Novel application of an imageless robotic system in simultaneous unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction
This technical note explores the novel use of an imageless robotic surgical system for simultaneous unicompartmental knee arthroplasty (UKA) and anterior cruciate ligament reconstruction (ACLR). Knee osteoarthritis (OA) and anterior cruciate ligament (ACL) insufficiency are common conditions that tr...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-01-01
|
| Series: | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214687324000311 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832591809024360448 |
|---|---|
| author | Joshua Yeuk Shun Tran Rex Wang-Fung Mak Kevin Ki-Wai Ho Jonathan Patrick Ng Cham Kit Wong Gloria Yan-Ting Lam Tsz Lung Choi Michael Tim-Yun Ong Patrick Shu-Hang Yung |
| author_facet | Joshua Yeuk Shun Tran Rex Wang-Fung Mak Kevin Ki-Wai Ho Jonathan Patrick Ng Cham Kit Wong Gloria Yan-Ting Lam Tsz Lung Choi Michael Tim-Yun Ong Patrick Shu-Hang Yung |
| author_sort | Joshua Yeuk Shun Tran |
| collection | DOAJ |
| description | This technical note explores the novel use of an imageless robotic surgical system for simultaneous unicompartmental knee arthroplasty (UKA) and anterior cruciate ligament reconstruction (ACLR). Knee osteoarthritis (OA) and anterior cruciate ligament (ACL) insufficiency are common conditions that traditionally require separate management. The integration of robotic assistance offers enhanced precision in surgical procedures, addressing both medial compartment OA and ACL insufficiency in a single operation.We present a case involving a 47-year-old patient with medial compartment osteoarthritis and complete ACL rupture. The patient underwent a simultaneous robotic-assisted UKA and ACLR using the CORI Surgical System (Smith&Nephew, London, UK). This approach enables accurate tibial tunnel placement and precise soft tissue balancing. The robotic system facilitates real-time gap assessment and balancing, reducing the risk of over- or under-constraint during ACL graft tensioning.The procedure was performed with a standard medial parapatellar approach. Key steps included hamstring autograft harvesting, femoral and tibial tunnel creation, and robotic-assisted implant positioning. Post-operative rehabilitation allowed full weight-bearing by the third week.This case represents the first reported instance of using an imageless robotic system for simultaneous UKA and ACLR, highlighting its potential to standardize and improve results in complex knee surgeries.This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. |
| format | Article |
| id | doaj-art-efb9dbe81ed849909a8ee3e903906fdd |
| institution | Kabale University |
| issn | 2214-6873 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology |
| spelling | doaj-art-efb9dbe81ed849909a8ee3e903906fdd2025-01-22T05:42:27ZengElsevierAsia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology2214-68732025-01-01393740Novel application of an imageless robotic system in simultaneous unicompartmental knee arthroplasty and anterior cruciate ligament reconstructionJoshua Yeuk Shun Tran0Rex Wang-Fung Mak1Kevin Ki-Wai Ho2Jonathan Patrick Ng3Cham Kit Wong4Gloria Yan-Ting Lam5Tsz Lung Choi6Michael Tim-Yun Ong7Patrick Shu-Hang Yung8Chinese University of Hong Kong, Hong Kong SAR, ChinaPrince of Wales Hospital, Hong Kong SAR, ChinaChinese University of Hong Kong, Hong Kong SAR, China; CUHK Medical Centre, Hong Kong SAR, ChinaPrince of Wales Hospital, Hong Kong SAR, ChinaAlice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, ChinaAlice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, ChinaAlice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, ChinaChinese University of Hong Kong, Hong Kong SAR, China; CUHK Medical Centre, Hong Kong SAR, China; Corresponding author. Department of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Rm 74034, 5/F, Lui Che Woo Clinical Sciences Building, Prince of Wales Hospital, Shatin, Hong Kong.Chinese University of Hong Kong, Hong Kong SAR, China; CUHK Medical Centre, Hong Kong SAR, ChinaThis technical note explores the novel use of an imageless robotic surgical system for simultaneous unicompartmental knee arthroplasty (UKA) and anterior cruciate ligament reconstruction (ACLR). Knee osteoarthritis (OA) and anterior