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World's First Robotic-Assisted Cementless Medial Pivot Knee Replacement Starts in Max Super Speciality Hospital, Saket
World's First Robotic-Assisted Cementless Medial Pivot Knee Replacement Starts in Max Super Speciality Hospital, Saket

Hans India

time2 days ago

  • Health
  • Hans India

World's First Robotic-Assisted Cementless Medial Pivot Knee Replacement Starts in Max Super Speciality Hospital, Saket

Max Super Speciality Hospital, Saket, performed the World's First Robot-Assisted Cementless Medial Pivot Knee Replacement on a 54-year-old man resident of Dhanbad, Jharkhand. The patient had been suffering from debilitating knee pain for over eight years and was diagnosed with advanced osteoarthritis in both knees, along with complex deformities such as varus (bow-legged) and flexion (bent knee). Given his condition and the need for a long-lasting, high-performance outcome, a team of experts led by Dr. Sujoy Bhattacharjee, Chairman, Max Institute of Robotic Joint Replacement, performed this first in the world, advanced surgery to restore mobility with a more natural joint feel and faster recovery potential. Unlike traditional cemented implants, this cementless procedure allows the bone to naturally grow around the implant, improving durability and long-term integration. The implant's single-radius, cruciate-retaining design closely mimics the natural movement of the human knee, enhancing joint stability, stair mobility, and overall patient satisfaction. Paired with the CUVIS robotic system, the procedure ensured optimal alignment, precise placement, and a recovery plan tailored to the patient's biomechanics. This approach not only improves long-term joint function but also facilitates faster recovery, enabling patients to resume daily activities with greater confidence and less pain. Commenting on the case, Dr. Sujoy Bhattacharjee, Chairman, Max Institute of Robotic Joint Replacement, said, 'We are proud to lead a global-first procedure that redefines the future of joint replacement—right here in India at Max Hospital, Saket. This patient had been living with debilitating knee deformities for years, which had significantly impacted his mobility and quality of life. Despite taking treatment at local hospitals in Dhanbad, his condition was not improving and was deteriorating to the extent where he was taking support from his family members to walk even the closest distance. To witness his recovery and renewed confidence within days of surgery is deeply fulfilling to the entire team. This landmark case is a testament to what is possible when cutting-edge technology, like robotic precision and the cementless Medial Pivot CR implant, is combined with patient-centred clinical excellence. It signals India's growing leadership in high-end, outcomes-driven orthopaedic care.' In another case, Dr Sujoy also treated a 57-year-old working professional from Jharkhand, who had been suffering from persistent pain and walking difficulty for over four years due to a Varus Deformity (bow-legged condition) of the left knee. Dr Sujoy performed a cemented total knee replacement using the Gold Medial Pivot Cruciate-Retaining implant, assisted by the CUVIS robotic system for this case. This advanced titanium-niobium-nitrate- coated implant offered a superior wear resistance and enhanced biocompatibility, leading to improved long-term outcomes and patient satisfaction. The successful treatment further reinforces Max Healthcare Saket's expertise in advanced implant technology and its leadership in next-generation orthopaedics.

India's 1st robot-assisted cementless knee replacement at Delhi hospital. What sets the procedure apart
India's 1st robot-assisted cementless knee replacement at Delhi hospital. What sets the procedure apart

The Print

time2 days ago

  • Health
  • The Print

India's 1st robot-assisted cementless knee replacement at Delhi hospital. What sets the procedure apart

