Expanding Robotic Arm-Assisted Knee Surgery: The First Attempt to Use the System for Knee Revision Arthroplasty

Robotic arm-assisted arthroplasty was introduced in 2006 and has expanded its applications into unicompartmental knee, total knee, and total hip replacement. The first case of a revision surgery from conventional unicompartmental to total knee arthroplasty with the utilization of the robotic arm-ass...

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Main Authors: Dimitrios Kalavrytinos, Christos Koutserimpas, Ioannis Kalavrytinos, Konstantinos Dretakis
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2020/4806987
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author Dimitrios Kalavrytinos
Christos Koutserimpas
Ioannis Kalavrytinos
Konstantinos Dretakis
author_facet Dimitrios Kalavrytinos
Christos Koutserimpas
Ioannis Kalavrytinos
Konstantinos Dretakis
author_sort Dimitrios Kalavrytinos
collection DOAJ
description Robotic arm-assisted arthroplasty was introduced in 2006 and has expanded its applications into unicompartmental knee, total knee, and total hip replacement. The first case of a revision surgery from conventional unicompartmental to total knee arthroplasty with the utilization of the robotic arm-assisted MAKO system is presented. An 87-year-old female presented with deteriorating left knee pain due to failure of medial unicompartmental knee arthroplasty at the outpatient clinic. The patient was advised to undergo revision surgery. Through medial parapatellar arthrotomy, the joint was exposed. With the use of the MAKO system, the estimated depth of the medial plateau according to CT planning was found to be 10 mm more distal than the lateral. The resection line of the remaining plateau was placed deliberately 2 mm more distal in order to achieve satisfactory replacement of the bony gap of the medial tibial condyle by a 10 mm augment. The patient had an uneventful recovery. A plethora of additional applications in the future, such as total shoulder or reverse total shoulder arthroplasty, megaprosthesis placement in oncological patients, and total hip or knee revision surgeries, may improve patient-related outcomes.
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publishDate 2020-01-01
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series Case Reports in Orthopedics
spelling doaj-art-ac4331b4d9a14cf28fa3ad2ffd30adec2025-02-03T06:43:38ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/48069874806987Expanding Robotic Arm-Assisted Knee Surgery: The First Attempt to Use the System for Knee Revision ArthroplastyDimitrios Kalavrytinos0Christos Koutserimpas1Ioannis Kalavrytinos2Konstantinos Dretakis3Department of Health Sciences, University of Patras, Greece2nd Department of Orthopaedics, “Hygeia” General Hospital of Athens, Greece4th Department of Orthopaedics, “Hygeia” General Hospital of Athens, Greece2nd Department of Orthopaedics, “Hygeia” General Hospital of Athens, GreeceRobotic arm-assisted arthroplasty was introduced in 2006 and has expanded its applications into unicompartmental knee, total knee, and total hip replacement. The first case of a revision surgery from conventional unicompartmental to total knee arthroplasty with the utilization of the robotic arm-assisted MAKO system is presented. An 87-year-old female presented with deteriorating left knee pain due to failure of medial unicompartmental knee arthroplasty at the outpatient clinic. The patient was advised to undergo revision surgery. Through medial parapatellar arthrotomy, the joint was exposed. With the use of the MAKO system, the estimated depth of the medial plateau according to CT planning was found to be 10 mm more distal than the lateral. The resection line of the remaining plateau was placed deliberately 2 mm more distal in order to achieve satisfactory replacement of the bony gap of the medial tibial condyle by a 10 mm augment. The patient had an uneventful recovery. A plethora of additional applications in the future, such as total shoulder or reverse total shoulder arthroplasty, megaprosthesis placement in oncological patients, and total hip or knee revision surgeries, may improve patient-related outcomes.http://dx.doi.org/10.1155/2020/4806987
spellingShingle Dimitrios Kalavrytinos
Christos Koutserimpas
Ioannis Kalavrytinos
Konstantinos Dretakis
Expanding Robotic Arm-Assisted Knee Surgery: The First Attempt to Use the System for Knee Revision Arthroplasty
Case Reports in Orthopedics
title Expanding Robotic Arm-Assisted Knee Surgery: The First Attempt to Use the System for Knee Revision Arthroplasty
title_full Expanding Robotic Arm-Assisted Knee Surgery: The First Attempt to Use the System for Knee Revision Arthroplasty
title_fullStr Expanding Robotic Arm-Assisted Knee Surgery: The First Attempt to Use the System for Knee Revision Arthroplasty
title_full_unstemmed Expanding Robotic Arm-Assisted Knee Surgery: The First Attempt to Use the System for Knee Revision Arthroplasty
title_short Expanding Robotic Arm-Assisted Knee Surgery: The First Attempt to Use the System for Knee Revision Arthroplasty
title_sort expanding robotic arm assisted knee surgery the first attempt to use the system for knee revision arthroplasty
url http://dx.doi.org/10.1155/2020/4806987
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