Ortho Rhode Island Now Offering Robotic Technology in Total and Partial Joint Replacement at Ortho RI Surgery Center in Warwick

 

Ortho Rhode Island surgeon Dr. Robert Marchand performed a robotic-assisted total joint replacement at the Ortho RI Surgery Center in Warwick, the first procedure of its kind at a freestanding ambulatory surgery center in Rhode Island. For over a decade, Dr. Marchand and Ortho Rhode Island surgeons have pioneered the use of robotic-assisted technology for hip, knee, and spine procedures in the state, in partnership with South County Health. Innovative robotic technology allows surgeons to personalize total knee, partial knee, and total hip replacement procedures for each patient.

Dr. Marchand operated with Stryker’s Mako SmartRobotics™, which combines three key components – 3D CT-based planning, AccuStopTM haptic technology, and insightful data analytics – into one platform that has shown better outcomes for total knee, total hip, and partial knee patients.1-3

Mako Total Knee combines Stryker’s advanced robotic technology with its clinically successful Triathlon Total Knee System, which enables surgeons to have a more predictable surgical experience with increased precision and accuracy.4 In clinical studies, Mako Total Knee demonstrated the potential for patients to experience less pain, less need for opiate analgesics, less need for inpatient physical therapy, reduction in length of hospital stay, improved knee flexion, and greater soft tissue protection in comparison to manual techniques.5,6

“The Ortho RI Surgery Center offering robotics is a key demonstration of Ortho Rhode Island’s commitment to provide the community with outstanding healthcare, and we are proud to continue to be at the forefront of innovation and technology,” said Michael P. Bradley, President and CEO of Ortho Rhode Island.

Patients medically eligible for outpatient total joint procedures at the Ortho RI Surgery Center return home the same day as their surgery, while more complex inpatient robotics cases are performed by Ortho Rhode Island surgeons at local community hospitals, including South County Health.

Dr. Marchand has performed thousands of robotic-assisted joint replacement surgeries with Stryker’s technology, and uses his expertise to teach surgeons around the globe how to implement this state-of-the-art innovation.

Learn more about Dr. Marchand and the Ortho RI Surgery Center.

IMPORTANT INFORMATION:
Hip & Knee Replacements Hip joint replacement is intended for use in individuals with joint disease resulting from degenerative and rheumatoid arthritis, avascular necrosis, fracture of the neck of the femur or functional deformity of the hip.

Knee joint replacement is intended for use in individuals with joint disease resulting from degenerative, rheumatoid and post-traumatic arthritis, and for moderate deformity of the knee.

Joint replacement surgery is not appropriate for patients with certain types of infections, any mental or neuromuscular disorder which would create an unacceptable risk of prosthesis instability, prosthesis fixation failure or complications in postoperative care, compromised bone stock, skeletal immaturity, severe instability of the joint, or excessive body weight.

Like any surgery, joint replacement surgery has serious risks which include, but are not limited to, pain, infection, bone fracture, change in the treated leg length (hip), joint stiffness, hip joint fusion, amputation, peripheral neuropathies (nerve damage), circulatory compromise (including deep vein thrombosis (blood clots in the legs)), genitourinary disorders (including kidney failure), gastrointestinal disorders (including paralytic ileus (loss of intestinal digestive movement)), vascular disorders (including thrombus (blood clots), blood loss, or changes in blood pressure or heart rhythm), bronchopulmonary disorders (including emboli, stroke or pneumonia), heart attack, and death.

Implant related risks which may lead to a revision of the implant include dislocation, loosening, fracture, nerve damage, heterotopic bone formation (abnormal bone growth in tissue), wear of the implant, metal and/or foreign body sensitivity, soft tissue imbalance, osteolysis (localized progressive bone loss), audible sounds during motion, and reaction to particle debris. Hip and knee implants may not provide the same feel or performance characteristics experienced with a normal healthy joint.

The information presented is for educational purposes only. Speak to your doctor to decide if joint replacement surgery is appropriate for you. Individual results vary and not all patients will return to the same activity level. The lifetime of any joint replacement is limited and depends on several factors like patient weight and activity level. Your doctor will counsel you about strategies to potentially prolong the lifetime of the device, including avoiding highimpact activities, such as running, as well as maintaining a healthy weight. It is important to closely follow your doctor’s instructions regarding post-surgery activity, treatment and follow-up care. Ask your doctor if a joint replacement is right for you.

Stryker Corporation or its other divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: AccuStop, Mako, SmartRobotics, Stryker. All other trademarks are trademarks of their respected owners or holders.

References:

  • 1. Illgen RL Nd, Bukowski BR, Abiola R, et al. Robotic-assisted total hip arthroplasty: outcomes at minimum two-year follow-up. Surg Technol Int. 2017;30:365-372.
  • 2. Kayani B, Konan S, Tahmassebi J, Pietrzak JRT, Haddad FS. Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study. Bone Joint J. 2018;100-B(7):930-937. doi:10.1302/0301-620X.100B7.BJJ-2017-1449.R1
  • 3. Kleeblad LJ, Borus TA, Coon TM, Dounchis J, Nguyen JT, Pearle AD. Midterm survivorship and patient satisfaction of robotic-arm-assisted medial unicompartmental knee arthroplasty: a multicenter study. J Arthroplasty. 2018;33(6):1719-1726. doi:10.1016/j.arth.2018.01.036
  • 4. Mahoney O, Kinsey T, Mont M, Hozack W, Orozco F, Chen A. Can computer generated 3D bone models improve the accuracy of total knee component placement compared to manual instrumentation? A prospective multi-center evaluation. Poster presented at: 32nd Annual Congress of the International Society for Technology in Arthroplasty (ISTA); October 2-5, 2019; Toronto, Canada.
  • 5. Kayani B, Konan S, Pietrzak JRT, Haddad FS. Iatrogenic bone and soft tissue trauma in robotic-arm assisted total knee arthroplasty compared with conventional jig-based total knee arthroplasty: a prospective cohort study and validation of a new classification system. J Arthroplasty. 2018;33(8):2496-2501. doi:10.1016/j. arth.2018.03.042
  • 6. Kayani B, Konan S, Tahmassebi J, Pietrzak JRT, Haddad FS. Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study. Bone Joint J. 2018;100-B(7):930-937. doi:10.1302/0301-620X.100B7.BJJ-2017-1449.R1