Total knee replacement with a new robot assistant

Sanford Fargo patient is one of first in Midwest to receive ROSA surgery

ROSA膝盖手术病人在物理治疗师的指导下在重量机上锻炼膝盖。

Only a month after receiving total knee replacement surgery, 69-year-old Roger Peterson said he’s “walking as close to normal as you can get.”

When it comes to exercise and anything physical, Peterson is very competitive.

“If somebody says ‘oh you can’t do that,’ I would do everything possible to make sure I did it,” he said.

Despite having a determined personality, he gives some credit for his fast recovery to ROSA, a robotic surgical assistant.

“I’m doing things that I don’t think most people could do within this short of time after surgery,” he said.

ROSA surgery reduces patient recovery time

Peterson was one of the first people in the Midwest to receive a total knee replacement surgery via ROSA.Matthew Nelsen, M.D., and his team members atSanford Orthopedics and Sports Medicinein Fargo performed the operation.

“ROSA increases our precision and gives the surgeon a lot of real-time information during the surgery,” Dr. Nelsen said.

Learn more:Total joint replacement surgeries at Sanford Health

Since Peterson’s surgery, Dr. Nelsen has been pleased with the ROSA technology and said that he has recovered faster than most patients.

Recovery from a regular knee replacement surgery typically takes three months. Peterson only spent one night in the hospital and hasn’t used a walker, crutch or cane since the day after his operation. After four weeks and a few physical therapy sessions, Peterson says he’s walking normally, with minimal stiffness.

彼得森将自己的情况与其他做过膝关节置换手术的人进行了比较。

“Some have spent three or four days in the hospital and used walkers for two or three weeks,” he said.

“It’s hard to say if it (his quick recovery) is completely due to the technology that ROSA provides or simply because of his personal attributes,” Dr. Nelsen said. “Each patient’s experience is different, but Roger has done very well.”

Todd Sekundiak, M.D., orthopedic surgeon at Sanford, also is impressed with Peterson’s results following the procedure using ROSA.

“The way (total knee replacement surgery) changes people’s life is phenomenal,” Dr. Sekundiak said. “People who couldn’t walk, now can walk. People who can’t do their golf game, pick up their grandkids, can now do all that. And with ROSA, we’re trying to take that a step further and allow people to do those activities without even feeling like they had a knee replacement.”

Surgical assistance with ROSA

Surgery assisted with ROSA is unique because the robot can accurately put a replacement implant in the correct position of a patient’s knee. According to Dr. Sekundiak, this is an important but usually difficult task for surgeons to do on their own.

外科医生需要接受培训,学习如何使用ROSA作为一个工具,为每个患者的独特解剖提供解决方案。到目前为止,法戈市已有8名桑福德外科医生接受了培训。

“It’s never about the robot magically coming in to do the surgery,” Dr. Sekundiak said. “It’s up to the surgeon to take all this information, come up with the appropriate plan, and then execute that plan so you get the results you want.”

由于不太了解机器人辅助手术,彼得森相信尼尔森医生对ROSA的能力有信心。纳尔逊医生向彼得森保证,理想情况下,手术后的感觉会更自然,因为植入物的放置会更精确。

“And I think that’s probably why I’m walking around without using a walker,” Peterson said.

Previous experience with knee surgery

This isn’t the first surgery Dr. Nelsen has performed on Peterson.

大约10年前,纳尔逊医生给彼得森的膝盖骨做了手术,并告诉彼得森他最终需要做一个膝关节置换手术。

The time finally came for Peterson in January 2019. Last winter it got to the point where it would take him two or three days to recover just from walking.

“So that’s really when I decided to come back and have the surgery,” he said.

Peterson estimates he will be “good as new” in another month.

“I think I probably could be jogging and walking 18 holes of golf by then,” he said.

Peterson’s goal after surgery was to do some activities without feeling stiff, sore and achy afterwards.

“And to be honest with you, I believe that’s going to happen,” Peterson said.

He said ROSA “is 100 times better than the old way of doing it.”

“我对手术和这里的人都很满意,”彼得森说。他也对人们向他解释事情和他接受的治疗感到满意,声称每周他都能感觉到自己的进步,他变得更强壮了。

Future procedures with ROSA

在看到他们的第一次ROSA手术的结果后,外科医生们对他们在未来的手术中使用ROSA取得成功持乐观态度。

Sekundiak博士说:“看到我们在罗杰身上看到的这些结果将是令人兴奋的,不仅仅是术后一两个星期,而是一个月后,三个月后,甚至是多年后。”

“Here at Sanford in Fargo, we’re doing over 2,000 joint replacements a year,” he added. “As we get more experience with ROSA I would anticipate it will be used on more and more patients.”

Right now, Sanford’s Orthopedic and Sports Medicine surgeons are concentrating on knee surgeries with ROSA. But they hope to extend this platform into using it for hip, partial and possibly shoulder replacements.

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