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      Robotic Prosthetic Surgery

      As robotic technologies continue to advance globally, their integration into various fields, including medicine, has become increasingly prevalent. Orthopedics, in particular, has seen significant advancements with the incorporation of robotic technology. These innovations enable surgeons to perform procedures with enhanced precision and efficiency, contributing to improved patient outcomes.

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      What is Robotic Prosthetic Surgery ?

      Robotic technologies are increasingly pervasive worldwide, with profound implications across various fields, including medicine. In orthopedics, specifically, robotic technology has emerged as a transformative tool. The use of robotics in orthopedic surgeries, particularly in hip and knee joint replacements, is steadily rising. Future applications are anticipated in procedures such as tumor removal, shoulder surgeries, and spine surgeries.

      Robotic surgery in orthopedics involves advanced systems utilized during knee or hip replacements. Surgeons meticulously plan operations using patient data, leveraging robotic systems to execute precise procedures under their guidance. This technology addresses the inherent challenges of human error in implant positioning, ensuring optimal component alignment and precise bone incisions. The preoperative planning allows for flawless execution with the assistance of robotic arms.

      Key benefits of robotic surgery include extended longevity of implants due to optimal positioning, resulting in reduced wear and longer-term stability. It’s essential to note that robotic surgery requires specialized training and certification, ensuring that procedures are performed by skilled orthopedic surgeons trained in this advanced technology.

      What is Robotic Arm Interactive Orthopedics System?

      Today, several companies produce systems for robotic or navigation surgery, with many focusing solely on navigation capabilities. Navigation systems serve as guides for surgeons, offering directional assistance during procedures. However, it’s important to distinguish these from robotic arm interactive orthopedic systems, which integrate both navigation and robotic arm technologies to significantly minimize surgical margins of error to millimetric ranges.

      At our clinic, we utilize the MAKO Robotic System developed by Stryker, renowned as a leading Robotic Arm Interactive Orthopedics System. Unlike standard navigation systems, the MAKO system features a specialized robotic arm designed specifically for precise bone incisions, alongside its advanced navigation capabilities. This system comprises three primary units: a computerized control and guidance module, a camera system, and a display stand.

      The MAKO system enables surgeons to create patient-specific surgical plans and execute them with unparalleled accuracy. During surgery, the robotic arm guides the surgeon to ensure precise preparation and placement of implant sockets, particularly beneficial in reducing the risk of hip implant dislocation by assessing the pelvic region comprehensively.

      This version emphasizes the unique capabilities of the MAKO Robotic System and clarifies the distinction between navigation systems and robotic arm interactive orthopedic systems.

      What are the advantages of the robotic arm Interactive orthopedics system

      A comprehensive 3-dimensional analysis of the patient’s joint structure is conducted using computed tomography (CT) images, allowing for the creation of a precise, patient-specific surgical plan. This approach minimizes unnecessary bone incisions and reduces tissue damage during surgery.

      The ability to develop a customized implant placement plan based on individual patient anatomy ensures optimal soft tissue balance, stability, and joint alignment tailored to the patient’s needs.

      During surgery, the robotic arm provides Haptic Feedback to the surgeon, allowing tactile interaction with the bone surfaces. This feedback facilitates real-time assessment of joint contours, enabling the surgeon to make precise adjustments throughout the procedure and ensuring error-free bone incisions.

      Robotic Total Hip Replacement Surgery

      In robotic total hip replacement surgery, the procedure begins with meticulous planning based on comprehensive patient data evaluation. Utilizing advanced robotic systems, the surgery is performed under the precise control of the surgeon. Prior to the operation, three-dimensional planning is conducted using the robotic system.

      The robotic system plays a crucial role in determining the optimal route and range of motion for the patient’s joint. This meticulous planning ensures that the hip implant is placed accurately and appropriately within the patient’s hip structure, enhancing surgical outcomes and patient recovery.

      This version emphasizes the meticulous planning and precision enabled by robotic technology in total hip replacement surgery, highlighting its role in optimizing implant placement and overall surgical success.

      Why robotic hip implant?

      Advantages of Robotic Total Hip Replacement Surgery

      • Reduced Risk of Hip Implant Dislocation: Robotic surgery techniques minimize the risk of hip implant dislocation, enhancing stability.
      • Prevention of Postoperative Leg Length Differences: Precise robotic guidance ensures accurate leg length alignment, reducing the likelihood of postoperative discrepancies.
      • Precise Incisions: Incisions are precisely placed only where necessary on the hip bones, minimizing tissue trauma.
      • Customized Implant Size and Alignment: Personalized implant sizing and precise alignment tailored to the patient’s anatomy optimize function and longevity.
      • Natural Hip Feel: Patients experience a more natural hip sensation post-surgery.
      • Faster Recovery: Robotic surgery facilitates quicker and less painful recovery, allowing patients to return to daily activities sooner.
      • High Accuracy and Durability: Robotic systems enable highly accurate implant placement, contributing to long-term implant durability.

