Woman returns to ‘active, pain-free living’ after robotic surgery


2021-05-20 18:30:14 Roboticstrends


One patient’s journey to knee replacement: New Jersey woman returns to active, pain-free living after knee surgery with active robot technology by Think Surgical Available at Hackensack University Medical Center Think Surgical, an innovator in the field of orthopedic active robot surgery, commemorates National Arthritis Awareness Month, which is recognized throughout the month of May. According to the Centers for Disease Control and Prevention (CDC), arthritis is one of the most widespread health conditions in the United States, affecting about one in four adults or more than 54 million men and women. People like Eugenia Dziopa, who has always been an avid walker, enjoying daily strolls around her neighborhood in northern New Jersey. Two years ago, she began experiencing pain in her left knee from degenerative arthritis. “I noticed that I could not walk far anymore,” said Eugenia, who was 64 at the time. “I always loved to take walks, and it got to the point that I could not do that anymore. If I would go even half a block, or even from the parking lot at work, I would be in pain. That was my breaking point, and I knew I needed to see an orthopedic specialist.” Eugenia made an appointment with Yair D. Kissin, MD, the vice chair of Orthopedic Surgery at Hackensack University Medical Center (HUMC), a national leader in orthopedic care and robotic surgery, the same hospital where Eugenia currently works as a biorepository technologist. “The rule is when a person starts to see a decline in their function and the ability to do things that make them happy on a day-to-day basis, they should seek help,” said Dr Kissin. “There are non-operative means that we almost always try first. Initially, we did conservative treatments for Eugenia, including physical therapy followed by injections. In Eugenia’s case, those did not work.” “I didn’t know my knee joint was bone on bone and thought I would get physical therapy and it would get better,” recalls Eugenia. “It helped a bit, then I tried steroid injections. I had two of them and they gave me only temporary relief that lasted one day each time.” In January of 2020, Dr Kissin discussed surgical options with Eugenia, including new technology available at HUMC for total knee replacement procedures for patients who have bone-on-bone, or severe degenerative arthritis. The technology is called the TSolution One Total Knee Application by Think Surgical. FDA clearance Dr Kissin was one of five primary surgeons in the United States who participated in the Investigational Device Exemption (IDE) study, which provided the safety and efficacy data required for a 510(k) submission for the TSolution One Total Knee Application to the US Food and Drug Administration (FDA). The study included 115 patients, with 25 from Hackensack University Medical Center. Think Surgical received FDA 510(k) clearance in October of 2019. In early 2020, Hackensack University Medical Center became the first hospital in the nation to offer patients the TSolution One Total Knee Application. “The timing of it was impeccable,” recalls Dr Kissin. “About a week after Hackensack acquired the TSolution One Total Knee Application, I was looking for a good candidate. Because Eugenia had been a patient of mine for a while, I had a good relationship with her. “Also, at the time she worked at the Hackensack Meridian Health Center