Computer-guided knee replacement: Enhancing precision and outcomes

Written in association with: Mr Tom Symes
Published: | Updated: 23/08/2023
Edited by: Sophie Kennedy

Computer-guided knee replacement is an innovative surgical technique that moving the field of orthopaedics forward into the digital age. To learn more, we invited respected consultant orthopaedic surgeon Mr Tom Symes to share his expert insight on what the procedure itself entails, as well as the benefits and expected outcomes of this cutting-edge approach.

How is a computer-navigated knee replacement performed?

Computer-navigated knee replacement is similar to a traditional knee replacement but additionally a pin is drilled into the thigh bone and shin bone during the surgery. We attach 'arrays' to these pins and they allow a computer to 'see' where the leg is. We then perform registration to tell the computer where all the important parts of the knee are located. The computer then helps to guide the surgeon to make the bone cuts and soft tissue releases.


How does it differ to a traditional knee replacement surgery?

From the patient’s perspective, they will notice 1 or 2 small additional scars but no other differences as compared to traditional knee replacement surgery.


What are the main associated benefits and risks?

Benefits

The computer allows the surgeon to make the bone cuts and soft tissue releases more accurately than with traditional surgery. This means the leg is more likely to be perfectly straight and move better at the end of the operation.
 

Risks

There are virtually no aspects of computer-navigates knee replacement that bring increased risk. There is a very, very small chance of fracture where the pins are placed. These pins are removed at the end of the surgery.
 

Who is the ideal candidate for computer-navigated knee replacement surgery?

Anyone can have a computer navigated knee replacement but it is particularly useful in patients with a large deformity, like knock knees or bow legs. In addition, it can be particularly beneficial for patients who are overweight as it is more accurate, as well as in patients who have existing metalware.


How does recovery time compare to traditional knee surgery?

Recovery time is the same in both computer-navigates and traditional knee replacement procedures. Patients who have undergone a computer-navigated procedure may get slightly less blood loss because the surgery does not involve putting a rod down the thigh bone.



 

If you're considering knee replacement surgery and wish to explore whether computer-guided knee replacement is a suitable option for you, you can schedule a consultation with Mr Symes to discuss your individual case by visiting his Top Doctors profile.

By Mr Tom Symes
Orthopaedic surgery

Mr Tom Symes is a highly respected consultant orthopaedic surgeon based in Hull and East Yorkshire. He specialises in total hip and knee replacement, partial knee replacement and computer navigated knee replacement. He is also renowned for his expertise in enhanced recovery and day case hip and knee replacement, as well as muscle sparing total hip replacement (SPAIRE approach).

Mr Symes qualified in medicine from the University of Leeds in 1999 before pursuing further training in orthopaedics. He attained membership of the Royal College of Surgeons of England in 2003 and later undertook a Masters in evidence-based orthopaedics at the University of Teesside. In 2010, Mr Symes was awarded fellowship of the Royal College of Surgeons’ trauma and orthopaedics section. He additionally completed an arthroplasty fellowship at the esteemed Golden Jubilee National Hospital in Glasgow. He was appointed as a consultant orthopaedic surgeon at Hull and East Yorkshire Hospitals NHS Trust in 2011, where he continues to serve as clinical lead for orthopaedics, lead for Enhanced Recovery After Surgery (ERAS) and is the revision hip lead for the hospital.

More recently he has been leading the Orthopaedic Network for the Humber and North Yorkshire ICB. This group aims to improve care for patients with musculoskeletal problems across the region. He is passionate about improving the health of patients while they wait for surgery to give them the best outcome.

He has been the leading surgeon in the development of the day case joint replacement pathway at the Spire Hospital and in the last year over 30 of Mr Symes’ patients have been discharged on the same day as their hip or knee replacement. The pathway encompasses all the latest research around preoperative preparation, intraoperative muscle sparing techniques, postoperative multi modal pain relief and early mobilisation.

In the last year he has refined a muscle sparing Total Hip replacement technique (SPAIRE) that reduces the chance of hip dislocation after surgery and allows patients to return to full activity without any restrictions. This is particular attractive to young patients who wish to return to sports
He sees private patients at Spire Hull and East Riding Hospital.

Additional to his clinical responsibilities, Mr Symes is an honorary senior lecturer at the Hull York Medical School and trains medical students and junior doctors. He has published a number of academic articles which appear in peer reviewed journals and has also authored chapters in leading orthopaedic textbooks. He is regular speaker at national meetings in the field of orthopaedics, particularly on the topic of enhanced recovery. Mr Symes is also a respected orthopaedic medicolegal expert.

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