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By Dr. Ramneek Mahajan in Orthopaedics & Joint Replacement
Nov 08 , 2020 | 2 min read
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In any surgery, accuracy and precision are the two pillars that result in the best outcome for the patient. With the introduction of minimally invasive surgery and the constant development in the field of instrumental technology, the aim of providing maximum benefits with minimal complications is within reach.
Navigation systems are the standard of care in the best hospitals in India. Neurosurgeries (Brain and Spine), Orthopedics and ENT are performed through this system which allows surgeons to reduce surgical trauma, make smaller incisions and shorten recovery time.
Orthopaedic digital suites are fully computerized digital operating theatres that display, record and stream real-time images at the touch of a finger. The compact size of the equipment makes an ergonomic design, promising easy integration.
The surgical workflow is improved significantly, with accurate, real-time data relayed back to achieved optimal implant alignment. In surgeries that require implantation, the outlined plan of the surgery is as follows:
Knee - A quick series of anatomical landmarks are captured during patient registration. This enables dynamic tracking of the surgical instrument, placement of the implant in relation to the patient’s position. The real-time feedback is provided on the accurate angle & reaction depth for femoral & tibial cuts. Measurements are provided on soft-tissue balancing & range of motions – both pre-& post-implantation.
Hip - Similar to knee surgery
the anatomical landmarks captured help accurately measure the length of the limb. The aim of the surgery is the restoration of length, offset of the leg & accurate positioning of the implant. Digital feedback is provided on the abduction & anteversion angles of the cup reamer
This navigational system helps provide highly reliable information that allows the surgeon to preoperatively plan procedures and simulate expected outcomes.
This digital suite can be used for the following procedures:
- Knee replacement (Primary & Revision)
- Hip replacement
- Arthroscopic surgeries for ligaments (ACL, PCL, MCL, MPFL)
- Synovial biopsy
- Treatment of cartilage defects (Mosaicplasty, Abrasion Chondroplasty, Artificial Chondrocyte injection, etc)
- Fracture fixation
- Meniscal repairs and balancing
- Revision surgeries addressing infections and complications
Advantages:
- Reduced blood loss
- Shorter hospitalization
- Decreased tissue damage, when compared to conventional surgery
- Easier rehabilitation
- Aesthetically more pleasing
As is with all surgeries, there is a risk of infections, fractures, dislocation and nerve damage. However, there is a reduced risk of complications and there is a better outcome of the revision surgeries.
Due to the rising base of geriatric population, an increase in a number of cases of joint reconstruction, increased awareness in patients & healthcare professionals and better surgical outcomes with a faster rehabilitation program, the best hospitals in India are investing in orthopedic digital suites.
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