PUNE: Arcus Hospital based in Wanowrie today organized a special program to mark the milestone of 800 mako robotic surgeries for partial and total knee replacements and total hip replacements.  Dr. Rohit Luthra, Joint Replacement and Arthroscopy Surgeon at Arcus Hospital,  Dr. Juhi Luthra, and other dignitaries were present on the occasion.

Dr. Rohit Luthra said that advancing robotic technologies is a boon to patients with partial and total knee and total hip replacements. Robotic systems are being used for greater precision in preparing bone for implant and accurately placing the replacement joint.

Dr.Luthra added that lesser blood loss, no muscle cuts, and more accuracy have resulted in reducing the hospital stay by about half. 

A 3D scan helps develop a 3D model of the patient’s anatomy and is used by the surgeon to plan the surgery. The surgeon guides the robotic arm which aligns the implant to perfection and cuts only the portion that is needed and spares the bone tissues and surrounding muscles. The robot performs the procedure, with the surgeon maintaining overall control of programming and robotics.

The Mako  Surgical Robotic System is considered the most accurate and advanced robotic surgical system in the world for hip and knee replacements, including partial knee replacements which can be complex surgeries.

Damage from arthritis is the most common reason for needing a hip replacement. Left unchecked, inflammation can lead to significant damage, causing a loss of function and disability. Arthritis can impact almost any part of the body, but most often affects the hip, knee, spine, or other weight-bearing joints.

Direct Anterior Approach (DAA) brings much relief to the patients 

Arcus Hospital was one of the first in India to do the robotic bilateral hip replacement surgery with the anterior approach in October 2023. Since then more than 650 surgeries have been done with anterior approach with or without robotic system. 

Dr. Rohit Luthara added that the Anterior approach or the ‘Front’ approach as it is called is a minimally invasive and muscle-sparing procedure. In this procedure, the incision is made from the front instead of the back or side. The damaged bones or cartilage are removed without detaching muscles or tendons and are just pushed aside instead of cut to allow the implant to be placed. This results in minimal damage to the muscles and since the muscles are not cut, the patient can sooner bear his or her weight and start walking. The robotic system adds pinpoint accuracy to the procedure including placing the implant into the right position. It helps us get the exact offsets as per the patient’s native anatomy of the hip and there is minimal chance of implant malposition and the risk of dislocation is nearly zero.

One of the most crucial parts of robotic procedures is planning which ensures accuracy and safety for patients.  The sizing of the implant is done with a CT scan before the operation. So we do a CT scan, we get a 3D virtual model of the hip and then we see what implant will best fit the patient and according to the anatomy the surgery is planned for the Robotic system to execute it to perfection. Also, one very big advantage is that the limb length can be checked easily with this approach because the patient is lying supine ( flat on the back with face up) and not lying on the side.

This approach is proving to be a game changer, he said.

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PUNE: Sahyadri Hospitals proudly announces a groundbreaking achievement in orthopedic surgery with the successful completion of Pune’s first robotic-assisted hip replacement using the direct anterior approach. The procedure was performed on Mr. Dnyaneshrao Pradhan (name changed), a 65-year-old retired resident of Satara, diagnosed with Avascular Necrosis (AVN) of the hip, a condition where bone tissue in the hip deteriorates due to a lack of blood supply.

Under the expert care of Dr. Abhijit Agashe, Consultant Orthopedic and Joint Replacement Surgeon at Sahyadri Hospitals, the surgery was conducted on November 27, 2024, and Mr. Pradhan was discharged on December 2, 2024, reporting excellent post-operative progress. The use of the real intelligence robotic system combined with the direct anterior approach has set a new standard in the field, providing unparalleled precision and safety.

Dr. Abhijit Agashe commented on the benefits of this revolutionary technique, stating, “Compared to traditional hip replacement methods, the robotic-assisted direct anterior approach enables a more accurate and less invasive surgery. Patients benefit from reduced pain, quicker recovery times, and more natural movement post-surgery. This technology enables patients to sit cross-legged after surgery, a position essential for cultural practices and daily activities, making it particularly beneficial for those suffering from hip problems. This method has not only enhanced functional outcomes but has also allowed immediate postoperative mobility, significantly improving the quality of life for patients with AVN Hip.”

