The ACL During Knee Range of MotionAndrewPearleMD2012-05-15 | This video shows the ACL ligament as the knee is brought through a range of motionDr Pearle Q&A Partial Knee ResurfacingAndrewPearleMD2013-01-19 | Q: Why use robotic assistance in the OR for partial knee replacement? A: Partial Knee Replacement is exquisitely sensitive to the technique that we use, and many failures are attributed to surgeon error. We've shown that robotic tools allow for very precise positioning of the implant. This is particularly important for partial knee replacement. My lab in particular, has shown that we are three times more accurate using robotic tools, as compared to manual techniques.
Q: How long will the MAKOplasty procedure last? A: We have good data about partial knee replacements (PKR) before robotic arm assistance. Specifically, 90% of partial knee replacements last ten years, and 67-70% of partial knee replacements last twenty years, when manual tools and techniques are utilized. Now that we are using robotic arm assistance, we believe that the longevity and durability of these implants will be much greater.
Q: Why should I come to HSS, or Hospital for Special Surgery for my MAKOplasty? A: At Hospital for Special Surgery, we do more joint replacements than any other institution in the world. Our infection rate and complication rate are the lowest anywhere. We've had the MAKOplasty system since it's inception, and I do more MAKOplasty procedures than any other surgeon in the tristate area.Robotic Arm Assisted Partial Knee Resurfacing: Patient Education VideoAndrewPearleMD2013-01-19 | My name is Dr. Andrew Pearle, and I'm an orthopedic surgeon at the Hospital for Special Surgery. This video is an introduction to Robotic Knee Resurfacing, a procedure performed to treat various types of knee arthritis. At the Hospital for Special Surgery, I developed a computer assisted surgery center, and have helped pioneer the use of robotics to treat knee problems. An example of this is robotic knee resurfacing as a treatment option for knee arthritis.
Knee arthritis, or the loss of cushioning in the knee, is an epidemic in the US. It is estimated that 20% of us will develop symptomatic knee arthritis in our lifetime. The classic surgical treatment for knee arthritis is a total knee replacement, a procedure where the entire joint is removed and replaced. This time honored procedure provides a durable, or a long lasting result, but requires extensive rehabilitation. In addition, the artificial knee does not move quite like a normal knee, which often makes it difficult for patients to return to sports. In many situations, TKR is the only option for patients. For the past five years, I have used robotic assistance for partial knee replacement, a minimally invasive procedure, where only the damaged portion of the knee is fixed, saving healthy tissue and bone. We call this robotic knee resurfacing because the robot allows us to remove a minimal amount of bone to resurface a joint.
Preoperatively, we obtain a CAT scan. From this CAT scan, I can make a 3D model of the patient's knee. On this model, I optimize the plan so that the implants are perfectly aligned and so that the minimal amount of bone is removed. When we get into the O.R., I can track normal knee motions on the computer screen before I ever touch the bone. I can then fine tune the position of the implant, moving it in such a way, so that I can reproduce normal knee motions. This helps restore a more natural knee movement and a natural knee feel. I can perform a patient's operation 20 or 30 times virtually before I actually touch the patient's skin. Once the plan is finalized, the robotic arm allows me to sculpt the bone in a very precise way so that the plan is actualized.
This is what the robotic arm looks like. At the end of the arm is a small burr that allows us to sculpt the bone. The burr allows us to remove the precise amount of bone that we planned on the computer. The robot prevents me from drawing outside the lines and removing excess bone. These are the implants that we use in robotic knee resurfacing procedures. After the bone is prepared, these implants are cemented into place, and the operation is complete. Robotic knee resurfacing allows for a rapid return to work and to play. It's a wonderful alternative to more invasive treatments of knee arthritis.
Thank you for watching.Robotic knee resurfacing, Educational VideoAndrewPearleMD2012-10-13 | ...Ask The ExpertAndrewPearleMD2012-10-12 | Dr. Pearle on Computer Assisted SurgeryTargeted Knee Resurfacing for Knee ArthritisAndrewPearleMD2012-10-12 | Dr. Pearle's robotic partial knee replacement featured on ABCLecture on Robotic Assisted Partial Knee Resurfacing (Live Patient Seminar)AndrewPearleMD2012-10-01 | Domo Arigato, Mr Roboto: Knee Arthritis in 2012 and Beyond
Andrew D. Pearle, MD, Orthopedic surgeon at the Hospital for Special Surgery, lectures about knee arthritis and advantages of new surgical treatments, including total knee replacement and robotic assisted partial knee resurfacing (MAKOplasty).