      Preoperative Preparation for Robotic Total Hip Replacement Surgery

      Firstly, a 3D virtual model of the hip joint is created using X-ray and CT scan images of the patient’s hip. This detailed modeling determines the exact locations and dimensions of bone incisions required on the hip. It allows for precise planning of soft tissue balance and the optimal dimensions and placement of the implant prior to surgery.

      This version emphasizes the benefits of robotic total hip replacement surgery and details the meticulous preoperative planning process enabled by advanced imaging and 3D modeling techniques.

      Robotic Total Knee Replacement Surgery

      Robotic total knee replacement surgery involves meticulous planning and execution with the assistance of robotic systems under the surgeon’s control. Prior to surgery, computer-based preoperative planning ensures precise bone incisions on the knee joint and optimal positioning of components using a robotic arm. The entire procedure is performed by your orthopedic surgeon.

      • Precise Incisions: Incisions are strategically placed only where necessary on the knee bones, minimizing tissue trauma.
      • Personalized Implant Size and Alignment: Implants are customized to fit the patient’s anatomy, enhancing overall comfort and function.
      • Natural Knee Feel: Patients experience a more natural sensation in the knee post-surgery.
      • Faster Recovery: Robotic surgery promotes quicker and less painful recovery, facilitating a faster return to daily activities.
      • High Accuracy Placement: Robotic systems ensure precise implant positioning, which contributes to longer-lasting durability.

      Firstly, a 3D virtual model of the knee joint is created using X-ray and CT scan images of the patient’s knee. This advanced modeling helps determine the exact locations and dimensions of bone incisions needed for the knee. Virtual placement of knee implants and customization of implant sizes are performed, ensuring optimal soft tissue balance during knee joint movement.

      Candidates for Robotic Total Knee Replacement Surgery

      Robotic surgery, such as MAKOplasty, is suitable for any patient requiring total knee replacement, offering personalized planning and surgery. It is particularly beneficial for patients with congenital or acquired conditions (such as fractures) that may complicate manual implant surgery, ensuring precise implant placement in challenging anatomical scenarios.

      This version highlights the advanced features and benefits of robotic total knee replacement surgery, emphasizing its precision, personalization, and suitability for a wide range of patients.

      Robotic Unicondylar (Half, Partial) Prosthetic Surgery

      Robotic unicondylar knee replacement surgery is a specialized approach used for partial knee replacements, designed to address specific areas affected by calcification while preserving surrounding healthy tissues. Unlike total knee replacement, which involves replacing the entire knee joint, this procedure focuses on either the inner or outer compartment (unicompartmental) of the knee or both compartments (bicompartmental), depending on the patient’s condition.

      • Advanced 3D Planning: Before surgery, a detailed three-dimensional model of the knee joint is created from X-ray and CT scan images. This allows for precise assessment of joint kinematics and planning of implant component placement.
      • Precision with Robotic Guidance: During the procedure, the robotic arm assists the orthopedic surgeon in preparing the affected knee compartment and accurately positioning the implant. This technology ensures minimal disruption to healthy tissues and precise alignment of the implant within the bone.
      • Tailored Surgical Approach: Robotic technology enables a tailored approach to each patient’s unique anatomy and condition, optimizing surgical outcomes and potentially reducing recovery time.
      • Patient Benefits: By targeting specific areas of knee degeneration, robotic unicondylar knee replacement surgery aims to relieve pain, restore function, and improve mobility with minimal impact on surrounding tissues.

      This advanced surgical technique represents a significant advancement in orthopedic care, offering patients a precise and effective solution for partial knee replacement.

      Robotic Prosthetic Surgery frequently asked questions

      What is the survival rate for robotic surgery?

      Robotic surgery has shown almost 95% – 100% positive results in terms of fewer complications, faster recovery times and improved surgical precision compared to traditional methods. Success rates vary by procedure and patient, focusing on factors such as lower complication rates, faster recovery and high patient satisfaction. 

      It facilitates early mobilization, enabling patients to stand up and regain mobility from the first day post-surgery.

      • Precision in bone incisions, minimizing unnecessary tissue disruption.
      • Customized implant size and alignment tailored to the patient’s anatomy.
      • Enhanced natural knee sensation post-surgery.
      • Accelerated and less painful recovery.
      • Quicker return to daily activities.