Dr. Agashe further highlighted, “The combination of the robotic system and the direct anterior approach represents a significant advancement in joint replacement surgery. The ability to feed preoperative data into the robotic system ensures each patient receives a customized surgery plan tailored to their specific anatomy, achieving perfect alignment and leg length with millimeter precision.”

Sahyadri Hospitals remains committed to adopting innovative technologies and methods to enhance healthcare outcomes. This successful procedure marks a promising step towards making robotic-assisted surgeries the new standard in hip replacements.

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PUNE: Manipal Hospital, Kharadi welcomes the legendary Indian cricket team captain, fitness enthusiast, and recipient of Padma Bhushan Shri Kapil Dev, today to introduce cutting-edge robotic technology for advanced orthopedic surgeries. This technology aims to improve knee replacement and joint treatment with robotic-assisted surgeries in Pune and nearby cities.

Over the last five years, there has been a significant increase in the number of joint replacement surgeries in India. Surgeons across the country have witnessed more than 2.5 lakh patients undergo knee replacement surgeries every year, and the number has increased manifold in recent years. In a few years, Manipal Hospital Kharadi has observed an increase in knee replacement surgeries. With newer and more advanced technology in India, people with total knee replacement can start to walk as early as six hours after the surgery. The evolution in orthopedic treatment and the introduction of robotic-assisted orthopedic surgeries have minimized the risks associated with knee replacement. Robotic-assisted surgeries are advanced medical procedures performed using robotic devices guided by a surgeon. These procedures help surgeons perform complex surgeries with precision instruments and advanced systems, less bleeding reduced recovery time.

Unveiling the advanced robotic technology, veteran Indian cricketer Kapil Dev said, “I would like to congratulate Manipal Hospital Kharadi for introducing the new and advanced robotic technology for joint replacement. In cricket, we constantly strive to improve our equipment and techniques for better performance. Similarly, the advancement in healthcare, one of which is robotic-assisted surgery, has improved the treatment options for people suffering from orthopedic problems. As a sportsman, I understand the impact of joint injuries and the importance of faster recovery and this new robotic technology at Manipal Hospital is a game-changer in orthopedic treatment options available in the city. It offers faster recovery, less pain, and a quicker return to an active lifestyle.”

Emphasizing the need for robotic surgery, Dr. Sinukumar Bhaskaran, Adult Joint Replacement & Reconstruction and Robotic Arthroplasty (Hip & Knee), Manipal Hospital, Kharadi, Pune said, “Our focus is on improving patient outcomes, and this robotic technology is a step towards offering quality orthopedic treatment. Robotic-assisted surgery is not only beneficial for the doctors performing complex surgeries but also for the patient by offering faster recoveries and reduced pain improving the quality-of-life post-surgery. The new system allows personalized 3D CT scans, delivering sub-millimeter accuracy and enhanced safety with real-time bone movement monitoring for more precise implant surgery and reduced risk of infection. With a success rate of 98%, this meticulous precision results in longer-lasting joint replacements, reducing the need for costly and invasive revision surgeries. Using this technology and our unique clinical pathways, our hospital can offer patients fast-track knee surgery where the patients can go home within 24 hours.

Speaking at the event Parmeswar Das, Director, of Manipal Hospital, Kharadi said, “Clinical Excellence and patient centricity is at the heart of all we do at Manipal Hospital, Kharadi. We are committed to providing our patients with access to the latest advancements in healthcare technology. The addition of this advanced robotic technology has ushered in a new era of orthopedic surgery that places a premium on accuracy, safety, and better patient results. This innovative technology allows us to offer our patients a minimally invasive procedure with the potential for faster recovery times, improved precision, and ultimately, a better quality of life.”

As a leader in patient-centric care, Manipal Hospital, Kharadi constantly thrives to offer patients access to the latest advancements in healthcare technology and the addition of this advanced robotic technology is yet another step towards it. With its ultra-modern, Hi-tech robotic equipment and facilities, along with an experienced medical team, the hospital will continue to ensure patient satisfaction and provide the best possible care.

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