Robotic technology has been making significant strides in the world of medicine, and knee surgery is no exception. A recent study published in Arthroplasty Today highlights the numerous benefits of using robotic assistance in knee replacement surgeries. These benefits ultimately lead to lower complication rates and improved patient outcomes.

Study into robotic-assisted surgeries

Researchers analysed data from over 45,000 total knee arthroplasty (TKA) procedures, comparing patients who underwent robotic-assisted surgeries and those who had conventional surgeries. The study focused on the first 90 days post-surgery, examining complications such as infections, blood clots, and dislocations.

According to the study, patients who underwent knee replacement surgery with robotic assistance experienced a complication rate of just 1.5%. In contrast, the complication rate for those who had traditional surgery was notably higher at 2.6%. This reduction in complications can be attributed to the superior accuracy and minimally invasive nature of the robotic procedure, which can lead to faster recovery times and fewer postoperative issues.

The study also found that patients who received robotic-assisted surgery had a shorter length of hospital stay and a lower rate of readmission to the hospital within 90 days after surgery compared to those who had traditional surgery.

Why less complications after robotic knee surgery?

One of the primary advantages of robotic-assisted knee surgery is precision. The advanced technology allows surgeons to make more accurate cuts and alignments, which can greatly improve the longevity and functionality of the implant. This increased precision ultimately leads to a more natural-feeling knee for patients, enabling them to regain their mobility and independence.

Moreover, robotic-assisted surgery often results in less blood loss and reduced need for pain management. This is due to the fact that the technology allows for smaller incisions and reduced tissue damage. As a result, patients can experience a quicker recovery and return to their normal activities sooner than with traditional surgical methods.

Robotic technology also aids in the customisation of knee replacement procedures. Surgeons can utilise the advanced imaging capabilities to create a personalised surgical plan for each patient, taking into account their unique anatomy and specific needs. This level of customisation can lead to improved patient satisfaction and long-term success of the implant.

Find out more – book a consultation

In conclusion, the use of robotic technology in knee surgery offers multiple benefits, including increased precision, reduced complication rates, and a more personalised approach to treatment. As this technology continues to advance and become more widely adopted, patients undergoing knee replacement surgery can look forward to a more promising future in terms of recovery and long-term results.

Neil has performed more than 4000 knee replacements, including total and partial replacements, and specialises in all aspects of knee surgery. For those patients that are suitable, he offers Mako robotic arm assisted knee replacement surgery, providing a tailored surgical plan for improved accuracy and better results.

To find out whether you would benefit from robotic knee surgery, book a consultation by calling 07724 909 414.

Considering knee replacement surgery but unsure about the right time to do it? You’re not alone. Choosing the right time for knee replacement surgery is crucial for its success and your overall satisfaction.

Here, we look at factors such as age, overall health, and the severity of your knee condition, that all play a significant role in determining the optimal timing for this life-changing procedure.

Additionally, we’ll explore the longevity of knee implants and discuss a study published in the Lancet to help you make an informed decision.

Knee replacement surgery – factors to consider

When it comes to considering a knee replacement operation, several factors come into play. These are:

Severity of pain and mobility limitations

One of the most significant factors in deciding to undergo knee replacement surgery is the severity of pain and mobility limitations you are experiencing. For those with osteoarthritis, it can cause debilitating pain and significantly impact the quality of life. If conservative treatments like medications, physical therapy, and lifestyle changes have not alleviated your pain or improved your movement, it may be time to consider surgery.

Age and longevity of knee implants

While there is no specific age to undergo knee replacement surgery, age plays a crucial role in determining the longevity of knee implants. According to a study published in The Lancet, about 82% of total knee replacements and 70% of partial knee replacements last for 25 years. This information is of greater importance for younger patients, as they may require a revision surgery later in life if their implant wears out.

Overall health and surgical risks

Before opting for a knee replacement, it’s vital to assess your overall health and potential surgical risks.

As with any surgery, there are potential risks and complications. Common complications include infection, blood clots, and stiffness in the knee joint. However, advancements in surgical techniques and post-operative care have significantly reduced the likelihood of these complications.

