Robotic Knee ACL reconstruction surgery represents a cutting-edge approach to addressing the repair of a damaged or torn Anterior Cruciate Ligament (ACL), a critical knee ligament essential for stabilizing the knee joint and preventing excessive forward movement of the shin bone (tibia) relative to the thigh bone (femur).
In the procedure,
Autograft: the damaged ACL is replaced with a graft, sourced from either the patient's own body (autograft) or a deceased donor (allograft).
Autografts are commonly obtained from the patellar tendon or hamstring tendons, while allograft options include the patellar tendon, hamstring tendons, or Achilles tendon.
This surgery is typically performed using arthroscopy, a minimally invasive technique that involves making small incisions around the knee joint and utilizing an arthroscope (a tiny camera) for visualizing the internal knee structures. This approach minimizes surgical trauma, accelerates recovery, and reduces the risk of complications.
Here's an Overview of the ACL Reconstruction Procedure:
Pre-operative Evaluation: Before surgery, the orthopedic surgeon conducts a comprehensive assessment, which may include imaging tests like MRI, to gauge the extent of the ACL injury and any associated damage to other knee structures.
Anesthesia: On the day of surgery, the patient is administered either general or regional anesthesia (spinal or epidural) to ensure comfort and pain relief during the procedure.
Incision: Small incisions are made around the knee to access the joint.
Arthroscopic Inspection: An arthroscope is inserted through one of the incisions to visualize the knee's internal structures, allowing for a thorough examination of the ACL and other ligaments, cartilage, and menisci.
ACL Removal: If the ACL is severely damaged and cannot be repaired, it is removed.
Graft Harvesting: The surgeon obtains a graft, typically from the patient's own body (autograft) or a tissue donor (allograft), which will be used to reconstruct the torn ACL.
Graft Placement: Highly qualified orthopedic surgeons, such as those at the RKRS Center, employ advanced robotic technology to ensure precise graft placement and successful outcomes for patients.
Closing Incisions: After securely placing the graft, the surgeon closes the incisions with sutures or staples.
Post-operative Care: Following surgery, a structured rehabilitation program supervised by a physical therapist is essential for regaining knee strength, flexibility, and stability.
Robotic knee ACL reconstruction surgery is typically recommended for individuals who:
- Experience persistent knee instability due to an ACL tear, impacting daily activities and sports performance.
- Encounter recurring episodes of the knee giving way, especially during physical activities.
- Lead active lifestyles or are athletes looking to return to high-demand activities involving pivoting or cutting movements.
- Have tried non-surgical treatments without achieving satisfactory improvement in knee stability.
- Are committed to post-surgery rehabilitation, a crucial component of successful recovery.
It's important to emphasize that not everyone with an ACL tear requires surgery. The decision to undergo ACL reconstruction is made in consultation with an orthopedic surgeon, considering factors such as the extent of the injury, the individual's activity level, lifestyle, and overall health.
The Evolving Landscape of Robotic Knee Ligament Repair Surgery
The increasing popularity of ACL reconstruction surgery, fueled by greater sports participation, has led to a demand for more precise and quantifiable approaches. The traditional method of drilling bone tunnels and graft insertion can sometimes result in post-surgical instability. To address this challenge, we propose the adoption of a Robotic-Assisted Knee ACL Reconstruction Surgery System, incorporating engineering techniques to enhance outcomes.
Quantifying Crucial Parameters
Our research endeavors involved conducting experiments to measure two essential parameters: the initial knee flexion angle and graft tension. Magnetic Resonance Imaging (MRI) and a 3D positional measuring device were employed to non-invasively gauge changes in ligament length during knee flexion. Additionally, we examined graft tension alterations during flexion using a load cell attached to a cadaveric knee's ligament under various initial conditions.
Influences on Graft Tension
Our study findings indicated that not only does the extent of knee flexion influence ligament tension, but the placement of bone tunnels also plays a pivotal role in determining graft tension levels. This understanding aims to bolster the stability and long-term success of Robotic Knee ACL Reconstruction Surgery.
Relaxation Phenomena and Device Design
Further investigations focused on monitoring the relaxation phenomena of pig's ACL, revealing a strong correlation with the ligament tension setting velocity. Armed with these insights, we embarked on designing a graft tension setting device. The initial prototype of this device exhibits promising results, suggesting its potential to revolutionize ACL reconstruction surgery.
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Frequently Asked Questions
What is Robotic Knee ACL Reconstruction Surgery?
How does Robotic Knee ACL Reconstruction differ from traditional ACL surgery?
What are the benefits of Robotic Knee ACL Reconstruction Surgery?
Am I a suitable candidate for Robotic Knee ACL Reconstruction Surgery?
How long does the surgery typically take to perform?
What is the recovery process like after Robotic Knee ACL Reconstruction Surgery?
Will I be able to return to sports and physical activities after the surgery?
Are there any risks associated with Robotic Knee ACL Reconstruction Surgery?
How long will it take for me to notice improvements in my knee after the surgery?
Is Robotic Knee ACL Reconstruction Surgery covered by insurance?
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Meet Ashish Jha a budding cricketer who lost his chance to qualify for Ranji cricket selection in 2018 as he suffered an ACL tear.
However, after an ACL reconstruction surgery under Dr. Shailendra Patil he is back training for his Ranji selection in 4 months.
Watch as he share's his amazing recovery journey.About Dr. Shailendra Patil: Dr. Shailendra Patil is an orthopedic surgeon with specialization in Sports Medicine & Arthrocopic surgeries.
He practices in Thane, Mulund and Navi Mumbai.
He has over 10 years Dr. Patil has performed more than 3000 joint replacement surgeries.
He is the first surgeon to perform lateral partial knee replacement in Mumbai.You can book an appointment with Dr. Shailendra Patil by calling - 022-25690799, 09320620978 Or request an appointment at the website: https://boneandjointcare.co.in/acl-reconstruction-surgery/
Partial knee replacement or unicompartmental knee replacement is recommended to a fist number of people on certain conditions.
Candidates for Partial Knee ReplacementTypically, people under age 65 are recommended for PKR who have plenty of healthy bone remaining.
Osteoarthritis is caused by deterioration of cartilage in joints.
In the knee joint where the thigh bone meets the shinbone is divided into three categories.
The inside one is called medial, the outside is referred as lateral and there is a kneecap or patella.
If arthritis has affected one compartment of the knee joint, you become eligible for partial knee replacement.
