Bilateral Total Knee Replacement: Robotic and Conventional
Presented by Dr. Ramneek Mahajan and Dr. Anmol Maria
Bilateral Total Knee Replacement: Robotic and Conventional
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Sign in to watchCreate a free accountA 69-year-old woman weighing approximately 70 kg presented with bilateral knee pain, greater on the right, with impaired walking and activities of daily living. She had no reported comorbidities. Examination demonstrated bilateral medial joint-line tenderness, approximately 8° right-knee varus and 6° left-knee varus, with a range of motion of 0°–130°, no fixed flexion deformity, instability or distal neurovascular deficit. Although unicompartmental arthroplasty was initially considered for the left knee, patellofemoral and lateral-compartment involvement supported bilateral total knee arthroplasty.
Discussion
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Both conventional and robotic TKA can achieve satisfactory alignment and balance when fundamental arthroplasty principles are followed. The robotic workflow adds CT-based planning, quantitative soft-tissue assessment and reproducible execution, enabling more precisely personalised component positioning while reducing intraoperative estimation.
Key takeaway
Both conventional and robotic TKA can achieve satisfactory alignment and balance when fundamental arthroplasty principles are followed. The robotic workflow adds CT-based planning, quantitative soft-tissue assessment and reproducible execution, enabling more precisely personalised component positioning while reducing intraoperative estimation.