Your surgeon will evaluate factors such as your weight, existing medical conditions, and history of prior surgeries to determine your suitability for knee replacement. Ensuring that you are in the best possible health before surgery can lead to a more successful outcome and faster recovery.

Benefits of knee replacement surgery

The most significant benefit of knee replacement surgery is the relief from pain allowing improved exercise tolerance and quality of life. Patients often experience increased mobility, allowing them to return to their daily activities and even participate in sports and recreational activities. Additionally, timely surgery can prevent further deterioration of the joint and surrounding tissues, leading to a better outcome and sometimes reducing the need for more extensive procedures in the future.

Call 07724 909 414 to book a consultation with Neil to make an informed decision on when to opt for knee replacement surgery.

Mr Neil Hunt is hosting a Sports Injuries of the Knee session on Thursday 25th May 2023 at 18:30 on behalf of Nuffield Leeds Hospital. Open to physiotherapists & associated professionals, he will be covering some common sports injuries that may present in primary care.

Topics to be covered will include the assessment and management of:

Ligament damage
Tendon injuries
Joint problems
Conservative management

This will be an in-person session at the Mercure Leeds Parkway Hotel with a buffet dinner from 18:30, with the talk to start at 19:00.

We hope you’re able to join us! Click here to book your free ticket for the event.

Last Monday, Neil was delighted to attend a patient info evening at Nuffield Health Leeds to introduce Mako robotic knee replacement to patients who have been experiencing the pain and lack of function associated with knee arthritis and who are contemplating a knee replacement. It’s estimated that almost 100,000 knee replacements are performed each year in the UK and Mako robotic arm assisted surgery represents an exciting technological innovation.

Robotic knee replacement event

Neil Hunt introduces robotic knee replacement LeedsAt the patient info evening, it was great to discuss the advantages of robotic arm assisted knee replacement over conventional surgery. It was also an opportunity to chat to the audience about the problems that they’ve been experiencing and how surgery could help. We were also able to carry out some mini-consultations with patients who are interested in proceeding with surgery.

The next free patient information event will be held this evening at the Nuffield Health Harrogate Fitness & Wellbeing Centre. Book a ticket to find out more about robotic-arm assisted hip and knee replacement surgery.

Or call 07724 909 414 to book a consultation with Neil to discuss your options.

According to data from the National Joint Registry, over 100,000 knee replacement procedures are performed annually in the UK. Typically, this represents approximately 89% of total knee replacements, 10% were partial knee replacements, and 1% were patellofemoral knee replacements.

Orthopaedic surgery techniques and technology have continually evolved over the decades, and it is believed that the most recent advances in robotic-assisted joint replacement have further improved patient safety and outcomes.

The Mako device does not replace the surgeon; the system’s robotic arm and state-of-the-art 3D software enable your knee surgeon to deliver greater precision and a bespoke procedure.

The first stage is the pre-surgery planning which is individualised for each patient. A CT scan of your knee is taken, from which a 3D virtual model of your joint is created. Neil will use this model to evaluate the degree of wear and tear, the alignment of your joint and the surrounding tissue and bone to determine the optimal placement and alignment of your new joint.

During surgery, constant real-time data is provided so your new joint can be assessed regarding movement and tension. Neil uses the robotic arm to remove precisely only the arthritic portions of bone and cartilage before the new implant is placed in the knee joint.

Robotic knee replacement benefits

Robotic-assisted surgery allows for greater precision, which means better joint alignment and less damage to healthy tissue. This results in smaller incisions and less scar tissue, reduced risk of infection and a faster recovery time. This superior precision means that there is less friction with the new joint, resulting in fewer complications in the future.

In a clinical study published in the Journal of Knee Surgery, Mako knee replacement patients that were surveyed six months after their operation reported lower pain scores than those who had undergone a conventional joint replacement. In the same study, they also reported better patient satisfaction scores.

What are the risks?

There is an increase in the operating time compared to traditional knee replacement surgery, but this is minimal. Robotic knee replacement has the same risks as conventional knee surgery, such as infection, ongoing pain and lack of function, or problems with the implant that requires further surgery, but it is hoped that robotic knee surgery will further reduce the chance of complications.

