Robotic Total Knee Replacement - Everything you need to know

[@dradamrosen]

Did you have a robotic-assisted surgery? Which robot was used?

[@garync3810]

Thank you for the reply. My doc checks those points, so you boosted my confidence level. I really appreciate your wonderful content. Cheers, Gary

[@dradamrosen]

You are so welcome!

[@AlfredoLeonardini]

Great explanation.

[@dradamrosen]

Glad it was helpful!

[@richardnadson2328]

Thank you for the information. You confirmed what my surgeon has told me. I had a TKA on my left knee about 6 years ago and now scheduled for the right in about a month. The first was manual, no complications, very successful. I am going to the same surgeon for the right and he does both the Stryker-MAKO and manual. He said he has not noticed a difference in patient satisfaction between the two. His suggestion was keep with the manual if it worked the first time so that’s the route we’re going.

[@dradamrosen]

Sounds like a good plan

[@pattis2505]

This video has excellent material. I learned so much and understand robotic assisted TKR better. Your knowledge is awesome! You would make a wonderful instructor! Thank you for sharing your expertise. I need to have my other knee done and knowing all the options is key. Take care Dr. Risen and have a wonderful weekend! 😊

[@dradamrosen]

Glad it was helpful!

[@KT-eh6yv]

Thank you! I have had two robotic total knee replacements and they are doing well.

[@dradamrosen]

Great to hear!

[@neilweidman645]

Thank you for the depth of this analytic presentation. Highly helpful--and involved the 10 questions at the end. Great job.

[@dradamrosen]

Glad you enjoyed it!

[@bobmonsour]

This was incredibly informative. I had my right knee replaced in 2020 and had a great result. Based on the research that I had done prior to that, I sought out a doctor that was doing kinematic alignment. I had read that rather that there was a higher likelihood of a better result. I was on the tennis court about 6 months following the surgery. In the ensuing 4 years, my other knee has gradually deteriorated. About 2 years ago, I returned to the surgeon and he said that I needed it to be replaced. Against his (and your) advice, I went ahead and got an injection of Synvisc-One. The doctor that did this (not my surgeon) also gave me a cortisone injection at the same time. While that makes it impossible to tell which one had the effect, the reality is that it bought me a year of being pain-free in that knee. After that year, the pain had returned, and I once again returned to try the injections again. This time they had no effect, I have since switched to a more intensive strength training program, not just including my legs, but overall body strength. And while this has bought me some more time, I have finally reached the point where the pain is affecting my life. I have not been able to play tennis for the last 6 months. I am scheduled for a visit to the surgeon that did my 1st knee in early November. I have no idea if he has since transitioned to robotic surgery (though since he has been doing this for a long time, I doubt that he has). Your questions will be very helpful for that visit. I am wanting the surgeon to do the surgery just as he did for my 1st knee. That said, what is interesting is that in my first knee (my right), my arthritis was worse on the medial side. On my left knee, the pain is more toward the lateral side. Perhaps that is a result of the asymmetry of the sport of tennis. On a separate note, I would love to hear your thoughts on the use of a tourniquet during TKA. I recall having significant soreness in my thight after my knee replacement. I was wondering why until I read the operative report that said that there was a tourniquet on my right thigh for nearly an hour. I have also read that this can damage the muscle, particularly in older adults. I just turned 69. Thank you again for all of the info you provide. I have read your knee book and passed it along to another older tennis playing friend.

[@dradamrosen]

We call what you had a wind-swept deformity. Glad you liked the video and the book. I'll add the tourniquet topic to the to do list. I've done it both ways and their are pro's and con's to both.

[@sidrow11]

Although I had a most satisfactory left TKR two years ago, I did sustain muscle damage from the tourniquet. Right knee replacement coming up early next year, having watched this video, I’ll be better equipped to ask the right questions.

[@steveclark8731]

Really interesting, useful, and easily understandable information. Thanks. I'm curious about the pin holes (tracts). With the MAKO, 4.0 / 3.2 mm holes left behind doesn't seem insignificant. There is no effort to "plug" those? Not necessarily allograph material but a matrix to speed healing?

[@LydiaPerez-w3y]

Thank you very much for this awesome presentation and information. Where is your office/offices located in case I need second opinion?

[@dradamrosen]

You can find me in San Diego

[@garync3810]

Very interesting info! Do the same comments hold true for total hip arthroplasty? I need bilateral hips done, and one orthopod proposes to use augmented reality.

[@dradamrosen]

Yes, similar data on the hip. Augmented reality is cool and I have used it. Best advice usually is just find a high volume surgeon that is doing a lot of hip and knee replacements each year. The technology at this point for most surgeries is bonus but not mandatory. Things may change in the future.

[@lindajacobs7971]

Your explanations are excellent. Although I've had bilateral TKR, and have excellent outcome, flexion and extension, I learned quite a bit from your information. Thank you

[@dradamrosen]

Glad it was helpful!

[@carolyncook3611]

Wow thank you. Have those 10 questions in mind. TKR coming up in few months. Arthritis plus knock knee. I want whichever surgery is best for fixing this darn knock knee. Your videos are my go to for info.

[@dradamrosen]

Glad to help

[@dianeclothier4757]

Dr Rosen. Would you please inform us about the: - Jiffy total knee replacement (Ortopaedic Institute of Dayton) - "Smart knee" (Zimmer Biomet) total knee replacement . And how they might be more or less advantageous (scarring, recovery...) or the same, compared to robotic and/or manual TKReplacement. I am considering all of these options for my TKR. Thanks in advance for your thoughts and time.

[@dradamrosen]

All great points. On my to do list already is a talk about the different surgical approaches: parapatellar, midvastus, subvastus (comb over or jiffy). The smart knee is a whole other topic on the collection of data.

[@geno617]

Very informative, thank you.

[@dradamrosen]

Very welcome