for Innovation and Discovery. I thought Eugenia is the right person to talk to about this technological advancement.” Active robot technology The TSolution One Total Knee Application consists of TPLAN, the 3D pre-surgical planning workstation, and TCAT, the active robot. Pre-surgical planning allows the surgeon to design and prepare, in a virtual environment, the patient’s personalized joint replacement surgical plan. The active robot aids the surgeon in executing the preoperative surgical plan with automated, hands-free cutting and removal of the diseased bone and cartilage. The TSolution One Total Knee Application assists surgeons with optimal joint implant placement based on each patient’s unique anatomy. “I told Dr. Kissin I’d get back to him, since this was something new to me,” said Eugenia. “I spoke with colleagues and family members about it for their opinions and I did some research and concluded that the robot would provide precision bone cutting. So, I opted for surgery with the Think robot.” In February of 2020, Eugenia became the first patient in the country to have a total knee replacement with the TSolution One Total Knee Application after it became commercially available. “There were no issues whatsoever and everything went really well,” recalls Dr Kissin. “Eugenia was in the hospital two nights. “By two weeks she came back for a post-op visit, doing PT and she was already at 90-degree motion. When she saw me at three months, she was at 120 degrees of motion which is normal, and not taking any pain meds or using a cane.” Dr Kissin has performed nearly 60 TKA joint replacement procedures with Think’s TSolution One Total Knee Application, which is the only commercially available active robot system for total knee replacement that supports an open implant library, giving surgeons a choice of implant options based upon each patient’s individual needs. “Participating in the IDE study for Think changed how I look at knee replacement,” said Dr Kissin. “I have used other robotic-assisted devices, as well as manual instrumentation. “I am very impressed with the accuracy and precision of the TSolution One Total Knee Application, and I use the system in many of my procedures today. This is the future of orthopedic surgery and knee replacement. HUMC is ahead in doing it now.” Life after knee replacement In August of 2020, just six months after her total knee replacement, Eugenia said she was feeling like her old self before she had knee pain. “I am very happy I decided to have a total knee replacement and am thankful I had the option of robotic surgery,” said Eugenia. “Otherwise, I would just be sitting. I was in so much pain. There was truly no alternative. The addition of the robot gave me confidence that the procedure would be precise and accurate.” In February of 2021, Eugenia celebrated her one-year post-surgery milestone. “I can walk more than a mile around my neighborhood with no problems and the road is not flat,” said Eugenia. “I do a lot of walking while at work at the hospital and I have no issues. I also take the stairs at work now instead of the elevator for additional exercise. I can do everything I did before I had knee issues. “Also, my leg is nice and straight now. It had been curved because of the bone on bone. Today, I’m doing very well.” Eugenia says she is thankful that she made the decision to have the surgery because it has allowed her to enjoy family time again. “I have my normal life back. I