Arthritis is a condition characterised by inflammation and tenderness in one or more joints. Joint pain, rigidity, and decreased range of motion are the most common symptoms, and they worsen with age. Osteoarthritis and rheumatoid arthritis are the most prevalent forms of arthritis. Arthritis management focuses primarily on pain control, minimising joint injury, and enhancing or maintaining function and quality of life. A variety of medications and lifestyle modifications can help achieve this and prevent further joint injury. The level of management ranges from anti-inflammatory medications to Total Joint Replacement Surgery, depending on the severity of the condition.

• It is the most common orthopaedic treatment, and it is used to restore pain-free movement by replacing damaged or diseased knee joints with prosthetic components.
• When a joint is entirely worn out, accompanied by growing discomfort and loss of movement, the operation is advised for patients with severe joint deterioration.
• Knee replacement is intended to ease pain, improve mobility, and restore function.
• Many factors influence the success of a knee replacement, including leg alignment, implant position, and fit.
• Modern implants, which are currently accessible, can endure up to 30 years.

Jupiter Hospital is equipped with the most advanced robotic knee replacement system of the second iteration, CORI.

• It is a novel and cutting-edge technique that employs 3D imaging guidance and robotic limbs to perform knee replacement surgery. The limbs are controlled by our specialists using a specialised console.
• The procedure operates by reconstructing a patient's virtual anatomy.
• The procedure provides quicker recovery and maximum range of motion, without compromising the demands of daily life.
• Numerous advantages of robotic-assisted knee surgery include meticulous surgical planning, increased precision, smaller incisions, greater ligament sparing options, precise implant fit, improved positioning, and superior soft-tissue balancing.
• Robotic Precession is complemented by the skill of our surgeons in order to provide the patient with the greatest possible benefit from the operation.

The success of joint replacement surgery is determined by the accuracy of the implant, the alignment of the joint after surgery, and how the ligaments are balanced during the procedure.

The Robot explains the patient's particular anatomy, ligament structure, and natural joint balance. This allows for the precise size of the implant to be selected, which is tailored to the unique architecture of the joint, therefore increasing the surgery's success rate.

It's the same as using Google Maps. Google Maps shows us the distance between the two spots as well as the best path to take to get to the desired location. If you take an alternative path, it will redirect you to the correct one. Similarly, the robotic arm provides a precise path to the required place. Not only that, but the arm would stop the movement if it detected a millimetre deviation from the proper course.

A CT scan is used to generate a 3D model of the patient's knee prior to surgery. This enables surgeons to place the implant more precisely. During the operation, the robotic arm uses data from the 3D model to construct a predefined space for the surgeon to operate in, preventing accidental tissue damage.

In this manner, robotic surgery assists in achieving the desired alignment and equilibrium. Therefore, the surgery can be performed with the highest degree of precision and predictability.

1. Much lesser pain
Reduces inflammation caused by foreign bodies, reducing pain and the need for painkillers. As a result, the patient appears to be less drugged.

2. Preserves the maximum native bone
In robotic arm-assisted surgery, the probe is used to make the incision. There is no need to use a saw or a blade, which lowers blood loss and disturbance to the local bone.

3. Very fast recovery
During robotic-assisted surgeries, fewer incisions and greater surgical precision are made. This reduces bone and tissue disruption, thereby accelerating the body's natural healing process.

4. More natural feeling after surgery
From the perspective of the patient, the efficacy of the surgery will be determined by joint awareness. The patient should, ideally, forget about his joint replacement surgery as he goes about his daily activities. In some cases, however, simple activities such as descending stairs or kneeling can cause joint awareness in the form of stiffness, numbness, or discomfort. Using robotics, the implant is selected based on the patient's unique anatomy, which enhances precision. According to specialists, the greater the accuracy, the lower the patient's joint awareness.

5. No extra radiation required
The robotic arm utilised in the surgery is equipped with an improved robotic software solution that provides image-free, smart mapping. Without preoperative imaging, real-time characterization of bone and cartilage using landmark collecting and point mapping. This procedure considerably decreases the need for frequent radiations such as CT scans or X-rays before and after surgery. This relieves the patient by giving a hassle-free operation.

6. Unicondylar Knee Replacement
Historically, unicondylar knee replacements were not regarded favourably because the risk of failure required the patient to undergo total knee replacement or redo joint replacement. This technology has improved the success and predictability of unicondylar knee replacements. As a result, an increasing number of surgeons are confident in offering this option to their patients.

CORI, the most advanced robotic knee replacement system of the second iteration, is present at Jupiter Hospital. It is the most advanced and effective handheld autonomous solution supported by Real Intelligence, and it is designed to revolutionise orthopaedics.

A platform that supports robotics, software, intelligent tools, and data.

Enhanced software solution for robotics that provides:

• Image-free, smart mapping (No CT/MRI required)
• Real-time characterization of bone and cartilage through landmark collection and point mapping, without preoperative imaging.
• Real-time planning and gap assessment
• Provides a 3D model of patient anatomy
• Optimized* alignment and balance

Surgeon-controlled, handheld intelligence for a modern robotic approach

• Enhanced robotic knee workflow that saves time in the O.R.
• Portable robotics designed to offer the smallest footprint in orthopedics

Patient-specific planning:
To avoid significant ligament releases, visualise cuts and gap balancing prior to bone preparation. Using mechanical alignment and ligament data, tailor the plan to each patient.

Robotics-assisted bone preparation:
Handheld milling approach employs two control modes, exposure and speed control, which automatically change to implement patient-specific designs.

Improved ergonomics with a redesigned robotic handpiece

• New bur designs delivering 2X cutting volumes
• 29% faster resection
• Cut more in less time.

• 458% faster refresh rate*1
• Designed specifically for robotic surgery

• Size, orient and align components virtually on a 3D model
• Confirm implant placement relative to the articulating surface
• Adjust implant placement to balance soft-tissue throughout the full range-of-motion (UKR only)

Pre-evaluations
When a patient presents to the Orthopaedic surgeon's outpatient department (OPD) with knee pain, swelling, and joint rigidity, the consultant will assess the severity of the condition and may recommend less invasive treatment options, such as:

• Anti-inflammatory medications
• Weight loss through diet and exercise
• Cortisone shots
• Physical therapy
• Knee braces

However, if conservative treatment does not cure the symptoms, joint replacement surgery can assist. Before considering replacement surgery, the doctor will request diagnostic testing such as an X-ray and a CT scan.

Surgical Procedure and The Hospital Stay
Once surgery has been scheduled, the patient must undergo additional investigations, such as laboratory examinations. The surgery is performed by a surgeon who is well-trained with the technology and has extensive knowledge and experience in the subject area. The patient must remain in the hospital for three to four days, or as directed by the physician.

Post-Operative care
The rehabilitation process begins the same day or the next day after the surgery. The patient is asked to walk with the support making small steps. Physiotherapists recommend physical workouts to attain a near-normal gait pattern and maximum range of motion. The patient is asked to continue with the exercises even after release, and regular check-ups are performed.