Specialist in orthopedics and traumatology, who emphasized that the conditions that occur due to cartilage deterioration, also known as joint calcification in humans, cause joint stiffness and difficulty in movement. Dr. Bombacı provided information on robotic surgery, which is preferred in prosthetic surgery and whose visibility is increasing day by day. Prof. Dr. Bombacı said: “Roboarthroplasty is the use of robotic technologies in the surgery where joints such as knees, hips or shoulders are replaced with prostheses. “These technologies enable surgeons to perform more precise, accurate and reproducible procedures during surgery.”
“ROBOTIC SURGICAL IMPLANTS ENSURE MAXIMUM SAFETY”
Emphasizing that the first complaint of patients with osteoarthritis is limited movement in the joint, Prof. Dr. Bombacı explained that the complaints often prevented individuals from easily moving the hip and knee joints in the legs. To this can be added that severe pain that persists even at rest, said Prof. Dr. Bombacı explained that over time, pain and limitation of movement reduced the patient’s daily functions and quality of life.
Pointing out that there may be people who have undergone prosthetic surgery and have not seen the expected benefit and whose pain has not completely disappeared, Prof. Dr. Hasan Bombacı said: “The above situations are situations that can be experienced, depending on the application or the complications that may arise. Robotic surgery, on the other hand, is a surgical method that minimizes these disruptions and ensures maximum safety and accuracy of the implants during the planning and placement of the prosthesis on the knee.
“IT MAKES THE INCUTS MORE PRECISE AND SMOOTH”
prof. Dr. Bombacı says: “Robotic arthroplasty first starts with a planning process that helps the surgeon make better imaging and more accurate cuts during surgery. “By directing a robotic arm according to a pre-designed procedure, the surgeon accurately places the prosthesis and achieves results closest to the patient’s natural joints.”
prof. Dr Bomber continued:
“We have many colleagues who successfully practice standard prosthetic surgery in our country. It would not be accurate to say that robotic surgery is good, but that other methods are bad. In some special cases related to the patient, for example, in cases where there are significant bone deformities, the calculations need to be done much more accurately. Robotic surgery not only eliminates the negative effects of these misalignments, but also enables prosthetic fitting with less margin of error in near-normal deformities. In other words, the prosthesis is “personalized” in a way by applying it in the most appropriate way to the characteristics of the individual.
“ROBOT MAKES HARMONY BETWEEN TISSUE AND BONE”
Pointing out that the main effect of robotic surgery in operations is smoother incision and planning, Prof. Dr. Bomber continued:
“As we create the knee joint during surgery, we remove the damaged parts of the joint by cutting at certain angles and amounts on the joint surfaces. Every millimeter and degree of cut is important when removing these damaged joint parts. These degrees can vary depending on the patient’s knee damage and the patient’s structure. In patients who need a prosthesis but arrive too late, soft tissue damage occurs over time due to misalignment and pressure disorders. These damages are the conditions to be taken into account during prosthetic construction. When we calculate the said soft tissue differences or problems using the robot, it is possible to evaluate them more accurately. Here the robot promises us a more accurate measurement by ensuring the harmony between soft tissue and bone. Therefore, a better balance of soft tissue and bone, better alignment and outcome can be obtained in operations performed with robots.”
“PATIENTS CAN WALK ON THE 2ND OR 3RD DAY”
prof. Dr. Bombacı gave the following information about the postoperative period:
“The robot, which does the measurements itself, only makes as many incisions as necessary and has the operations performed. Because it causes less damage to healthy tissues, recovery and recovery of the patient in the postoperative period results in less pain. In fact, there is not much difference between a patient who has undergone robotic surgery in the postoperative period and a patient who has had standard prosthetic surgery done well. In both, the patient begins to bear weight after 1-2 days, but blood loss is less with robotic surgery and patient comfort is higher in the early postoperative period. This makes it easier for the patient to move. A better functional result can be achieved if the placement is close to perfect. After about 2 weeks the stitches are removed and after almost 3 weeks it is possible for the patients to return to social life.”
“THE PATIENT STATUS DETERMINES THE SURGICAL DECISION”
prof. Dr. Hasan Bombacı concluded his words as follows.
“Prosthetic surgery is an irreversible operation. The patient’s articular surfaces are completely removed and covered with a metal implant with polyethylene in between, but this implant also has a lifespan. Therefore, joint replacement operations are not preferred at a young age. The frequency of this surgery begins to increase after about 60-65 years. If the person has a rheumatic disease or has had a severe fracture in the knee and the knee joint is severely damaged, prosthetic surgery may be required at a young age. These are usually patients with osteoarthritis that has reached the final stage. Prosthetic surgery is a very pleasant treatment method that promises these patients a more comfortable life and allows them to quickly return to social life.