OSHEAN eCurrent 2017 Fall | Page 16

SOUTH COUNTY HOSPITAL The Robot in the OR At South County Hospital (SCH), the helping hand the surgeon turns to in the operating room (OR) is often metal. It belongs to Mako, an advanced robotic-arm assisted technology from Stryker that the hospital began using several years ago to improve joint replacement procedures. Mako helps surgeons provide a more precise, breakthrough for hip replacement and partial accurate and personalized experience for knee replacement. The technology was recently patients undergoing total hip, total knee, and adapted and approved for robotic-assisted partial knee joint replacement surgery. It total knee replacement, and in June of 2016, combines both sophisticated hardware (the SCH became one of the seven sites selected actual robotic arm) and an advanced software to do a study of robotic-assisted technology application that programs the robotics for in total knee replacement. The study evalu- each type of surgery. A pre-op CT scan of the ated different ways of performing the surgery, patient’s hip or knee, efficiencies from a flow / along with information mechanical / OR set-up / from arrays that are placed on the patient in the operating room, create a 3-D image of the joint that can be examined from every angle on a monitor to assist the surgeon in performing the joint replacement surgery. In 2010, when Dr. 16 | CURRENT FALL 2017 During the fall of 2016, Dr. Marchand officially launched the world’s first commercial release of the robotic full knee replacement procedure and started surgeries on patients outside of the study. patient positioning perspective, and more. As part of this pr ocess, Dr. Marchand completed clinical trials of 35 Mako robotic-assisted total knee replacements. The procedures were recorded start to finish as study creators attempted to develop a learning curve, Robert Marchand and including how long the his colleagues at South procedures took to County Orthopedics (now Orthopedics RI – complete, the timing of every step, etc., in order South County)/SCH began using Mako to develop a pattern for the most efficient way robotic-assisted technology, it was a to perform the procedures. Once the study was Stronger Together | 17