Sunday , February 28 2021

In the operating room there is Mako, the robot surgeon specializing in knee and hip prostheses – Chronicle



UDINE. He made his debut by referring his knees to two retirees and implanted two total intentions. From now on, Mako is now working with full capacity and plans to complete one hundred work from now until the end of 2019, expanding its range of surgical performances.

He is the most advanced and used "robot robot" in the world and has become the protagonist of the robotic surgery program launched by the Orthopedics of the Policlinico Città di Udine.

Robotic surgery is currently the last step in the development of technological innovations applied to surgery. His first commitment to surgery was the one who saw him implanting two "cross-sectional" (ie total) knee intentions, respectively, into a 72-year-old woman and a 71-year-old man.

A promising beginning, since its agenda for 2019 is quite dense. The program provides for the systematic planning throughout the year of one or two weekly surgical sessions for robotic surgery to mature by the end of next year a series of more than a hundred prostheses.

Interventions have risen more and more since the Polyclinic has a waiting list for over 160 ARF patients, and among them over seventy are candidates for knee prosthesis.

Mako will not only be natural, scheduled before and during the interventions, the support of a team of engineers of the company that has developed the system to manage the software.

The goal is to extend the surgical activity with the Mako system as well as to the total knee prostheses, as well as in single-unit prostheses, always for knee and hip prosthesis.

"In the meantime we start with the knee" – explains Fabrizio Bassini, Head of the Orthopedic of the Policlinico – because statistically this is the intervention of arthroplasty that, even in view of apparently perfect procedures when performed by traditional methods and without complications, patients who do not are fully satisfied with the outcome of the surgery.

And precisely in this context – it's Bassini's specification – the robot can provide extra speed, thanks to the ability to practically simulate operation in a three-dimensional model that is being processed starting from the patient's Tac. "

In this way, it is possible to select the most suitable size for the patient and, above all, taking into account the tension of the ligaments, to decide the ideal placement for the patient before we even take him to the operating room where, thanks in particular to the large amount of data collected and processed, and to the precision of the six servo-assisted joints, the robot supports the surgeon in the correct functional part.

The results are great: bone cuts and implant placement are more accurate than the traditional fully manual approach. the result is a better balance of ligaments and less invasive, as Bassini himself explains.

Policlinico Città di Udine's activity in prosthetics is constantly increasing: in the first nine months of 2018, 273 prosthetic implants already exist: 136 of the hip, 127 of the knee (of which 93), and 10 of the shoulder. there are currently more than 160 patients on the list of arthroplasty.

Intervention of the knee prosthesis through the use of the robot is of great interest to the international orthopedic community: the data speak for faster functional shots and better clinical results, thanks in particular to less invasive and higher implantation accuracy compared to traditional technique.

Another non-secondary aspect of Mako technology

translates into the possibility of an objective evaluation of the results of each intervention and the subsequent correlation with the clinical results and prospective studies aimed at improving the technological and operational approach in the field of prosthetic surgery.


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