ROBOTICS & COMPUTER ASSISTED SURGERY
Florida Orthopaedic Institute uses the latest advances in computer and robotics technology to support surgeries.
Known by many terms (computer-assisted surgery, computer-aided surgery, computer-assisted intervention, image-guided surgery, surgical navigation and robotic surgery), these cutting-edge technologies help our surgeons perform more precise surgeries, with faster healing and improved outcomes. These technological advancements are revolutionizing the field of orthopedics.
Precise models of the patient’s surgical area are made using imaging technologies such as computerized tomography scans (CT), magnetic resonance imaging (MRI) or x-rays. The information is uploaded into the computer system. These 3-D datasets help guide the surgeon both before the surgery (pre-op) and during surgery (intraoperative). They provide detail of soft versus hard tissue structures, with the computer differentiating and visually separating them.
Image-Guided Surgery
During surgery, image-guided navigation gives surgeons better orientation and higher precision. When using a surgical navigation system, the surgeon uses special instruments which are tracked by the navigation system. The position of a tracked instrument is shown on images of the patient as the surgeon moves the instrument. The surgeon uses the system to ‘navigate’ the location of the instrument. The system provides feedback of the instrument’s location, especially in situations where the surgeon cannot see the tip of the instrument such as in minimally invasive surgeries.
Robotic Surgery
In robotic surgery, the surgeon uses a surgical robot that has been programmed to carry out certain actions during the preoperative planning procedure. Surgical robots used in orthopedic procedures are mechanical robotic arms that are computer-controlled.
Florida Orthopaedic Institute has two of the latest technologies – the NAVIO® Surgical System and the MAKO® Robotic-Arm Assisted System.
NAVIO Robotic Assistance Provides Accuracy and Precision
The NAVIO Surgical System uses robotics-assisted technology to help tailor partial and full knee replacements to the unique shape and motion of each patient’s knee anatomy.
For partial knee replacements, replacing only part of a knee joint can be more challenging than replacing the entire joint. A partial knee replacement needs to have an exact balance between the new implant (made of metal and plastic components) and your natural anatomy made of bone and cartilage. Precise positioning of the implant for each unique patient is one of the primary challenges of all partial knee replacements.
The NAVIO Surgical System uses both computer and robotic assistance to accurately map the surface of your knee, align your implant to your anatomy, and physically remove the bone necessary to place your new implant. The NAVIO system collects anatomic and alignment information without the need for a computerized tomography (CT) scan, another patient benefit.
MAKO Robotic-Arm Assisted Surgery
The surgeons at Florida Orthopaedic Institute are transforming the way partial knee, total knee and total hip replacement procedures are performed using the Mako System. This new approach to joint replacement has a higher level of patient-specific implant alignment and positioning.
Virtual 3D models allow surgeons to personalize each patient’s surgical plan. The surgeon creates a patient-specific 3D plan and performs joint replacement surgery using a surgeon-controlled robotic-arm that helps execute the procedure with a high degree of accuracy. During surgery, the surgeon can validate the plan and make any necessary adjustments.
Studies have shown robotic-arm assisted partial knee replacement can be two to three times more accurate than manual partial knee replacement procedures.
Areas of Focus
NAVIO Surgical System: Robotics-Assisted Navigation Technology
MAKO Robotic-Arm Assisted Surgery System
The following Florida Orthopaedic Institute physicians specialize in Robotics:
Robotics Surgery
Dr. Gustke and Dr. Miranda discuss the technology of the MAKO and NAVIO robotic arm assisted surgery. Learn more about the benefits of robotics.
Specialties
- AC Joint Injuries
- Achilles Tendinitis - Achilles Insertional Calcific Tendinopathy (ACIT)
- Achilles Tendon Rupture
- Achilles Tendonitis
- ACL Injuries
- Ankle Fracture Surgery
- Ankle Fractures (Broken Ankle)
- Ankle Fusion Surgery
- Anterior Cervical Corpectomy & Discectomy
- Arthroscopic Articular Cartilage Repair
- Arthroscopic Chondroplasty
- Arthroscopic Debridement of the Elbow
- Arthroscopy Of the Ankle
- Articular Cartilage Restoration
- Artificial Disk Replacement (ADR)
- Aspiration of the Olecranon Bursa - Fluid In Elbow
- Atraumatic Shoulder Instability
- Avascular Necrosis (Osteonecrosis)
- Bankart Repair
- Basal Joint Surgery
- Bicep Tendon Tear
- Bicep Tenodesis