have grandchildren and I can take walks with them. My life is so much better now than before knee replacement surgery.” Dr. Kissin could not be more pleased with Eugenia’s outcome, and how she was the first patient in the nation to have a total knee replacement with the TSolution One Total Knee Application after FDA clearance. “In 10 years, as everyone gets a robotic knee replacement, Eugenia will likely be thinking that she was one of the first,” added Dr Kissin. Main image: Yair Kissin, MD, vice chair of Orthopedic Surgery at Hackensack University Medical Center in Hackensack, NJ (right) consults with his patient, Eugenia Dziopa. Eugenia was the first patient in the United States to have a total knee replacement with the TSolution One Total Knee Application after the active robot system received FDA clearance.
一位患者的膝关节置换之旅:新泽西州一位妇女通过哈肯萨克大学医学中心的Think Surgical提供的主动机器人技术进行膝关节手术后,恢复了积极、无痛苦的生活 Think Surgical是骨科主动机器人手术领域的创新者,纪念全国关节炎意识月,这个月在整个5月都得到认可。 据美国疾病控制和预防中心(CDC)称,关节炎是美国最普遍的健康状况之一,影响大约每四个成年人中就有一个,或超过5400万男性和女性。 Eugenia Dziopa就是这样的人,她一直是一个狂热的步行者,每天都喜欢在她位于新泽西州北部的社区散步。两年前,她的左膝开始因为退行性关节炎而疼痛。 “我注意到我再也走不远了,”当时64岁的尤金妮亚说。“我一直喜欢散步,但到了我再也不能这样做的地步。如果我去半个街区,甚至从停车场上班,我会很痛苦。这是我的崩溃点,我知道我需要看一个骨科专家。“ Eugenia与Yair D.Kissin医学博士进行了预约,他是Hackensack大学医学中心(HUMC)骨科外科副主任,是骨科护理和机器人外科领域的全国领先者,Eugenia目前在这家医院担任生物材料库技术专家。 Kissin博士说:“规则是,当一个人开始发现自己的功能和做日常快乐事情的能力下降时,他们就应该寻求帮助。” “有一些非手术手段,我们几乎总是先尝试。最初,我们对Eugenia进行了保守治疗,包括物理治疗和注射。在尤金妮亚的例子中,这些方法并不奏效。“ Eugenia回忆说:“我不知道我的膝关节是骨对骨的,我以为我可以接受物理治疗,它会好起来的。”“它有一点帮助,然后我尝试类固醇注射。我有两个,他们只给我暂时的缓解,每次持续一天,“ 2020年1月,Kissin博士与Eugenia讨论了手术选择,包括HUMC为骨对骨或严重退行性关节炎患者进行全膝关节置换的新技术。这项技术被Think Surgical称为TSolution One全膝应用程序。 FDA许可 Kissin博士是美国五位主要外科医生之一,他们参与了设备豁免调查(IDE)研究,该研究为美国食品药品管理局(FDA)的TSolution one全膝申请提供了510(k)提交所需的安全性和有效性数据。 该研究包括115名患者,其中25名来自哈肯萨克大学医学中心。 Think Surgical于2019年10月获得FDA 510(k)批准。2020年初,哈肯萨克大学医学中心成为全国首家向患者提供TSolution One全膝应用的医院。 Kissin博士回忆道:“它的时机是无懈可击的。”“大约在哈肯萨克获得TSolution One全膝应用程序一周后,我正在寻找一个好的候选人。因为Eugenia曾经是我的病人一段时间,我和她的关系很好。 “同时,她在哈肯萨克子午线健康中心工作,以创新和发现。我认为尤金妮娅是谈论这一技术进步的合适人选。“ 主动机器人技术 TSolution One Total Knee应用程序由TPLAN(三维手术前计划工作站)和TCAT(主动机器人)组成。手术前计划允许外科医生在虚拟环境中设计和准备患者的个性化关节置换手术计划。 主动机器人辅助外科医生执行术前手术计划,自动、免手切割和去除病变的骨和软骨。TSolution One全膝应用程序根据每个患者的独特解剖结构帮助外科医生进行最佳的关节植入安置。 “我告诉Kissin医生我会回去找他,因为这对我来说是新的东西,”Eugenia说。“我与同事和家人讨论了这件事,征求了他们的意见,我做了一些研究,得出的结论是机器人可以提供精确的骨骼切割。”所以,我选择了用Think机器人做手术。“ 2020年2月,Eugenia成为国内首位使用TSolution One全膝关节应用程序进行全膝关节置换的患者,该应用程序已商业化。 “没有任何问题,一切都很顺利,”Kissin博士回忆道。“尤金妮娅在医院住了两个晚上。 “两周后,她回来做手术后的检查,做PT,她已经90度运动了。当她三个月大的时候看到我的时候,她的活动度是120度,这是正常的,而且没有吃任何止痛药,也没有使用手杖。“ Kissin博士已经使用Think的TSolution One全膝关节应用程序进行了近60次TKA关节置换手术,这是唯一一个支持开放植入物库的全膝关节置换商用主动机器人系统,为外科医生提供了基于每个患者个人需求的植入物选项选择。 Kissin博士说:“参加IDE为Think做的研究改变了我对膝关节置换的看法。”“我使用了其他机器人辅助设备,以及手动仪器。 “我对TSolution One全膝应用程序的准确性和精确性印象深刻,我今天在很多程序中都使用了该系统。这就是骨科手术和膝关节置换术的未来。HUMC在这方面走在了前面。“ 膝关节置换术后生活 2020年8月,就在她的全膝关节置换术后的六个月,尤金妮娅说她感觉就像膝盖疼痛之前的自己一样。 “我很高兴我决定做一个全膝关节置换手术,也很感谢我能选择机器人手术,”尤金妮亚说。“要不然,我就只能坐着了。我当时很痛苦。实在是别无选择。机器人的加入给了我信心,让我相信手术会很精确,“ 2021年2月,Eugenia庆祝了她术后一年的里程碑。 “我可以在我的邻居周围走一英里多,没有任何问题,道路也不平坦,”Eugenia说。“我在医院工作的时候经常散步,我没有任何问题。我现在上班时也走楼梯,而不是乘电梯,以增加锻炼。我可以做我膝盖问题之前做的一切。 “还有,我的腿现在又好又直了。它是弯曲的,因为骨头上的骨头。今天,我做得很好。“ Eugenia说她很感激自己做了手术的决定,因为手术让她再次享受家庭时光。 “我恢复了正常生活。我有孙子孙女,我可以和他们一起散步。我现在的生活比做膝关节置换手术前好多了。“ Kissin医生对Eugenia的结果非常满意,她是美国第一个在FDA批准后使用TSolution One全膝关节置换术的患者。 Kissin博士补充说:“10年后,当每个人都接受机器人膝关节置换手术时,Eugenia可能会认为自己是第一批接受置换手术的人之一。” 主要图片:医学博士Yair Kissin,位于新泽西州哈肯萨克的哈肯萨克大学医学中心的骨科手术副主席(右)和他的病人Eugenia Dziopa会诊。Eugenia是美国第一个在主动机器人系统获得FDA许可后,用TSolution One全膝应用程序进行全膝置换的患者。