Led by Dr Sujoy Bhattacharjee, chairman of the Max Institute of Robotic Joint Replacement, the surgical team opted for a cementless implant, using the CUVIS robotic system for precise alignment and placement of the implant, tailored to the patient's unique anatomy. 'We use markers and trackers to guide the robot during surgery,' Dr Bhattacharjee told media persons Wednesday. The procedure was performed Monday on a 54-year-old patient from Jharkhand suffering from advanced osteoarthritis and severe knee deformities such as bow-leggedness (varus) and restricted knee extension (flexion). New Delhi: Doctors at the Max Super Speciality Hospital in Delhi's Saket have successfully performed the country's first robot-assisted cementless medial pivot knee replacement, marking a major milestone for joint replacement surgery in India. He said that the goal was not just to replace the knee, but to preserve key structures, especially ligaments, including the posterior cruciate ligament, which plays a critical role in knee stability. A robot-assisted cementless medial pivot knee replacement is an advanced surgical technique that combines precision robotics with an implant design that closely replicates the natural movement of the human knee. Unlike traditional knee replacements that use bone cement to fix the implant, the cementless approach enables the patient's natural bone to grow into the implant, enhancing long-term stability and durability. This combination of robotic precision, cementless fixation and anatomical design results in faster recovery, reduced post-operative pain, and improved overall joint function. Dr Bhattacharjee demonstrated how a normal knee consists of three bones working in coordination—the upper, lower and the kneecap—with movement supported by two main ligaments, the anterior and posterior cruciate. In traditional surgeries, the implant is fixed using bone cement, but in this case, they opted for a cementless implant made of titanium, which allows the bone to grow naturally into the surface. Using real-time data from the Optical Tracking System (OTS), the surgical team monitored the 'gap', the space between the implant and bone, at every angle of knee movement, whether sitting or standing. Dr Bhattacharjee explained that they first place a trial implant to assess alignment and mobility, and proceed with the final implant only after confirming that the gaps remain consistent at all angles. 'That's the beauty of robotic surgery; it's precise, evidence-based and fully trackable,' he said, noting that post-operative mobility in the patient's leg was excellent, with a smooth range of motion. Doctors at Max claimed that theirs was the world's first robot-assisted cementless medial pivot knee replacement. However, in June 2022, Smith+Nephew, a global medical technology company, had already performed what was widely reported as the world's first robot-assisted cement-free total knee replacement. On 30 June that year, Dr Cyna Khalily in Louisville, Kentucky, used the LEGION CONCELOC cementless implant in combination with the CORI surgical robot for the procedure. The surgery eliminated the need for bone cement and employed a handheld robotic tool to precisely prepare the bone. Dr Bhattacharya clarified that the distinction lay in the type of robotic system used. The CORI system in the 2022 surgery, he said, was a passive robot controlled and guided manually by the surgeon. In contrast, the system used in the Max procedure was an active robot, capable of independently executing pre-programmed movements, which, according to him, sets it apart as a global first of its kind. Also Read: In battle for Indian anti-obesity market, Eli Lilly's pre-filled pen on one side, Novo Nordisk's on other Faster recovery, less chance of loosening Highlighting the benefits of a non-cemented implant, Dr Bhattacharjee said the procedure is quicker because it eliminates the 12-15 minutes usually needed for cement to set. 'In bilateral knee replacements, this alone can save nearly 25 minutes.' The implant bonds directly with the bone, without any cement in between, leading to stronger, more natural integration and better long-term outcomes. He noted that while cement can sometimes compensate for small surgical errors, cementless implants leave no room for error, making surgical expertise crucial. The added benefits include a lower risk of infection, reduced hospital stay as well as faster and smoother recovery due to the biological bonding process. Dr Ankush Sharma, clinical associate and part of Dr Bhattacharjee's team, explained that cementless implants are designed with microscopic pores. 'The patient's bone grows into these pores, locking the implant in place naturally,' he said. In contrast, cemented implants rely on an artificial bond. Cement sticks to both the implant and the bone, but the bone doesn't grow into it. 'Over 10 to 20 years, that cement bond can weaken and lead to loosening,' said Dr Sharma. But with a cementless implant, once bone growth secures it, the chances of loosening are drastically reduced. (Edited by Sugita Katyal) Also Read: Govt considers low-dose emicizumab for haemophilia, trial finds it more effective than existing treatment

World's first robotic-assisted cementless medial pivot knee replacement starts in Delhi hospital
World's first robotic-assisted cementless medial pivot knee replacement starts in Delhi hospital

India Gazette

time3 days ago

  • Health
  • India Gazette

World's first robotic-assisted cementless medial pivot knee replacement starts in Delhi hospital