      Improved prosthesis longevity due to precise implant placement.

      MAKOplasty is a robot-assisted surgical procedure developed for minimally invasive joint operations. Initially utilized for partial knee replacements, it quickly gained popularity for total hip replacements and subsequently for total knee replacements.

      Focused abrasion in a specific area of the knee joint,

      Intact knee ligaments,

      Minimal deformity within the knee joint.

      This procedure is most effective for patients within a healthy weight range

      The primary advantage of robotic prosthetic surgery (MAKOplasty) lies in its ability to achieve surgical precision at the millimeter level. The key to successful prosthetic surgery includes precise fitting of the implant, optimal balance of joint bone and soft tissues, and correct alignment of the joint. Robotic prosthetic surgery reduces the risk of prosthetic dislocation by customizing implant placement for each patient, thereby minimizing soft tissue damage.

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      Get ready to meet our physician staff, each of whom is an expert in their own branch and stands out with years of experience and success. Our physicians, who adopt the best practices of modern medicine, to whom you can safely entrust your health, are here to offer special solutions for your individual needs.

      Dr. Akin Ünal

      General Surgeon

      BIOGRAPHY

      He was born in Istanbul in 1982. He graduated from Kocaeli University, Faculty of Medicine. In 2012, he worked as an emergency medical assistant at Taksim First Aid EAH. Between 2013-2018, he specialized in general surgery at Haseki EAH. Then, between 2018-2020, he completed his compulsory service at Bitlis Tatvan State Hospital. Since 2020, with Dr. Hasan Lice, they have worked with the Sava team for bariatric surgeries. He is married and has two kids.

      Dr. Hasan Lice

      General Surgeon

      BIOGRAPHY

      He was born in 1967 in Istanbul. He completed primary, secondary, and high school in Istanbul. He graduated from Capa Medical Faculty in 1993.He worked as an assistant at Taksim Training and Research Hospital between 1994-1998. Between 1998 and 2012, he served on diagnosis and therapeutic solutions in General Surgery, Cancer Surgery, Laparoscopy Surgery, and Endoscopy in the 2nd Surgery Clinic at Haseki Training and Research Hospital. He is married and has 2 children. He speaks Turkish and English.

      Prof.Dr. Hanifi Onalan

      General Surgeon Assoc.

      BIOGRAPHY

      Education ;1992-1998 Istanbul University Faculty of Medicine1999-2004 Taksim Training and Research Hospital General Surgery Clinic Medical fields;Obesity treatment (Gastric balloon, Gastric Sleeve, Gastric Bypass, Gastric Botox)Gallbladder and bile duct surgeryBreast diseases and Breast surgeryAnal system diseases and surgery (haemorrhoids, anal fissure, perianal abscess and fistula surgery)Thyroid diseases and surgical treatmentHernia surgery (open and laparoscopic) (groin, umbilical, wound hernias)Colon, rectum, stomach diseases and surgical treatmentEndoscopic diagnosis and treatment interventions (gastroscopy, colonoscopy, ERCP, peg)Memberships;Turkish Surgery AssociationNational Association of Trauma and Emergency SurgeryTurkish Medical AssociationTOSS ( Turkish Bariatric Surgery Association )IFSO (International Federation for the Surgery of obesity and Metabolic disorders )Publications ;Can Postoperative Adhesions Be Prevented? The Effect of COX-2 Selective Inhibitor Rofecoxib on Intraabdominal Adhesion Model Experimental Study 19(4):145-149, 2005 Journal of Contemporary Surgery 2005 Osman YÜCEL, Yücel YANKOL, Ferda NİHAT KOKSOY, Hanifi ÖNALAN, Pelin AKBABA, Ayşenur AKYILDIZ İĞDEM Research Hospital 2nd General Surgery Clinic* and Pathology Laboratory**, IstanbulTractotomy and omentoplasty in a case of hepatic gunshot wounds A regional trauma and emergency surgery congress (international participation) 2001 A.Çelik, H. Önalan, N. Mecit, M.Er, O. YücelParenteral nutrition in patients undergoing resection for gis malignancies, early results National Surgery Congress 2002 Dr Demiray, Dr D.Gönüllü, Dr.H. Önalan, Dr S.Bilgiç, Dr F.N.Köksoy, Dr O.Yücel

