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Hip and Knee Adult reconstruction surgeon and orthopaedic oncologist at Cleveland Clinic Florida Dr. Jorge Manrique-Succar, Discusses Innovative Robotic Total Knee Arthroplasty at Bahamas Medical Association Conference

Tue, Apr 2nd 2024, 09:51 AM
Health

Dr. Jorge Manrique – Succar M.D., who specializes in orthopaedic oncology and hip and knee adult reconstruction surgery at Cleveland Clinic Florida, shared information on Robotic Total Knee Arthroplasty (TKA), a robotic procedure that offers more precise visuals allowing better precision for doctors performing the procedure.

Speaking to medical professionals at the Bahamas Medical Association’s annual conference at Margaritaville, Dr. Manrique, a pioneer in robotic knee surgery, stopped short of ruling out manual surgery, explaining that while the more expensive robotic procedure shows many promising potential benefits, additional research is needed for a full and complete comparison between the two forms of dealing with knee replacement. Additional high-level studies are needed, there is evidence that robotic surgery may be better than traditional surgery. Robotic TKA offers greater precision, objectivity in perception, and predictability.

Typically used in patients suffering from advanced arthritis, the innovative TKA is gaining support and attracting interest because of its benefits to patients. Studies show that the newer procedure allows for a faster recovery time due to less soft tissue damage and greater bone cuts predictability.

“Robotics is more precise in terms of radiological precision compared to manual knee replacement surgery,” Dr. Manrique told the audience.

Based on results from a Prospective Multicenter Study, conducted at several institutions over a period of five years, Robotic TKA is more precise than manual surgery in cases of tibial alignment, tibial slope, and femoral component rotation. That study showed that patients reported excellent results after their procedure.

This study included 861 patient-reported outcomes following Robotic TKA from several institutions. Persons aged 35-86 completed a pre- and postoperative patient-reported outcome measure (PROM) questionnaire before surgery and after a two-year follow-up. It concluded that there were significant improvements in patient outcomes with eight superficial infections and four revisions on patient surgeries.

“While manual surgery is still a great option, Robotic TKA is potentially superior to it,” said Dr. Manrique. “Not all robotic surgery is the same and you must learn to use it correctly. It does not guarantee an excellent knee replacement surgery.” TKA is enhancing and allowing for increased volume in outpatient centers.

Studies show that arthritis occurs in almost all people over the age of 60, 10% - 20% have symptoms, and 6.1% of adults over 30 have radiographic evidence of osteoarthritis with pain most days.

Knee arthroplasty is only one of the treatment options for persons with osteoarthritis. Others include non-operative measures such as physical therapy, bracing, and injections such as Cortisone and Hyaluronic Acid. Patients with OA are also recommended to use high stools, avoid high impact exercises, and engage in physical activities such as swimming and bike riding.

Dr. Jorge Manrique – Succar M.D., who specializes in orthopaedic oncology and hip and knee adult reconstruction surgery at Cleveland Clinic Florida, shared information on Robotic Total Knee Arthroplasty (TKA), a robotic procedure that offers more precise visuals allowing better precision for doctors performing the procedure.
Speaking to medical professionals at the Bahamas Medical Association’s annual conference at Margaritaville, Dr. Manrique, a pioneer in robotic knee surgery, stopped short of ruling out
manual surgery, explaining that while the more expensive robotic procedure shows many promising potential benefits, additional research is needed for a full and complete comparison between the two forms of dealing with knee replacement. Additional high-level studies are needed, there is evidence that robotic surgery may be better than traditional surgery. Robotic TKA offers greater precision, objectivity in perception, and predictability.
Typically used in patients suffering from advanced arthritis, the innovative TKA is gaining support and attracting interest because of its benefits to patients. Studies show that the newer procedure allows for a faster recovery time due to less soft tissue damage and greater bone cuts predictability.
“Robotics is more precise in terms of radiological precision compared to manual knee replacement surgery,” Dr. Manrique told the audience.
Based on results from a Prospective Multicenter Study, conducted at several institutions over a period of five years, Robotic TKA is more precise than manual surgery in cases of tibial alignment, tibial slope, and femoral component rotation. That study showed that patients reported excellent results after their procedure.
This study included 861 patient-reported outcomes following Robotic TKA from several institutions. Persons aged 35-86 completed a pre- and postoperative patient-reported outcome measure (PROM) questionnaire before surgery and after a two-year follow-up. It concluded that there were significant improvements in patient outcomes with eight superficial infections and four revisions on patient surgeries.
“While manual surgery is still a great option, Robotic TKA is potentially superior to it,” said Dr. Manrique. “Not all robotic surgery is the same and you must learn to use it correctly. It does not guarantee an excellent knee replacement surgery.” TKA is enhancing and allowing for increased volume in outpatient centers.
Studies show that arthritis occurs in almost all people over the age of 60, 10% - 20% have symptoms, and 6.1% of adults over 30 have radiographic evidence of osteoarthritis with pain most days.
Knee arthroplasty is only one of the treatment options for persons with osteoarthritis. Others include non-operative measures such as physical therapy, bracing, and injections such as Cortisone and Hyaluronic Acid. Patients with OA are also recommended to use high stools, avoid high impact exercises, and engage in physical activities such as swimming and bike riding.
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