New Delhi [India], July 2 (ANI): The world's first robot-assisted cementless medial pivot knee replacement surgery was performed on a 54-year-old man at a private hospital in Delhi, doctors said. According to doctors, the patient, a resident of Jharkhand's Dhanbad, had been suffering from debilitating knee pain for over eight years and was diagnosed with advanced osteoarthritis in both knees, along with complex deformities such as varus (bow-legged) and flexion (bent-knee). Given his condition and the need for a long-lasting, high-performance outcome, a team of experts led by Dr. Sujoy Bhattacharjee, Chairman of the Max Institute of Robotic Joint Replacement, performed the world's first advanced surgery to restore mobility with a more natural joint feel and faster recovery potential. Unlike traditional cemented implants, this cementless procedure allows the bone to naturally grow around the implant, improving durability and long-term integration. The implant's single-radius, cruciate-retaining design closely mimics the natural movement of the human knee, enhancing joint stability, stair mobility, and overall patient satisfaction. Paired with the CUVIS robotic system, the procedure ensured optimal alignment, precise placement, and a recovery plan tailored to the patient's biomechanics. This approach not only improves long-term joint function but also facilitates faster recovery, allowing patients to resume their daily activities with greater confidence and reduced pain. Commenting on the case, Dr. Sujoy Bhattacharjee, Chairman, Max Institute of Robotic Joint Replacement, said, 'We are proud to lead a global-first procedure that redefines the future of joint replacement--right here in India at Max Hospital, Saket. This patient had been living with debilitating knee deformities for years, which had significantly impacted his mobility and quality of life. Despite taking treatment at local hospitals in Dhanbad, his condition was not improving. It was deteriorating to the extent where he was taking support from his family members to walk even the closest distance. To witness his recovery and renewed confidence within days of surgery is deeply fulfilling to the entire team. This landmark case is a testament to what is possible when cutting-edge technology, like robotic precision and the cementless Medial Pivot CR implant, is combined with patient-centred clinical excellence. It signals India's growing leadership in high-end, outcomes-driven orthopaedic care.' In another case, Dr Sujoy also treated a 57-year-old working professional from Jharkhand, who had been suffering from persistent pain and walking difficulty for over four years due to a Varus Deformity (bow-legged condition) of the left knee. Dr Sujoy performed a cemented total knee replacement using the Gold Medial Pivot Cruciate-Retaining implant, assisted by the CUVIS robotic system for this case. This advanced titanium-niobium-nitrate-coated implant provided superior wear resistance and enhanced biocompatibility, resulting in improved long-term outcomes and patient satisfaction. The successful treatment further reinforces Max Healthcare Saket's expertise in advanced implant technology and its leadership in next-generation orthopaedics. (ANI)

Delhi hospital performs world's first robotic cementless knee surgery
Delhi hospital performs world's first robotic cementless knee surgery

Business Standard

time3 days ago

  • Health
  • Business Standard

Delhi hospital performs world's first robotic cementless knee surgery

The world's first robot-assisted cementless medial pivot knee replacement surgery was performed on a 54-year-old man at a private hospital in Delhi, doctors said. According to doctors, the patient, a resident of Jharkhand's Dhanbad, had been suffering from debilitating knee pain for over eight years and was diagnosed with advanced osteoarthritis in both knees, along with complex deformities such as varus (bow-legged) and flexion (bent-knee). Given his condition and the need for a long-lasting, high-performance outcome, a team of experts led by Dr. Sujoy Bhattacharjee, Chairman of the Max Institute of Robotic Joint Replacement, performed the world's first advanced surgery to restore mobility with a more natural joint feel and faster recovery potential. Unlike traditional cemented implants, this cementless procedure allows the bone to naturally grow around the implant, improving durability and long-term integration. The implant's single-radius, cruciate-retaining design closely mimics the natural movement of the human knee, enhancing joint stability, stair mobility, and overall patient satisfaction. Paired with the CUVIS robotic system, the procedure ensured optimal alignment, precise placement, and a recovery plan tailored to the patient's biomechanics. This approach not only improves long-term joint function but also facilitates faster recovery, allowing patients to resume their daily activities with greater confidence and reduced pain. Commenting on the case, Dr. Sujoy Bhattacharjee, Chairman, Max Institute of Robotic Joint Replacement, said, "We are proud to lead a global-first procedure that redefines the future of joint replacement--right here in India at Max Hospital, Saket. This patient had been living with debilitating knee deformities for years, which had significantly impacted his mobility and quality of life. Despite taking treatment at local hospitals in Dhanbad, his condition was not improving. It was deteriorating to the extent where he was taking support from his family members to walk even the closest distance. To witness his recovery and renewed confidence within days of surgery is deeply fulfilling to the entire team. This landmark case is a testament to what is possible when cutting-edge technology, like robotic precision and the cementless Medial Pivot CR implant, is combined with patient-centred clinical excellence. It signals India's growing leadership in high-end, outcomes-driven orthopaedic care." In another case, Dr Sujoy also treated a 57-year-old working professional from Jharkhand, who had been suffering from persistent pain and walking difficulty for over four years due to a Varus Deformity (bow-legged condition) of the left knee. Dr Sujoy performed a cemented total knee replacement using the Gold Medial Pivot Cruciate-Retaining implant, assisted by the CUVIS robotic system for this case. This advanced titanium-niobium-nitrate-coated implant provided superior wear resistance and enhanced biocompatibility, resulting in improved long-term outcomes and patient satisfaction. The successful treatment further reinforces Max Healthcare Saket's expertise in advanced implant technology and its leadership in next-generation orthopaedics.