For more advice on the advantages and possible disadvantages, call 07724 909 414 to arrange a consultation with Mr Neil Hunt in his London, Leeds or York clinics.

With the London Marathon taking place on Sunday 23rd April, both amateur and professional runners will be gearing up for their longest training runs before starting off their marathon taper to allow their body to recover for race day.

However, you may be experiencing a dull, aching pain around or behind the kneecap that worsens when going downstairs, bending, kneeling or even after sitting for extended periods. The knee joint can feel tender and swollen to the touch and there may be a popping or grinding sensation. The knee can feel unstable.

Runner’s knee, known medically as patellofemoral pain syndrome or PFPS, is estimated to affect between 15 and 40% of all runners training for marathons.

The kneecap is held in place by the quadriceps tendon and patella tendon, and when the leg extends, the kneecap should retract smoothly into the femoral groove on the thigh bone. If it fails to do so, then it can be excruciating.

Common risk factors are long runs, inward rotating or pointed knees, tight or weak hips and glutes, excessive pronation, and overuse.

Another painful knee condition is iliotibial band syndrome, which is thought to affect 14% of runners. Pain is usually felt down the side of the knee.

The iliotibial band or IT band is a long tendon that runs from the glutes to the knee and helps stabilise the knee joint. If the IT band repeatedly rubs against the lower end of the thigh bone where it meets the knee, this can cause inflammation and pain.

Is runner’s knee surgery necessary?

The first step is to explore non-surgical intervention. Initially, this will be to avoid activities that are causing pain and follow the RICE protocol of rest, ice, compression, and elevation. Exercises that improve the flexibility and strength of your thigh muscle will be advised. Knee taping, a knee brace or orthotics may be prescribed.

If conventional treatment fails, runner’s knee surgery may entail realignment of the knee joint or arthroscopy to remove any damaged fragments in the knee joint.

For more advice on treating runner’s knee, call 07724 909 414 to arrange a consultation at Mr Neil Hunt’s knee clinic. Consultation and surgery are available in London, Leeds and York.

Osteoarthritis, caused by wear and tear, is the most common type of arthritis worldwide, and it’s estimated that it affects 10% of men and 18% of women over 60 years of age. The knee is the most commonly affected joint and one in five adults in the UK over 45 has sought treatment for knee arthritis.

Over 100,000 knee replacements are performed either privately or on the NHS each year to alleviate the pain and improve function in those with advanced knee osteoarthritis. Although increasing numbers of younger men and women are undergoing knee replacement surgery, the prosthesis may not last a lifetime, particularly in more active patients. They may require a repeat replacement at a later stage.

How does a knee osteotomy improve arthritis?

In some cases, the degeneration of the cartilage that covers the knee joint over time is caused by misalignment of the knee that puts more pressure on the inside of the joint.

In a 2021 study, Canadian orthopaedic surgeons found that 95% of patients who underwent a high tibial osteotomy do not go on to have a total knee replacement within five years, and 79% do not have a TKA within ten years. The strongest predictor of conversion to a total knee replacement was the degree of osteoarthritis at the time of the initial operation.

Knee osteotomy surgery has been performed since the nineteenth century and fell out of favour as knee replacement surgery evolved and improved. It entails either removing a wedge of bone or grafting a small piece of bone or bone-like substance into the tibia, which is the top part of the lower leg bone. This realigns the joint and distributes body weight more evenly, preventing further deterioration of cartilage while leaving the joint largely intact.

A knee osteotomy can often delay the need for a knee replacement and, for many patients, make it unnecessary. This makes it very advantageous for younger and very active older patients. If arthritis continues to progress, as the Canadian study noted, knee osteotomy does not negatively affect future knee replacement surgery.

Neil is a very experienced osteotomy surgeon and not only have the osteotomies he performs on patients relieved their pain but most of his patients have been able to avoid having to have a knee replacement as a consequence.

To find out if you’re a suitable candidate for a knee osteotomy, call 07724 909 414 to arrange a consultation with Neil.