Total knee with a robot: Why this will be normal in the future

ENDOPROTHETICUM Rhein-Main / Prof. Dr. med. KP Kutzner

Robots in the implantation of a knee prosthesis (TKA) are developing!

The knee endoprosthesis (TKA) has steadily developed in recent decades. One of the latest innovations is the use of robot systems when implanting knee prostheses. The roboted surgery promises a more precise placement of the prostheses, faster rehabilitation and a longer shelf life of the implants. But why will this technology be the standard method in the future? In this comprehensive article, we respond to the most important aspects of robotic-assisted knee-tested knee-tied, analyze current developments and show why robots are the future of knee arthroplasty.


1. Basics of the total knee arthroplasty

The knee prosthesis is a proven method for the treatment of severe knee diseases such as arthrosis, rheumatoid arthritis or traumatic knee damage. The damaged joint is replaced by an artificial prosthesis to relieve pain and improve the patient's mobility.

1.1 When is a TKA necessary?

  • Advanced knee osteoarthritis with severe pain
  • Movement restrictions that make everyday life more difficult
  • Misposition of the knee joint
  • Successful conservative therapies (physiotherapy, pain relievers, injections)

1.2 Process of a knee prosthesis operation

  • Preparation: Imaging methods for precise planning
  • Distance of the damaged joint cartilage
  • Adaptation of the bone structure
  • Inserting the knee prosthesis
  • Fixing and control of stability


2. The role of robotics in casol surgery

2.1 What is a robot-assisted total knee?

The robot-assisted total knee uses computer-aided systems to carry out the operation with the highest precision. A robot system is used that helps the surgeon to optimally position the implant. This potentially reduces the risk of human errors and improves the long -term results of the operation.

2.2 Which robots are used today?

  • Mako Robotic-Arm Assisted Surgery: This system supports the surgeon with data from a preoperative CT and real-time feedback during operation.
  • Navio Surgical System: A robot platform that manages without previous CT scans and uses intraoperative imaging.
  • Rosa Knee System: Developed by Zimmer Biomet, this system combines artificial intelligence with surgical precision.
  • Cori Surgical System: A compact, portable robot solution for minimally invasive knee-tep.
  • Misso Robotic System: The first system with fully automated preparation of the bones from Meril. Here, too, CT data is used, accordingly it is an image-based robotic.


2.3 Potential advantages of robotics in the implantation of a knee prosthesis

  • More precise implant placement: The implant can be ideally aligned with millimeter planning and implementation.
  • Reduced risk of complications: exact cuts lead to less tissue dreams and lower infection rates.
  • Lower blood loss and fewer soft tissue damage: gentler surgical methods mean faster healing.
  • Faster rehabilitation and better long -term results: patients attract their mobility faster.


3. Why will robotics be standard in the future?

3.1 Progress in medical technology

  • Improved sensor technologies enable exact navigation during the procedure.
  • Artificial intelligence supports the surgeon with real -time analyzes.
  • Optimized planning methods ensure individual patient adjustments.

3.2 Potential long -term advantages for patients

  • Longer shelf life of the implants: less wear through exact placement.
  • Fewer revision intervention required: Lower error rate reduces post -operations.
  • Higher patient satisfaction: improved functionality and natural feeling of movement.


3.3 Cost efficiency in the long run

Although the acquisition costs for robots are high, the reduction of complications and faster healing leads to less health costs in the long term.


4. Challenges and limits of the knee robots

4.1 High acquisition costs for hospitals

  • Investment in expensive robot technology.
  • Need for special surgical rooms and maintenance costs.

4.2 Need of specialized surgeons

  • Longer training times for surgeons.
  • Continuous training required.

4.3 Technical risks

  • Possible system failures or software problems.
  • Need for a backup strategy for emergencies.


5. Future view: Where does the trip go for the robotics in endoprosthetics?

5.1 Development of autonomous robot systems

  • Self -learning algorithms for maximum precision.
  • Real-time corrections to optimize the surgical results.

5.2 Combination with other technologies

  • Augmented reality for improved visualization.
  • 3D printing for individually adapted implants.

5.3 Individualized patient treatment

  • Movement analyzes for optimal implant selection.
  • Patient-specific op planning for perfect fit.


6. Conclusion: Robots for a knee prosthesis (TKA) will be normal in the future

The robot-assisted total knee arthroplasty will establish itself as a standard in the future due to its outstanding precision, the lower complication rate and the better long-term results. While there are currently still challenges, the long -term benefits cannot be overlooked for both patients or for the health system. With further progress in medical technology, robotics in cuisine surgery will become an indispensable method.

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