Robotic Joint Replacement Surgery
Dr. Puri is a pioneer in robotic orthopaedic surgery.
He has performed robotic hip surgery since 2017 and now performs all hip and knee surgeries using robotics. What does this mean for Dr. Puri’s patients?
“I have joined Dr Lalit Puri’s fan club!! I am 79 and had a total right knee replacement....I was walking without a cane after 6 weeks. My first knee replacement by another doctor took a year to recover from. Dr. Puri first listened to my problems with my trick knees and scheduled pre-surgery PT for 3 weeks which strengthen the quads for exercise after surgery. He recommended protein supplements and vitamins before and after surgery and set me up with a pain doctor to determine the best after-surgery pain medications that I could tolerate. No other doctor had taken time to understand these problems. He also uses a MAKO technique which leads to minimal cutting, I understand. I have full range of motion in that knee with very little discomfort or stiffness. I recommend him to everyone!”
Your Robotic-assisted Knee Replacement
You’ll be admitted to the hospital the day of your surgery, and a member of the anesthesia team will evaluate you. The most common type of anesthesia for knee replacement surgery is a spinal anesthesia with sedation (which allows you to be awake but anesthetizes your body from the waist down). In certain cases, it may be necessary to perform a general anesthetic, which puts you to sleep through the procedure. The anesthesia team will discuss these choices with you and help you decide which type of anesthesia is best for you.
Mako robotic-arm assisted technology transforms how total and partial knee replacement procedures are done by integrating 3D virtual modeling and robotic-arm precision into the process. It’s an innovative solution that has been helping knee pain sufferers for more than a decade.
The Mako difference
In a laboratory and clinical stuudies:
Mako Total Knee enabled surgeons to execute their surgical plans more accurately.
Mako protected soft tissues and ligaments from damage.
Mako patients surveyed 6 months after surgery reported better patient satisfaction scores and lower pain scores than those who received a conventional joint replacement.
How does Mako technology work?
Personalized surgical plan: The first step is patient-specific surgical planning. Before surgery, a CT scan of your knee is taken to develop a 3D virtual model of your unique joint. Dr. Puri uses this model to evaluate your bone structure, disease severity, joint alignment and even the surrounding bone and tissue so he can determine the optimal size, placement and alignment of your implants.
Range-of-motion assessment: Throughout your procedure, Mako provides real-time data to Dr. Puri. This allows him to continuously assess the movement and tension of your new joint, and adjust your surgical plan if desired.
Arthritic bone removal: In the operating room, Dr. Puri guides Mako’s robotic arm to remove the arthritic bone and cartilage from your knee. A virtual boundary provides tactile resistance to help protect soft tissues and help Dr. Puri stay within the boundaries of your surgical plan.
Implant placement: With the diseased bone gone, your implant is placed into the knee joint. Then it’s off to the recovery room to begin your journey to strengthen your new knee.
Your Robotic-Assisted Hip Replacement
You’ll be admitted to the hospital the day of your surgery, and a member of the anesthesia team will evaluate you. The most common types of anesthesia for hip replacement surgery is a spinal anesthesia with sedation (which allows you to be awake but anesthetizes your body from the waist down). In certain cases, it may be necessary to perform a general anesthetic, which puts you to sleep through the procedure. The team will discuss these choices with you and help you decide which type of anesthesia is best for you.
During surgery, Mako technology transforms how joint replacement procedures, including hip replacement, are done by integrating 3D modeling and robotic-arm technology into the process. It’s an innovative solution that has been helping joint pain sufferers for more than a decade. Dr. Puri utilizes Mako robotic-arm technology in combination with the direct superior approach to hip replacement.
In clinical studies, Mako for Total Hip demonstrated:
More accurate placement and alignment of hip implants based on the surgical plan
Less likelihood of hip dislocation
Reduced blood loss
Replication of the feeling of a natural hip
Preservation of healthy bone
How does Mako technology work?
Personalized surgical plan: Prior to surgery, a CT scan of your hip joint is taken to generate a 3D virtual model of your unique anatomy. The 3D model allows Dr. Puri to know more about your joint and see things he can’t typically see with an X-ray alone. This additional information helps him determine the desired size, placement and positioning of your implant.
Range-of-motion assessment: Throughout your surgery, Dr. Puri guides Mako’s robotic arm to remove the arthritic bone and cartilage from the hip. Mako’s AccuStop haptic technology provides tactile resistance that guides Dr. Puri to precisely cut only what is defined in your surgical plan to help protect your healthy bone.
Arthritic bone removal: As Dr. Puri prepares to place the implant into its final position, the robotic arm guides the implant at the desired angle defined in the surgical plan. This helps ensure placement and alignment of the implant are performed according to Dr. Puri’s plan.8Throughout your procedure, Mako provides real-time data to Dr. Puri. This allows him to continuously assess the movement and tension of your new joint and adjust the surgical plan if desired.