Dr Karl Dom 27-28 Mei cursus robotics in knie en heupprothesen te Munchen.
Innovations in Hip
and Knee
Arthroplasty
Group Vitaz St Niklaas
Munich Academy
Visitation
S+N Academy Munich is another addition to our global network of 9 Academies, across
3 continents, providing healthcare professionals with the opportunity to learn new
clinical techniques and ensure the safe and effective use of our technologies.
Academy Munich was born out of the desire to create a hub that not only drives the
development of cutting-edge medical technology, but also provides another European
base for ongoing medical education and training. We believe that innovation, excellence
and education go hand in hand, and our centre will bring together the brightest minds in
surgery to collaborate, learn, and push the boundaries of what is possible.
upporting our purpose of Life Unlimited, the Academy is
designed to be a regional hub for healthcare professionals,
industry partners, and innovators from across Europe to
come together to collaborate, push boundaries, and
create new ideas. It is complete with state-of-the-art
equipment and solutions, such as a Digital OR and a
Simulation and VR training room, to support medical
education and innovation of the next era.
Breakthroughs in surgical techniques, robotics, and
innovative materials are creating huge opportunities
to evolve what’s possible in healthcare, and as such,
Academy Munich is committed to delivering over 180
medical education days a year, training up to 5.000
surgeons a year with various on-site courses.
The Academy is a further iteration of our global
commitment and continued investment in developing
breakthrough technologies, training the healthcare
professionals who will shape the future of care, and
gathering the vital clinical evidence, that will help drive
our growth.
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Course Description
Our course has been crafted for surgeons aiming to delve into the intricacies of
available implants and systems offered by Smith & Nephew. Led by experienced
faculty, sessions will navigate through the practical aspects of the surgical workflow,
encompassing setup, registration, planning, and execution, particularly emphasizing the
integration of robotics into daily practice. Concurrently, surgeons will gain insights into
the array of available implant systems. Upon course completion, surgeons will possess
the necessary skills and knowledge to adeptly utilize Smith & Nephew's advanced
innovative implants, thereby improving procedural precision and patient outcomes in
their clinical practice.
Course Objectives
• Gain insights into the various implant systems offered by Smith & Nephew for total
knee and hip replacement surgeries.
• Learn the practical aspects of the surgical workflow, including setup, registration,
planning, and execution, with a focus on integrating robotics where applicable.
• Develop the skills necessary to effectively utilize Smith & Nephew's advanced
implants in surgical procedures.
• Enhance procedural precision and optimize patient outcomes through the application
of acquired knowledge and skills in clinical practice.
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Preliminary Agenda
May 27th 2024
09:00-09:30 Welcome to S+N Academy Munich and site visit
09:30-10:45 Introduction to S+N Hip and Knee Portfolio
- Journey UK Design Rationale
- Legion Primary Knee system Design Rationale
- Polar R3 Total Hip system Design Rationale
- CORI & RI Insights Overview
10:45-12:00 PolarR3 Wetlab Workshop
12:00-13:00 Lunch
13:00-17:30 Robotics and Total Knee Replacement Instructional Training
o Exploring current challenges and considerations for Robotic
surgery
o CORI TKA a Systematic approach to Robotics assisted TKA
Set-up and Registration Workshop
TKA Planning Workshop
CORI TKA Execution Workshop
19:30 Course Dinner
May 28th 2024
08:00-12:00 Systematic Approach to CORI UKA
o How handheld robotics can address current UKA challenges
o UKA a systematic approach to robotic assisted surgery
CORI UKA Registration Workshop
CORI UKA Planning Workshop
CORI UKA Execution Workshop
12:00-12:45 Lunch
12:45-13:45 Real Intelligence and Robotics
13:45-14:30 Introduction to Hip 7 & Hip Modeler
14:30-14:45 Course Wrap up
Smith and Nephew Robotics GmbH
CLINICAL RESEARCH
Robotic-assisted TKA is Not Associated With Decreased Odds of Early Revision: An Analysis of the American Joint Replacement Registry
Kirchner, Gregory J. MD, MPH1; Stambough, Jeffrey B. MD2; Jimenez, Emily MPH3; Nikkel, Lucas E. MD4
Author Information
Clinical Orthopaedics and Related Research ():10.1097/CORR.0000000000002783, November 14, 2023. | DOI: 10.1097/CORR.0000000000002783
BUY
PAP
Metrics
Abstract
Background
Robotic-assisted TKA continues to see wider clinical use, despite limited knowledge of its impact on patient satisfaction and implant survival. Most studies to date have presented small cohorts and came from single-surgeon or single-center experiences. Therefore, a population-level comparison of revision rates between robotic-assisted and conventional TKA in the registry setting may help arthroplasty surgeons better define whether robotic assistance provides a meaningful advantage compared with the conventional technique.
Questions/purposes
(1) After controlling for confounding variables, such as surgeon, location of surgery, and patient comorbidity profile, were robotic-assisted TKAs less likely than conventional TKAs to result in revision for any reason at 2 years? (2) After again controlling for confounding variables, were robotic-assisted TKAs less likely to result in any specific reasons for revision than the conventional technique at 2 years?
Methods
The American Joint Replacement Registry was used to identify patients 65 years or older who underwent TKA between January 2017 and March 2020 with a minimum of 2 years of follow-up. Patients were limited to age 65 yeas or older to link TKAs to Medicare claims data. Two retrospective cohorts were created: robotic-assisted TKA and conventional TKA. Patient demographic variables included in the analysis were age, gender, BMI, and race. Additional characteristics included the Charlson comorbidity index, anesthesia type, year of the index procedure, and length of stay. A total of 10% (14,216 of 142,550) of TKAs performed during this study period used robotics. Patients with robotic-assisted TKA and those with conventional TKA were similar regarding age (73 ± 6 years versus 73 ± 6 years; p = 0.31) and gender (62% [8736 of 14,126] versus 62% [79,399 of 128,334] women; p = 0.34). A multivariable, mixed-effects logistic regression model was created to analyze the odds of all-cause revision as a factor of robot use, and a logistic regression model was created to investigate specific revision diagnoses.
Results
After controlling for potentially confounding variables, such as surgeon, location of surgery, and Charlson comorbidity index, we found no difference between the robotic-assisted and conventional TKAs in terms of the odds of revision at 2 years (OR of robotic-assisted versus conventional TKA 1.0 [95% CI 0.8 to 1.3]; p = 0.92). The reasons for revision of robotic-assisted TKA did not differ from those of conventional TKA, except for an increased odds of instability (OR 1.6 [95% CI 1.0 to 2.4]; p = 0.04) and pain (OR 2.1 [95% CI 1.4 to 3.0]; p < 0.001) in the robotic-assisted cohort.
Conclusion
In light of these findings, surgeons should not assume that robotic assistance in TKA will lead to improved early implant survival. Our findings do not support an improvement over conventional TKA with robotic assistance with regards to common causes of early revisions such malalignment, malposition, stiffness, pain, and instability, and in some cases, suggest there is a benefit to conventional TKA. Differences in the mid-term and long-term revision risk with conventional versus robotic-assisted TKA remain unknown. Appropriate informed consent around the use of robotic assistance should not imply decreased early revision risk.
Level of Evidence
Level III, therapeutic study.
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