Dr. Steven Haas, at the Hospital for Special Surgery (HSS), shares his thoughts about performing robotic-assisted revision knee surgery with the CORI™ Surgical System.
Concept of essentially cutting in the revision bone is, is uh the bone is often very irregular and the cuts are usually really, you know, often destroyed when they cut the bone and aligning and placing pins is often difficult too because just placing pins in the revision knee don't hold very well. So the blocks are usually wiggling and moving. And the idea of having a robotically aligned and controlled a great example is rotation, you know, setting the rotation and a revision. The only real landmark we have for the femur is the eon. Well, that's OK. We can use the epis but frankly doing the cut itself is technically more difficult than it's supposed to because you place the and you're sort of holding it and trying to put a pin in and it's, and the pin doesn't hold. So now it just instantly rotated at five or 10 degrees. So it's less than perfect. So, having a robotically performed and controlled uh revision D is a, is a great tool. I think what revision brings to Corey are multiple things. A it's, it's a great asset to the revision surgeon. But the next thing is that it fills out the platform. In other words, the surgeon now who's doing it on his total knee has the ability to do it on a revision. And no other robotic platform allows that. So you can have hip knee revision, knee, knee um is it's a great asset to have it for all of your cases and especially the more difficult ones, technology is here to stay, to know that you only have to look as far as your pocket and the phone that you're holding. Uh, I train many young people and, and, um, they, they almost don't think of doing a knee replacement or hip replacement without the aid of technology. They're not comfortable doing that. Which makes sense because they're probably not comfortable getting in their car and driving to some place they've never been before without their navigation or for that matter, some place they've been before without their navigation. Right. So the idea of, of doing the thumbs up and look at it, you know, I had to, that's the way I learned to do it. Uh, I think it was not perfect, but that's all I could do. Uh, you know, the current generation and future generations of orthopedic surgeons, um, are trained on this. They think that way they were using computers when they were two years old, right. So they maybe even younger. And so the concept that they are gonna put their thumb in the, and look at the tile on the wall and align their knee. And I think what the future will also hold as we personalize these cases to improve those outcomes and to eliminate those outliers or those unhappy patients. The idea of personalization of both alignment and soft tissues really is going to require us the precision of robotics. There's no way that you're going to be able to personalize the surgical procedure without the use of technology.