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Dr Vividh Makwana performed robotic assisted uncemented knee replacement using 3D mapping and biological fixation approach for joint stability
Advancements in orthopaedic procedures are expanding treatment options for patients with severe knee conditions, with a robotic assisted uncemented knee replacement recently performed in Mumbai. The procedure was carried out by Dr Vividh Makwana, using robotic technology for pre operative planning and intra operative guidance. The system enabled three dimensional mapping of the knee, supporting accurate bone preparation, implant positioning and joint alignment during surgery.
Unlike conventional knee replacement procedures that rely on bone cement to fix implants, the uncemented approach uses implants designed with a porous surface. This allows natural bone growth into the implant over time, a process known as biological fixation. Precision plays a key role in such procedures, as implant stability depends on accurate alignment and direct bone contact. Robotic assistance is used to support consistency and control during surgery.
Dr Vividh Makwana said, “For many patients with advanced knee arthritis, the real goal of surgery is not just pain relief but restoring confidence in movement and improving quality of life. Every knee replacement requires careful evaluation of the patient’s overall joint condition, bone strength, and functional needs before deciding on the most suitable treatment approach.” He added that structured rehabilitation and physiotherapy are essential for recovery and long term mobility.
Knee osteoarthritis remains a leading cause of chronic knee pain, particularly among individuals over the age of 50. Symptoms include pain, stiffness, swelling and difficulty in daily activities such as walking or climbing stairs. While early treatment includes medication, physiotherapy and lifestyle changes, surgical intervention is considered when these measures are no longer effective.
A patient who underwent the procedure said, “I had been living with constant knee pain for years, and everyday activities had become exhausting. After the surgery and ongoing physiotherapy, I am steadily regaining mobility and returning to my normal routine.” Uncemented knee replacement may be suitable for selected patients, particularly those with good bone quality, based on clinical and radiological evaluation. With increasing adoption of robotic systems in orthopaedic practice, such procedures are becoming more widely considered, supported by advancements in implant design and post operative rehabilitation methods.
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