cruciate ligament (ACL) insufficiency are common conditions that traditionally require separate management. The integration of robotic assistance offers enhanced precision in surgical procedures, addressing both medial compartment OA and ACL insufficiency in a single operation.We present a case involving a 47-year-old patient with medial compartment osteoarthritis and complete ACL rupture. The patient underwent a simultaneous robotic-assisted UKA and ACLR using the CORI Surgical System (Smith&Nephew, London, UK). This approach enables accurate tibial tunnel placement and precise soft tissue balancing. The robotic system facilitates real-time gap assessment and balancing, reducing the risk of over- or under-constraint during ACL graft tensioning.The procedure was performed with a standard medial parapatellar approach. Key steps included hamstring autograft harvesting, femoral and tibial tunnel creation, and robotic-assisted implant positioning. Post-operative rehabilitation allowed full weight-bearing by the third week.This case represents the first reported instance of using an imageless robotic system for simultaneous UKA and ACLR, highlighting its potential to standardize and improve results in complex knee surgeries.This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.http://www.sciencedirect.com/science/article/pii/S2214687324000311Anterior cruciate ligament reconstructionKnee instabilityOsteoarthritisRobotic surgeryUnicompartmental knee arthroplasty |
| spellingShingle | Joshua Yeuk Shun Tran Rex Wang-Fung Mak Kevin Ki-Wai Ho Jonathan Patrick Ng Cham Kit Wong Gloria Yan-Ting Lam Tsz Lung Choi Michael Tim-Yun Ong Patrick Shu-Hang Yung Novel application of an imageless robotic system in simultaneous unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology Anterior cruciate ligament reconstruction Knee instability Osteoarthritis Robotic surgery Unicompartmental knee arthroplasty |
| title | Novel application of an imageless robotic system in simultaneous unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction |
| title_full | Novel application of an imageless robotic system in simultaneous unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction |
| title_fullStr | Novel application of an imageless robotic system in simultaneous unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction |
| title_full_unstemmed | Novel application of an imageless robotic system in simultaneous unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction |
| title_short | Novel application of an imageless robotic system in simultaneous unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction |
| title_sort | novel application of an imageless robotic system in simultaneous unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction |
| topic | Anterior cruciate ligament reconstruction Knee instability Osteoarthritis Robotic surgery Unicompartmental knee arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S2214687324000311 |
| work_keys_str_mv | AT joshuayeukshuntran novelapplicationofanimagelessroboticsysteminsimultaneousunicompartmentalkneearthroplastyandanteriorcruciateligamentreconstruction AT rexwangfungmak novelapplicationofanimagelessroboticsysteminsimultaneousunicompartmentalkneearthroplastyandanteriorcruciateligamentreconstruction AT kevinkiwaiho novelapplicationofanimagelessroboticsysteminsimultaneousunicompartmentalkneearthroplastyandanteriorcruciateligamentreconstruction AT jonathanpatrickng novelapplicationofanimagelessroboticsysteminsimultaneousunicompartmentalkneearthroplastyandanteriorcruciateligamentreconstruction AT chamkitwong novelapplicationofanimagelessroboticsysteminsimultaneousunicompartmentalkneearthroplastyandanteriorcruciateligamentreconstruction AT gloriayantinglam novelapplicationofanimagelessroboticsysteminsimultaneousunicompartmentalkneearthroplastyandanteriorcruciateligamentreconstruction AT tszlungchoi novelapplicationofanimagelessroboticsysteminsimultaneousunicompartmentalkneearthroplastyandanteriorcruciateligamentreconstruction AT michaeltimyunong novelapplicationofanimagelessroboticsysteminsimultaneousunicompartmentalkneearthroplastyandanteriorcruciateligamentreconstruction AT patrickshuhangyung novelapplicationofanimagelessroboticsysteminsimultaneousunicompartmentalkneearthroplastyandanteriorcruciateligamentreconstruction |