Saturday , June 19 2021

In the operating room there is Mako, a robotic surgeon specializing in prostheses on knees and costumes – Chronicle



Udine. He slammed his knees on two pensioners and embedded two total prostheses. But nowadays, Mako is now in full capacity and is planning to complete a hundred operations from now until the end of 2019, expanding its range of surgical performance.

He is the most advanced and most widely used "Robotic Surgeon" in the world and has become the main protagonist of the robotics surgery project initiated by the Ortopedija Policlinico Città di Udine.

Robotic surgery is currently the last step in the development of technological innovations applied to the operation. His first engagement in the operating room was the one who saw him implant two "bi-compartmental" (ie total) prosthetic knees on a 72-year-old and a 71-year-old man.

Adoring the beginning, since his agenda in 2019 is pretty thick. The program allows systematically deploying a one or two weeks of robust operation throughout the year, so that by the end of next year it will cover more than one hundred prostheses.

Interventions increasingly demanded from the polyclinic has a waiting list of over 160 patients for arthroprosthetics, including over 70 candidates for knee prosthesis.

Mako will not only be planned, of course, before and during the intervention, the support of the company's engineering team that has developed a software management system.

The goal is to expand the surgical activity with the Mako system, as well as the total knee prostheses, as well as on one-piece prostheses, always for knees and for hip prostheses.

"In the meantime, we begin with a knee," explains Fabrizio Bassini, head of polyclinic orthopedics, because it is statistically an arthroplasty intervention that, even before obviously perfect procedures when performed with traditional methods and without complications, sometimes finds patients who are not completely satisfied with the outcome of surgery.

Precisely in this context – this is Bassini's specification – the robot can provide an extra degree of transmission thanks to the virtual simulation capabilities of the operation on a three-dimensional model that develops from the patient's Tac.

In this way, it is possible to choose the most appropriate size of the denture and, above all, considering ligament tension, to decide the ideal positioning for that particular patient, before bringing it to the operating room where, thanks primarily to a large amount of data collected and processed , and the accuracy of its six servo-auxiliary joints, the robot supports the surgeon in the proper operative part.

The results are excellent: bone and implant implantation are more precise than the traditional, completely manual approach; the result is a better ligament balance and less invasive, as Bassini explains.

The action of the Policlinico Città di Udine in the area of ​​prosthetics is constantly increasing: in the first 9 months of 2018, 273 prostheses were implanted within the structure: 136 hooks, 127 knees (out of which 93 "total"), and 10 shoulders. At the moment, there are over 160 patients on the list of arthropods.

Prosthetic knee surgery performed using robots is of great interest to the international orthopedic community: evidence suggests faster functional recordings and better clinical results, primarily due to the less invasive and precision of implants on traditional technique.

Another non-secondary aspect of Mako technology

is translated into the possibility of making an objective assessment of the outcome of each intervention and subsequent correlation with clinical results and prospective studies aimed at improving the technological and operational approach in the field of prosthetic surgery.


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