December 4, 2020

Cemtro Clinic implants the first knee prostheses with intelligent robotic surgery in Spain and Portugal




Cemtro Clinic has performed the first orthopedic surgeries assisted with a smart robot in Spain and Portugal. The medical team, led by Dr. Pedro Guillen, Head of the Traumatology Service at Clínica Cemtro, Dr. Isabel Guillén, Head of the Cartilage Unit and Dr. Fernando Sanz Zapata, Head of the Knee Unit, has implanted successfully the first total knee replacement with Mako SmartRobotics.

Cemtro Clinic has thus become the first hospital in Spain and Portugal to perform orthopedic surgeries assisted with an intelligent robot. “At Clínica Cemtro we are always committed to innovation and to incorporating the latest technology that helps the surgeon and allows us to offer the highest quality and safety to our patients,” explains Dr. Isabel Guillén, a traumatologist at Clínica Cemtro.

Mako SmartRobotics is backed by more than 14 years of clinical experience and more than 175 peer-reviewed clinical studies. It is the only robotic platform that has shown better early recovery of joint function compared to manual joint surgery; less pain and greater patient satisfaction; less need for pain relievers and fewer physical therapy sessions.

“This intelligent robot allows us to perform a more precise and safe surgery that guarantees that the patient is implanted with the best prosthesis for him and therefore the one that will last the longest. The main benefits for the patient will be: less intraoperative blood loss, less post-surgical pain and faster recovery ”, says Dr. Fernando Sanz Zapata, Head of the Knee Unit at Clínica Cemtro.

The total knee replacement is the definitive solution for patients suffering from knee osteoarthritis. Last year, more than 60,000 knee arthroplasties were performed in Spain and according to the Swedish arthroplasty registry, the number of knee replacements has multiplied by 5 in the last 20 years. Worldwide, around 20% of patients say they are not satisfied with their knee replacement, therefore, one of the challenges in knee replacement surgery is reducing the risk of inadvertent damage to the bone, ligaments and other soft tissues surrounding the joint. Osteoarthritis: the leading cause of permanent disability in our society.

Osteoarthritis is the leading cause of permanent disability in society: in Spain it is estimated that 7 million people suffer from osteoarthritis, 75% are women. Furthermore, around 13% of the adult population in Spain has symptomatic knee osteoarthritis, according to the latest study on the prevalence of rheumatic diseases by the Spanish Society of Rheumatology.

This disease usually appears from the age of 45-50 years and increases exponentially from the age of 50. In Spain, 50% of the population over 65 years of age suffers from osteoarthritis, according to data from the Spanish Society of Geriatrics and Gerontology (SEGG) and it is more common in women than in men. In addition, according to a systematic review of the OA Patients Task Force in November 2019, the worsening of the quality of life in patients with knee osteoarthritis is worse in the case of women.

When you have a poor quality of life, you cannot control pain, there is disability, the patient needs painkillers and / or conservative treatment does not work, then arthroplasty is proposed.

According to Dr. Pedro Guillén, Head of the Traumatology Service of Clínica Cemtro, “This technological advance in the implantation of knee prostheses for patients with osteoarthritis means an improvement in the prolongation of that prosthesis, which in the end is the well-being for the patient ”.

Total knee prosthesis with Mako SmartRobotics intelligent robot has shown better clinical results in total knee arthroplasty than manual surgery. The most differential characteristics of this intelligent robot are: Personalized pre-operative planning: With the intelligent robot, a 3D planning based on a CT is carried out so that it is known in advance what the specific anatomy of the patient is like before entering the operating room (cysts , osteophytes, deformities …); Robotic bone preparation: thanks to the CT information, haptic technology can help to precisely execute the surgeon’s plan, preserving more bone and protecting soft tissues (it even stops to avoid causing unintended damage).

The Cemtro Clinic Knee Unit, directed by Dr. Fernando Sanz Zapata, places more than 300 knee prostheses per year. Furthermore, Clínica Cemtro is the hospital that has placed the most personalized prostheses in Spain.

“That our knowledge grows and is at the level of what modern life demands of us is our challenge: to increase the hope of« joint well-being ».”, Concludes Dr. Pedro Guillén, founder of Clínica Cemtro.

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