is performed, enabling surgeons to have a more predictable surgical experience with increased accuracy.[i],[ii],[iii],[iv]
The demand for joint replacements is expected to rise in the next decade. Total knee replacements in the United States are estimated to increase by 673 percent by 2030, while primary total hip replacements are estimated to increase by 174 percent.[v] Yet studies have shown that approximately 30 percent of patients are dissatisfied after conventional surgery.[vi]
“With Mako, we can provide each patient with a personalized surgical experience based on their specific diagnosis and anatomy,” said Dr. Jean Basta, Orthopedic Surgeon of Glendive Medical Center. “Using a virtual 3D model, Mako allows surgeons to create each patient’s surgical plan pre-operatively before entering the operating room. During surgery, we can validate that plan and make any necessary adjustments while guiding the robotic-arm to execute that plan. It’s exciting to be able to offer this transformative technology across the joint replacement service line to perform total knee and partial knee replacements.”
The Mako Total Knee application is a knee replacement treatment option designed to relieve the pain caused by joint degeneration due to osteoarthritis. Through CT-based 3D modeling of bone anatomy, surgeons can use the Mako System to create a personalized surgical plan and identify the implant size, orientation and alignment based on each patient’s unique anatomy. The Mako System also enables surgeons to virtually modify the surgical plan intra-operatively and assists the surgeon in executing bone resections.
The Mako Partial Knee application is a treatment option designed to relieve the pain caused by joint degeneration due to osteoarthritis that has not yet progressed to all three compartments of the knee. Following the personalized pre-operative plan, the surgeon guides the robotic-arm during bone preparation to execute the pre-determined surgical plan and position the implant. By selectively targeting only the part of the knee damaged by osteoarthritis, surgeons can resurface the diseased portion of the knee, while helping to spare the healthy bone and ligaments surrounding the knee joint. Studies have shown robotic-arm assisted partial knee replacement to be two to three times more accurate than manual partial knee replacement procedures.[vii],[viii],[ix]
“We are proud to be the first hospital to offer this highly advanced robotic technology in our area,” said Parker Powell, CEO of Glendive Medical Center. “The addition of Mako to our orthopaedic service line further demonstrates our commitment to provide the community with outstanding healthcare.”
[i] Nawabi DH, Conditt MA, Ranawat AS, Dunbar NJ et al. Haptically guided robotic technology in total hip arthroplasty: a cadaveric investigation. J Engineering in Medicine. 2012;227(3):302-309.
[ii] Illgen R. Robotic assisted total hip arthroplasty improves accuracy and clinical outcome compared with manual technique. 44th Annual Advances in Arthroplasty Course. October 7-10, 2014, Cambridge, MA.
[iii] Anthony I, Bell SW, Blyth M, Jones B et al. Improved accuracy of component positioning with robotic-assisted unicompartmental knee arthroplasty. J Bone Joint Surg Am. 2016;98-A(8):627-35.
[iv] Hampp EL, Scholl LY, Prieto M, Chang T et al. Robotic-arm assisted total knee arthroplasty demonstrated greater accuracy to plan compared to manual technique. MAKTKA-AJA-9_12509
[v] Kurtz S, Ong K, Lau E, Mowat F et al. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89:780-5.
[vi] Christiaan Keurentjes J, Fiocco M, So-Osman C, et al. Patients with severe radiographic osteoarthritis have better prognosis in physical functioning after hip and knee replacement: a cohort-study. PLOS One. 2013; 8(4): 1-8.
[vii] Dunbar NJ, Roche MW, Park BH, Branch SH et al. Accuracy of Dynamic Tactile-Guided Unicompartmental Knee Arthroplasty. Journal of Arthroplasty. May 2012. 27(5): 803-808.e1.
[viii] Lonner, JH. Robotic-arm assisted unicompartmental knee arthroplasty. Seminars in Arthroplasty. 2009;20(1): 15-22.
[ix] Lonner JH, John TK, Conditt MA. Robotic arm-assisted UKA improved tibial component alignment: A pilot study. Clin Orthop Relat Res. 2010;468(1):141-6.
IMPORTANT INFORMATION
Hip & Knee Replacements
Hip joint replacement is intended for use in individuals with joint disease resulting from degenerative and rheumatoid arthritis, avascular necrosis, fracture of the neck of the femur or functional deformity of the hip.
Knee joint replacement is intended for use in individuals with joint disease resulting from degenerative, rheumatoid and post-traumatic arthritis, and for moderate deformity of the knee.
Joint replacement surgery is not appropriate for patients with certain types of infections, any mental or neuromuscular disorder which would create an unacceptable risk of prosthesis instability, prosthesis fixation failure or complications in postoperative care, compromised bone stock, skeletal immaturity, severe instability of the joint, or excessive body weight.
Like any surgery, joint replacement surgery has serious risks which include, but are not limited to, pain, bone fracture, change in the treated leg length (hip), joint stiffness, hip joint fusion, amputation, peripheral neuropathies (nerve damage), circulatory compromise (including deep vein thrombosis (blood clots in the legs)), genitourinary disorders (including kidney failure), gastrointestinal disorders (including paralytic ileus (loss of intestinal digestive movement)), vascular disorders (including thrombus (blood clots), blood loss, or changes in blood pressure or heart rhythm), bronchopulmonary disorders (including emboli, stroke or pneumonia), heart attack, and death.
Implant related risks which may lead to a revision of the implant include dislocation, loosening, fracture, nerve damage, heterotopic bone formation (abnormal bone growth in tissue), wear of the implant, metal sensitivity, soft tissue imbalance, osteolysis (localized progressive bone loss), audible sounds during motion, and reaction to particle debris. Hip and knee implants may not provide the same feel or performance characteristics experienced with a normal healthy joint.
The information presented is for educational purposes only. Speak to your doctor to decide if joint replacement surgery is appropriate for you. Individual results vary and not all patients will return to the same activity level. The lifetime of any joint replacement is limited and depends on several factors like patient weight and activity level. Your doctor will counsel you about strategies to potentially prolong the lifetime of the device, including avoiding high-impact activities, such as running, as well as maintaining a healthy weight. It is important to closely follow your physician’s instructions regarding post-surgery activity, treatment and follow-up care. Ask your doctor if a joint replacement is right for you.
