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13:45 - 14:30
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Symposium
Image-based vs. Imageless Robotic TKA
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Chair:
James Chow, MD UNITED STATES
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Co-Chair:
Peter James McEwen, MBBS FRACS(Orth) FAOrthA DIpModLang AUSTRALIA
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Rafael Calvo, MD CHILE
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David H. Figueroa, MD CHILE
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Andrew D. Pearle, MD UNITED STATES
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Justin P. Roe, MB BS BSc(Med) Hons, A/Prof. AUSTRALIA
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Understand the differences and potential benefits and drawbacks of different methods of robotic TKA.
Pros of image based.
- detailed understanding of 3D anatomy
- precise virtual implant position (critical for personalised alignment)
- OR efficiency
- big data set
Cons of image based
- cost
- scheduling / travel
- radiation
- rejected scans
Image based -CT / MR / Xray 2d-3d
Don't forget sagittal and coronal planes -alternative alignment makes the coronal plane very simple. Often the most complex cases are those with extreme sagittal or axial anatomy (huge tibial slope, severe aspect ratio mismatch for the distal femur, aberrant tuberosity location). These are the cases that I find image based most useful for
If imaged based who is doing the planning? Rep, app, surgeon,AI. Who should be doing the planning?
We should definitely have case based discussions and leave room for question time.
topics.
The switch to patient specific alignment and the power of image based robotics (DF)
Image based robotics for complex primary TKA (RC)
What makes a primary TKA complex? Beyond the coronal plane (AP)
Pre-operative imaging, big data and smart robots
Understanding pre-arthritic anatomy and maintaining morphotype (JR)
My robot does it all. Customising care. (JC or PM)
Case based discussion (JC or PM)
UKA v TKA: Are they the same in term of utility of image based (we may not have time to cover this)
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13:45
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Welcome
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James Chow, MD UNITED STATES
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13:47
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Understanding pre-arthritic anatomy and maintaining morphotype
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Justin P. Roe, MB BS BSc(Med) Hons, A/Prof. AUSTRALIA
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13:53
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The switch to patient specific alignment and the power of image based robotics
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David H. Figueroa, MD CHILE
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13:59
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What makes a primary TKA complex. Image based robotics for complex primary TKA
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Rafael Calvo, MD CHILE
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14:05
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Medial and lateral UKA are not the same. Lessons from image based robotics
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Andrew D. Pearle, MD UNITED STATES
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14:11
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Pre-operative imaging, big data and smart robots
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Peter James McEwen, MBBS FRACS(Orth) FAOrthA DIpModLang AUSTRALIA
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14:17
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My robot does it all. Customising care
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James Chow, MD UNITED STATES
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14:23
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Discussion
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14:30 - 15:00
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Knee Arthroplasty Papers
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Moderator:
Umile Giuseppe Longo, MD, MSc, PhD, Prof. ITALY
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Moderator:
Simon W. Young, MD, FRACS NEW ZEALAND
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14:30
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Ten Year Follow Up of a Multicentre Randomised Controlled Trial Assessing Clinical and Cost Effectiveness of Total Versus Partial Knee Replacement (TOPKAT)
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David J. Beard, MA, MSc, DPhil, FBOA(Hon) FRCS(Hon), Prof. UNITED KINGDOM
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14:35
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Intraosseous Regional Diclofenac for Post-op Pain Management in Total Knee Arthroplasty
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Jian-Sen Ng, MBChB NEW ZEALAND
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14:40
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Comparison of Post-operative Range of Motion in Total Knee Arthroplasty Between Patients Prescribed Eliquis Versus Aspirin
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Grant J. Dornan, MS UNITED STATES
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14:45
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Precision and Accuracy of Polyethylene Thickness in Total Knee Arthroplasty: A Comparison Between Conventional and Robotic Assisted Techniques
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Kory B. Dylan Pasko, BS UNITED STATES
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14:50
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Comparison of Intraoperative Soft-tissue Balance and Rotational Kinematics in Robotic Assisted Functional Alignment Versus Navigation Assisted Mechanical Alignment in Total Knee Arthroplasty
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Ryota Yamagami, MD JAPAN
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14:55
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Discussion
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15:00 - 15:15
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Debate
Does Robotic Surgery Improve Outcomes?
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Chair:
David A. Parker, MBBS, BMedSc, FRACS AUSTRALIA
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Nicolaas C. Budhiparama, MD, PhD (LUMC, NL), PhD (UGM, ID), FICS, Prof. INDONESIA
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Mark G. Clatworthy, FRACS NEW ZEALAND
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To provide the audience with balanced perspectives ( for and against ) as to whether or not use of robotic surgery actually improves patient outcomes, in order to provide guidance as to the merits of using robotic surgery for knee replacement.
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