      Mehmet Köksal

      Aesthetic Surgeon

      BIOGRAPHY

      He was born in Samsun in 1978. After graduating from Faculty of Medicine (Çapa Medicine) of the Istanbul University in 2003, he completed his 6-year residency training at Şişli, Etfal Training and Research Hospital Plastic Surgery Clinic and became a Plastic Reconstructive and Aesthetic Surgery Specialist.In 2008, he received training from world-renowned surgeons at the University of Plastic Surgery Clinic in the New York, United States and participated the surgeries together with the doctors from New York.He attended courses and congresses about topics such as Breast Aesthetics, Abdominal Aesthetics, Liposuction, Buttock Aesthetics, Rhinoplasty, Facial rejuvenation, Botox and Fillers.Between 2010 and 2012, he worked at the Plastic Surgery Clinic of Ahi Evran University Kırşehir State Hospital. Kırşehir has carried out many surgeries and innovations that could not be done before in its history.It constantly improves itself by participating in congresses and meetings at homecountry and abroad every year.Op.Dr.Mehmet Köksal still works in a Private Clinic in Istanbul.He is a member of Turkish Medical Association, Turkish Plastic Reconstructive and Aesthetic Surgery Association and Aesthetic Plastic Surgery Association.

      Prof. Dr. Rıfat Rasier

      MD

      BIOGRAPHY

      During his medical education and specialization in ophthalmology, he attended Louisiana State University School of Medicine in the United States, Stadtisches Klinikum Kemperhof in Koblenz, Germany, and The Western Eye Hospital, Imperial College in England. In 2007, he received medical equivalence from the General Medical Council of England and became a fully registered doctor in England. In addition to his ophthalmology education, he completed a master's program in Biomedical Engineering at Boğaziçi University in 2009. Continuing his career development without slowing down, Rasier completed his specialization in Ophthalmology at Bilim University in 2010.
      He fulfilled his mandatory service at Kırklareli State Hospital in 2012.
      He attained the title of "Associate Professor" in the Department of Ophthalmology in 2016. He completed his PhD in Biomedical Engineering at Boğaziçi University with a 4.0 GPA in 2017.
      As a result of his work at the Biomedical Engineering Laboratory of Boğaziçi University, Rıfat Rasier developed a procedure for laser-welding incisions in the transparent layer of the eye during cataract surgery, thereby closing the incision without the need for sutures. Current cataract surgeries either leave incisions open or suture them. Laser tissue welding experiments yielded positive results in closing incisions without stitches, reducing infection risks and shortening operation times.
      This work by Rıfat Rasier was published in an international book titled "Infrared Lasers for Corneal Tissue Welding."
      Awards Received:
      Best Publication Award, Turkish Journal of Ophthalmology, 2010: "Corneal Tissue Welding with Infrared Lasers of Different Wavelengths in Transparent Corneal Sections."
      Best Publication Award, Turkish Journal of Ophthalmology, 2011: "VEGF and IL-8 Levels in Vitreous Fluid in Proliferative Vitreoretinopathy Resulting from Rhegmatogenous Retinal Detachment."
      JCI Ten Outstanding Young Persons of Turkey Award, First Prize in Medical and Medical Inventions, 2010.
      Ministry of Industry, Teknogirişim Project Support, 2010.
      Prof. Dr. Necati Tanyolaç Award for Projects and Research in Biomedical Engineering and Technologies during Master's or Doctorate Studies, 2017.
      Second Prize for Best Scientific Poster, Turkish Ophthalmology Association National Congress, 2017. Academic Publications:
      A. Number of articles published in international refereed journals: 22
      B. Number of papers presented at international scientific meetings and published in proceedings: 10
      C. Number of articles published in national refereed journals: 25
      D. Number of papers presented at national scientific meetings and published in proceedings: 91

      Çağrı Geridönmez

      Medical Doctor

      BIOGRAPHY

      Dr. Cagrı Geridonmez was born in 1982 in Ankara, in the capital ofTurkey and is a graduate of medical faculty of Kirikkale University.In addition to his practice as a Chief Doctor in 2007 he obtained his medical degree and completed special medical program.Since he got his sertificate as a medical aesthetic he has performed more than 3500hair transplant operations in the one of the most well-known clinics ofTurkey.Currently he is managing a qualified medical team and performs hair restoration operations for patients from all countries of the world.Dr. Cagri’s interests also include improvement of hair loss treatment techniques and finding less invasive methods for hair transplant procedures.He participated in many local and international hair restoration surgery seminars and conferences. He received distinguishing certificates and diplomas for his valuable and well performed job.Now he is working on being a member of prominent international hair restoration organizations as İSHRS and ABHRS.In his spare time, Dr. Cagri enjoys to be engaged in sport activities, especially in motocross racing, car rally and Jiu-jitsu. He also enjoys being involved in different medical experiments on alternative medicine like acupuncture and bio resonance.Dr. Cagri’s passion is driven by the bonds he builds with his patients and the enjoyment he holds in providing high class medical service.

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