Understanding Robotic Knee & Hip Surgery with CORI | Dr. Abhijit Agashe | Manipal Hospital Baner

Duration: 2:46 411 transcript words EN summary

Video summary

Dr. Abhijit Agashe from Manipal Hospital Baner introduces the latest advancements in joint replacement surgery, highlighting how state-of-the-art robotic technology assists surgeons in restoring knees and hips to their optimal condition. It is important to clarify that this medical robotics does not involve humanoid machines seen in movies, but rather sophisticated tools designed to enhance surgical precision. The primary goal of using these systems is to ensure that the patient's joint is reconstructed accurately, addressing the unique anatomical structures of each individual to achieve a natural and functional outcome. For hip replacements, the hospital specializes in direct anterior robotic procedures, which offer significant lifestyle benefits tailored to cultural habits such as sitting on the floor. Historically, patients were restricted from bending or squatting after surgery, but this new approach allows for a greater range of motion immediately post-operation. This technology represents a major leap forward compared to decades of traditional hip replacement methods, enabling patients to resume normal daily activities much sooner without the usual limitations imposed by older surgical techniques. In knee replacements, the robotic system excels at achieving functional alignment, a process that accounts for the natural variations in bone structure between different individuals. Unlike conventional methods, robotics allows surgeons to adjust incisions with extreme precision, down to half a degree, ensuring the original bony architecture is restored correctly. This heightened accuracy leads to reduced post-operative pain and minimal blood loss, which are critical factors in accelerating recovery and improving overall patient comfort during the healing process. The combination of robotic precision and faster recovery protocols has made it possible to implement day-care procedures for knee replacements, where patients undergo surgery on the same day they are admitted. In most cases, individuals are discharged by the next day through a fast-track approach that streamlines the entire rehabilitation journey. This innovation not only improves surgical outcomes but also transforms the patient experience by minimizing downtime and allowing a quicker return to normal life, marking a significant evolution in orthopedic care.

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Hello friends. I'm Dr. Abhijit Agashe, chief joint replacement surgeon at Manipal Hospital Baner. Now, we have got the state of art new robotic technology which helps you to build your knee or hip in a much better way. Now, how does this robotic actually help? So, robo is not a humanoid robo that we normally see in some of the Hollywood films, but it is a machine which helps the surgeon to get your knee or the hip back to its normal. As far as talking about the hip is concerned, here in Manipal Hospital, what we do is something called as a direct anterior robotic hip replacement. The advantage of direct anterior robotic hip replacement is equal according to the Indian culture, we are used to sit down on the floor. So, if you go back into the history, normally speaking, after a hip replacement, you are not allowed to be do these two things. But, [music] with a direct anterior robotic hip replacement, you will be able to go back to normal activities, particularly those who can do these things. Those who uh Only way direct anterior robotic hip replacement is going to be a boon, particularly after decades of doing uh hip replacement with the previous approaches without robotics. This particular technology will help you immensely. Now, as far as knee is concerned, what is important in the knee compared to a conventional knee replacement? What does robotic helps you is something called as a functional alignment. Now, what is functional alignment is Two people same knee okay. So, two different people's bony structures are different. So, if you want to bring their original bony structure back to its normal, then it's called functional knee alignment. Okay. >> Functional realignment is not possible without robotic. It is possible with robotic technology where you can adjust your cuts to the tune of half a degree and get back to normalcy. Post-operative pain is much lesser. Post-operative blood loss is much lesser and now we have started something called as a day care procedure this way. Quite a bit we get the patient to the theater on the same day of surgery. Majority of the times the patient will be discharged on the next day and that is called a fast track knee replacement which is possible with robotic. So, if you have any queries regarding robotic knee replacements, please feel free to contact us. Thank you. >> [music]