Description
This transcript describes a presentation by Kamal Deep on the application of technology in hip replacements, particularly focusing on navigation and robotics. Deep discusses the importance of technological advancements in improving surgical outcomes, emphasizing that progress in knee replacement technology often influences hip replacements as well. He explains the differing opinions among surgeons regarding component fixation and bearing surfaces, as well as the challenge of meeting patient demands for various implant surfaces.
The presentation highlights the necessity of accurate placement of components in hip replacements and demonstrates the potential contribution of navigation and robotic technology in achieving this precision. Deep mentions the use of trackers attached to bones for monitoring during surgery, which is essential for both surgical techniques.
Key points include the intraoperative feedback provided by navigation systems, and the advantages of robotic systems like Mako that support pre-operative 3D planning and ensure accurate alignment during surgery. Deep outlines the steps involved in positioning patients, approaches to surgery, and the significance of anatomical registration.
In discussing outcomes, he presents evidence from studies showing reduced leg length discrepancies and enhanced functional improvements among patients who underwent navigated surgeries versus traditional methods. The use of robotics led to increased predictability in component sizing, showcasing the benefits of technology in improving surgical accuracy.
Throughout the presentation, Deep advocates for a balance between technological accuracy and the clinical feel required for successful surgery, prompting a discussion on whether time constraints should compromise the precision afforded by advanced techniques. He concludes by posing a thought-provoking question to the audience regarding patient preferences for surgical accuracy.