Cementless robotic knee surgery could be a game-changer for arthritis
Cementless robotic knee surgery could be a game-changer for arthritis

India Today

time3 days ago

  • Health
  • India Today

Cementless robotic knee surgery could be a game-changer for arthritis

For 54-year-old Brij Kishore from Dhanbad, Jharkhand, every step had become a battle. For more than eight years, he had been silently enduring excruciating pain in both knees due to advanced osteoarthritis, a condition that had twisted his legs into a bow shape (known medically as varus deformity) and made even simple tasks like walking to the bathroom a seeking help at local hospitals, there was no improvement. He had started relying on his family to move even a few everything changed when he travelled to Delhi. Kishore became the first person in the world to undergo a robot-assisted cementless medial pivot knee replacement surgery. This surgery is where a special implant mostly made of titanium is used to replace the damaged knee joint without using glue (cement). A surgical robot helps the doctor place the implant accurately. Post such an operation, the knee moves more naturally, feels stable and helps the patient recover faster with less surgery, performed by Dr. Sujoy Bhattacharjee and his team at the Max Institute of Robotic Joint Replacement, has become a world-first of such surgery assisted by a robot. The X-ray of the patient's knee with osteoarthritis. advertisementDr. Bhattacharjee and his team combined two advanced techniques: a cementless implant and robotic assistance using the CUVIS system, along with a specially designed Medial Pivot Cruciate-Retaining implant that mimics the natural motion of the knee more closely than traditional implants.'The patient's knees were in a complex condition. He had severe osteoarthritis with deformities that made walking almost impossible. To see him standing on his feet confidently just days after the surgery is incredibly rewarding,' said Dr. IS THIS SURGERY SO IMPORTANT?Traditional knee replacements typically use cemented implants, where a special adhesive is used to fix the artificial joint in place. Over time, especially in younger or more active patients, the cement can wear out, potentially leading to loosening of the contrast, cementless implants, like the one used in Kishore's surgery, are designed to allow the bone to naturally grow around the implant, creating a more solid and longer-lasting technique, combined with the Medial Pivot design, provides a more natural joint movement, especially during everyday activities like climbing stairs or getting out of a chair. Dr. SujoyBhattacharjee with Brij Kishore, who is first person in the world to undergo robot-assisted cementless medial pivot knee replacement surgery. In simple terms, the surgery doesn't just fix the joint, it helps the new joint feel more like the one you were born IS A TITANIUM MEDIAL PIVOT IMPLANT?The implant used in this case is made of titanium, a strong yet lightweight metal known for its high compatibility with the human Medial Pivot Cruciate-Retaining (CR) design allows the knee to bend and rotate in a way that closely replicates the natural knee's pivot motion. Unlike traditional implants that can feel 'unnatural,' this design provides better stability, balance, and confidence during the implant is cementless, it also avoids the long-term risks associated with cement-based procedures. The result? Improved durability, reduced complications, and a quicker, smoother ROBOTS MAKE A BIG DIFFERENCERobotic-assisted surgery ensures high precision, the implant is placed exactly where it should be, based on the patient's unique bone structure and alignment. This means less damage to surrounding tissues, a better fit, and a faster system also allows doctors to customise the surgery in real-time, adapting the plan to suit the patient's anatomy and motion. For Rajesh, this meant a surgery tailored just for him, not a one-size-fits-all THIS MATTERS FOR INDIAKnee pain and osteoarthritis are becoming increasingly common in India, especially longer lifespans, inactive lifestyles, and many, especially those in their 50s and 60s, it leads to a slow erosion of independence and mobility. This surgery could mark a turning point in how we approach joint replacement in proves that advanced treatment is available right here at home, without needing to travel advancements like cementless implants, robotic precision, and natural-movement designs, patients no longer have to settle for just pain relief, they can aim for a fully active life post-surgery.- Ends

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