- Bone Cement Injection
- Bone Growth Stimulation
- Bone Health Clinic
- Broken Collarbone
- Bunions
- Bursitis of the Shoulder (Subacromial Bursitis)
- Calcific Tendinitis of the Shoulder
- Carpal Tunnel Syndrome
- Charcot Joint
- Chiropractic
- Clavicle Fractures
- Colles’ Fractures (Broken Wrist)
- Common Foot Fractures in Athletes
- Community Outreach
- Cubital Tunnel Syndrome
- De Quervain's Tenosynovitis
- Deep Thigh Bruising
- Degenerative Disk Disease
- Diffuse Idiopathic Skeletal Hyperostosis (DISH)
- Discectomy
- Discitis Treatment & Information
- Dislocated Shoulder
- Dupuytren’s Disease
- Elbow
- Elbow Bursitis
- Elbow Injuries & Inner Elbow Pain in Throwing Athletes
- Epidural Injections for Spinal Pain
- Finger Dislocation
- Flexor Tendonitis
- Foot Stress Fractures
- Foot, Ankle & Lower Leg
- Foraminotomy
- Fractured Fingers
- Fractures Of The Shoulder Blade (Scapula)
- Fractures Of The Tibial Spine
- Functional Nerve Transfers of The Hand
- Ganglion Cysts
- General Orthopedics
- Glenoid Labrum Tear
- Golfer's Elbow
- Groin Strains and Pulls
- Growth Plate Injuries Of The Elbow
- Hallux Rigidus Surgery - Cheilectomy
- Hammer Toe
- Hamstring Injuries
- Hand & Finger Replantation
- Hand & Wrist
- Hand Nerve Decompression
- Hand Skin Grafts
- Hand, Wrist, Elbow & Shoulder
- Heat Injury/Heat Prostration
- High Ankle Sprain (Syndesmosis Ligament Injury)
- Hip & Thigh
- Hip Arthroscopy
- Hip Dislocation
- Hip Flexor Strains
- Hip Fractures
- Hip Hemiarthroplasty
- Hip Impingement Labral Tears
- Hip Muscle Strains
- Hip Pointers and Trochanteric Bursitis
- Hyperextension Injury of the Elbow
- Iliopsoas Tenotomy
- Iliotibial Band Syndrome
- Impingement Syndrome of the Shoulder
- Interlaminar Implants
- Interlaminar Lumbar Instrumental Fusion: ILIF
- Interventional Pain Management
- Interventional Spine
- Intraarticular Calcaneal Fracture
- Joint Replacement
- Knee & Leg
- Kyphoplasty (Balloon Vertebroplasty)
- Kyphosis
- Labral Tears Of The Hip (Acetabular Labrum Tears)
- Laminectomy: Decompression Surgery
- Lateral Collateral Ligament (LCL) Injuries
- Lisfranc Injuries
- Little League Shoulder
- LITTLE LEAGUER'S ELBOW (MEDIAL APOPHYSITIS)
- Lumbar Epidural Steroid Injection
- Lumbar Interbody Fusion (IBF)
- MACI
- Mallet, Hammer & Claw Toes
- Medial Collateral Ligament Injuries
- Meniscus Tears
- Metatarsalgia
- Minimally Invasive Spine Surgery
- Morton’s Neuroma
- Muscle Spasms
- Muscle Strains of The Calf
- Nerve Pain
- Neuromas (Foot)
- Neurosurgery
- Olecranon Stress Fractures
- Orthopaedic Total Wellness
- Orthopedic Physician Or A Podiatrist? Definition of a Podiatrist
- Orthopedic Trauma
- Osteoarthritis of the Hip
- Osteoporosis
- Outpatient Spine Surgery
- Partial Knee Replacement
- Patellar Fracture
- Pelvic Ring Fractures
- Peripheral Nerve Surgery (Hand) Revision
- Pinched Nerve
- Piriformis Syndrome
- Piriformis Syndrome
- Plantar Fasciitis
- Podiatry
- Primary Care Sports Medicine
- Quadriceps Tendon Tear
- Radial Tunnel Syndrome (Entrapment of the Radial Nerve)
- Revascularization of the Hand
- Reverse Total Shoulder Replacement
- Rheumatoid Arthritis (RA) of the Shoulder
- Rheumatoid Arthritis Of The Hand
- Robotics
- Rotator Cuff Tears
- Runner's Knee
- Sacroiliac Joint Pain
- Sciatica
- Scoliosis
- Shin Splints
- Shoulder
- Shoulder Arthritis
- Shoulder Arthroscopy
- Shoulder Injury: Pain In The Overhead Athlete
- Shoulder Replacement
- Shoulder Separations
- Shoulder Socket Fracture (Glenoid Fracture)
- SLAP Tears & Repairs
- Spinal Fusion
- Spine
- Spondylolisthesis and Spondylolysis
- Sports Foot Injuries
- Sports Hernias (Athletic Pubalgia)
- Sports Medicine
- Sports Wrist and Hand Injuries
- Sprained Ankle
- Sprained Wrist Symptoms and Treatment
- Subacromial Decompression
- Sudden (Acute) Finger, Hand & Wrist Injuries
- Targeted Muscle Reinnervation (TMR)
- Tendon Transfers of The Hand
- Tennis Elbow Treatment
- Thigh Fractures
- Thigh Muscle Strains
- Thumb Ulnar Collateral Ligament Injuries
- Total Ankle Replacement
- Total Hip Arthroplasty
- Total Hip Replacement - Anterior Approach
- Total Knee Replacement Surgery
- Trapezius Strain (Muscle Strain of The Upper Back)
- Traumatic Shoulder Instability
- Tricep Pain & Tendonitis
- Trigger Finger
- Turf Toe
- UCL (Ulnar Collateral Ligament) Injuries
- Ulnar Neuritis
- Valgus Extension Overload
- Vertebroplasty
- WALANT (Wide Awake Local Anesthesia No Tourniquet)
- Whiplash and Whiplash Associated Disorder (WAD)
- Wound Care
- Wrist Arthroscopy
- Wrist Fractures
- Wrist Tendonitis
Services
- Physical Medicine & Rehabilitation
- Physical Therapy
- Primary Care Sports Medicine
- PROMs (Patient-Reported Outcome Measures)
- Same-Day Orthopaedic Appointments Now Available
- Sports Medicine
- Sports-Related Concussion Treatment
- Telehealth Page
- Telemedicine
- Workers' Compensation
- Workers' Compensation Dispensary
- X-Ray