Watch Dr. Pearle's educational community lecture with Q&A session:
0:00s -- Introduction 3:07s -- What is knee arthritis? 5:48s -- The burden of knee arthritis as the human condition 7:11s -- Arthritis treatment option -- Total knee replacement 11:09s -- Limits of total knee replacement 14:47s -- Can we do better than total knee replacement -- Robotic partial knee resurfacing 19:57s -- Robotic partial knee resurfacing (MAKOplasty) illustration 26:37s -- Summary -- Dr. Pearle's TKR and robotic partial knee resurfacing goals for patients 29:31s -- Q&A SessionEduational Video on Robotic Knee Resurfacing (MAKOplasty)AndrewPearleMD2012-06-11 | Dr. Andrew Pearle describes Robotic Knee Resurfacing (MAKOplasty). He is an Attending Orthopedic Surgeon at the Hospital for Special Surgery. Dr, Pearle performs more robotic knee surgeries than anyone in the TriState area. This educational video illustrates the technique as well as the rationale and advantages of the robotic system. Learn more about Dr. Pearle at www.andrewpearle.comDr. Pearle on the epidemic of ACL in female athletesAndrewPearleMD2012-05-13 | Dr. Pearle discusses the growing epidemic of ACL injuries in female athletes with Max Gomez. Girls are up to 7 times more likely to tear their anterior cruciate ligament (ACL) than boys in similar sports. Dr. Pearle talks about this issue on CBS news.Dr. Pearle on Mariano Riveras ACL InjuryAndrewPearleMD2012-05-13 | Dr. Andrew Pearle discusses Mariano Rivera's ACL injury on NBC Nightly News with Chuck Scarborough. Rivera will require season ending knee surgery for treatment of this devastating injury. Dr. Pearle, a team physician for the New York Mets and orthopedic surgeon at the Hospital for Special Surgery, comments on the role of the anterior cruciate ligament (ACL) in pitchers, and the significance of the injury on Rivera's prospects for return to baseball.Meet Dr. Andrew Pearle, Orthopedic Surgeon at the Hospital for Special SurgeryAndrewPearleMD2012-03-30 | Dr. Andrew Pearle discusses his practice and his use of robotic and computer assisted technology for Orthopedic Surgery. He is an Attending Orthopedic Surgeon at the Hospital for Special Surgery. Dr, Pearle performs more robotic knee surgeries than anyone in the TriState area. He developed the first computer assisted surgery center in the country at the Hospital for Special Surgery. Learn more about Dr. Pearle at www.andrewpearle.comInnovative Robotic-Arm Assisted MAKOplasty AnimationAndrewPearleMD2012-03-22 | MAKOplasty® Animation - MAKOplasty® Partial Knee Resurfacing is an innovative procedure designed to provide quicker recovery and improved surgical outcomes for patients with joint degeneration in one or multiple parts of the knee. By selectively targeting the portion of the knee that has been damaged by osteoarthritis, surgeons can resurface the damaged area without compromising the healthy bone and tissue surrounding it. Learn more at http://makosurgical.com and http://www.makoplasty.comMeniscus Injury DiscussionAndrewPearleMD2012-03-22 | Dr. Pearle discusses the symptoms and treatment of meniscus injuries. Learn more at: http://www.andrewpearle.comACL Injury EducationAndrewPearleMD2012-03-22 | In this video, Dr. Andrew Pearle, an Orthopedic Surgeon at the Hospital for Special Surgery, discusses the symptoms and treatment of ACL injuries.Robotic Knee Surgery for Baby BoomersAndrewPearleMD2012-03-22 | Robotic Knee Surgery for Baby Boomers - Dr. Andrew Pearle featured on Fox 5 Good Day New York. Story reports on active golfer who returned to play after robotic knee resurfacing.Dr Pearle on NBC Nightly News with Brian WilliamsAndrewPearleMD2012-03-22 | Dr. Pearle's robotic surgery featured on NBC Nightly News with Brian Williams. Dr. Pearle is the first orthopedic surgeon in New York City to perform robotic knee resurfacing. Learn more: http://www.andrewpearle.com