What Brisbane Patients Should Know About Robotic Knee and Hip Surgery

Joint replacement surgery has developed significantly, with newer technology now supporting how procedures are both planned and performed. One of the most notable is robotic-assisted technology to support surgeons in knee and hip replacements. 

If you are considering joint replacement in Brisbane, learning how robotic-assisted surgery works and how it compares with traditional techniques may help guide discussions with your GP and specialist.

What is robotic-assisted joint surgery?

Robotic-assisted joint surgery uses advanced technology to support the surgeon in performing procedures such as hip or knee replacement.

The robot does not perform the operation independently. The procedure is carried out by a trained, specialist orthopaedic surgeon, with the robotic system providing:

• Pre-operative planning based on imaging 
• Real-time feedback during surgery 
• Assistance for precision in bone preparation and implant positioning 

Robotic vs traditional joint replacement surgery

Both robotic-assisted and traditional joint replacement techniques are used in orthopaedic surgery. The most suitable option depends on your individual condition, goals and discussion with your specialist and GP. 

Traditional joint replacement, also known as open surgery, relies on the surgeon’s experience, anatomical landmarks and manual instruments. Robotic-assisted systems add an additional layer of data and guidance that may allow for more detailed pre-operative planning, anatomical customisation and real-time operative adjustments. 

Aspect	Robotic-Assisted Joint Replacement	Traditional Joint Replacement
Surgical Planning	Uses imaging to support detailed pre-operative planning	Based on clinical assessment and imaging
Technique	Surgeon-guided procedure with technology providing real-time feedback	Performed using manual instruments and surgeon judgement
Intraoperative Adjustments	Allows for adjustments using real-time data during surgery	Based on surgeon experience and visual assessment during surgery
Implant Positioning	Assists with positioning in line with the surgical plan and patient anatomy	Guided by anatomical landmarks and surgical technique
Personalisation	Planning is tailored to the individual’s anatomy	Based on general anatomical considerations
Suitability	Considered depending on patient circumstances and clinical assessment	Historically used across joint replacement cases

Both approaches are well-established. Your surgeon will recommend an approach based on your individual circumstances, in communication with your GP.

Potential Benefits of Robotic Joint Surgery

Though outcomes can vary between individuals, robotic-assisted procedures have been associated with several potential benefits. 

Improved precision

Robotic systems are designed to assist with more precise implant positioning to support alignment of the joint. Alignment is one of main elements that can influence how a joint replacement functions over time.

Personalised surgical planning

Every person’s anatomy is different. Robotic-assisted systems help to create detailed pre-operative planning that is tailored to the individual. This can support decisions about implant size, positioning and alignment before surgery.

Consistency during surgery

Real-time feedback may help the surgeon make adjustments as needed during the surgery. This can improve consistency in how the procedure is performed.

Soft tissue protection

Robotic systems allow for more controlled movements during the procedure which may help minimise disruption to surrounding tissues. This is an important consideration in recovery.

Evidence for robotic joint replacement

Research into robotic-assisted joint replacement is ongoing. Some studies suggest differences in surgical accuracy and early recovery measures, though longer-term outcomes continue to be studied. 

It is important for patients considering joint replacement to understand that while technology can assist the procedure, overall results depend on multiple factors, including:

• Your overall health 
• The severity of joint condition
• Rehabilitation and recovery 
• Your orthopaedic surgeon’s experience and expertise

Is robotic joint surgery right for you?

Robotic-assisted joint replacement is not recommended for every patient. Suitability depends on:

• The type of joint condition 
• Anatomical considerations 
• Previous surgeries 
• Individual goals and expectations 

A consultation with a specialist orthopaedic surgeon like Dr Blake Fidock can help determine if this approach may be considered as part of your care. 

Recovery after robotic joint replacement surgery

Recovery following robotic-assisted joint replacement is often similar to traditional approaches, though a little quicker due to smaller incisions and less tissue disruption.

Patients can typically expect:

• Early mobilisation after surgery 
• A structured physiotherapy program 
• Gradual improvement in strength and movement

Some patients report differences in early recovery experiences, but this can vary from person to person.

Questions answered in your consultation with Ortho ARC

Choosing to undergo joint replacement surgery is a significant decision. Understanding your options is an important part of the process.

Common questions Dr Blake Fidock will answer in your consultation include:

• Am I a suitable candidate for robotic-assisted surgery? 
• What are the potential benefits in my case? 
• How does this compare to other options like traditional surgery for me? 
• What are the possible risks and considerations?
• What does recovery involve? 

These discussions and clear, personalised information will be provided to help you make an informed decision about your care. 

Robotic joint surgery in Brisbane

Robotic-assisted hip and knee replacement form part of the broader and modern orthopaedic care available in Brisbane. 

Ortho ARC’s focus is on selecting the most suitable technique for each patient, considering both traditional and robotic-assisted methods, based on clinical need and individual goals.

If you are exploring joint replacement options, speak with your GP about a referral to Ortho ARC in Brisbane.

References:

Australian Orthopaedic Association. (2023). Joint replacement surgery. https://www.aoa.org.au/for-patients/patient-information

Australian Commission on Safety and Quality in Health Care. (2022). Shared decision making. https://www.safetyandquality.gov.au/our-work/partnering-consumers/shared-decision-making

National Joint Replacement Registry. (2023). Annual report: Hip, knee & shoulder arthroplasty. Australian Orthopaedic Association. https://aoanjrr.sahmri.com/annual-reports-2023

Kayani, B., Konan, S., Pietrzak, J. R. T., Haddad, F. S. (2019). Iatrogenic bone and soft tissue trauma in robotic-arm assisted total knee arthroplasty compared with conventional jig-based total knee arthroplasty. Bone & Joint Journal, 101-B(7), 812–819. https://doi.org/10.1302/0301-620X.101B7.BJJ-2018-1422.R1

Dr Blake Fidock (MED0001788650) MBBS (Hons. 1), MTrauma (Ortho), FRACS (Ortho), FAOrthA is a Specialist Orthopaedic Surgeon in Brisbane. This information is general in nature and is not a substitute for medical advice, diagnosis or treatment and does not establish a doctor-patient relationship. All surgery carries risk and individual results may vary. Please consult your GP regarding your individual circumstances and for referral if required.