FEATURED SURGERY: Robotic-Arm Assisted Total Hip Surgery
In a pre-recorded surgery presented at ICJR’s 13th Annual Winter Hip & Knee Course, Jonathan M. Vigdorchik, MD, performs a primary total hip arthroplasty (THA) on the left hip of a 67-year-old female patient with osteoarthritis.
The patient has a history of previous spine surgery, but no spinal hardware is present. She has 3 mm to 4 mm of leg length discrepancy and in templating for the procedure, Dr. Vigdorchik selects cup and stem sizes that account for the leg length and offset. He also considers the patient’s significant posterior pelvic tilt, which affects the cup position.
Robotic technology augments the normal manual templating process for THA, Dr. Vigdorchik says. Prior to showing the surgical video of this case, Dr. Vigdorchik demonstrates how he adjusted his initial templating with input from the computer-generated template.
During the surgery, he also shows how the robotic technology fits into his typical workflow for a primary THA, with a real-time clock showing how little time it takes him to perform tasks related to using the robot.
Mark W. Pagnano, MD, moderated the presentation, providing commentary and asking questions of Dr. Vigdorchik to clarify points and elicit additional tips on using robotic technology in primary THA.
Click the image above to watch the presentation.
This surgical broadcast was supported by Stryker.
Jonathan M. Vigdorchik, MD, is an Assistant Attending Orthopedic Surgeon at Hospital for Special Surgery and at New York-Presbyterian Hospital in New York, New York. He is also an Assistant Professor in Orthopedic Surgery at Weill Cornell Medical College, New York, New York.
Mark W. Pagnano, MD, is a Professor of Orthopedics and Chair of the Department or Orthopedic Surgery at Mayo Clinic, Rochester, Minnesota. He is also one of the chairs of the 13th Annual Winter Hip & Knee Course.
Disclosures: Dr. Vigdorchik has disclosed that he is a paid consultant for Stryker; that he receives royalties and research support from and is a paid consultant for Corin USA; that he is a paid consultant for DePuy Synthes; that he is a paid consultant for and has stock or stock options in Intellijoint Surgical; that he is a paid consultant for Medacta; that he has stock or stock options in Motion Insights; that he has stock or stock options in Cuptimize; and that he is a paid consultant for Zimmer Biomet. Dr. Pagnano has disclosed that he receives royalties from Stryker; that he receives royalties from DePuy Synthes; and that he is a paid consultant for Turbett Surgical.