Revolutionising knee surgery: The TWIS-TKR technique explained

Written in association with: Professor Paul Lee
Published:
Edited by: Kate Forristal

The TWIS-TKR (Turn with Intelligent Stability Total Knee Replacement) technique in knee replacement surgery has emerged as a groundbreaking approach, revolutionising orthopaedic practices. Engineered to provide a more natural knee function and expedited recovery, TWIS-TKR combines custom kinematic alignment, artificial intelligence integration, and innovative recovery strategies. In his latest online article, Professor Paul Lee explores the intricacies of the TWIS-TKR technique, its suitability for candidates, benefits, patient outcomes, and how it compares to traditional knee replacement methods.

Understanding the TWIS-TKR technique:

The TWIS-TKR technique focuses on achieving custom kinematic rotation alignment, mimicking the natural movements of the knee. This precision ensures optimal rotational alignment and intelligent stability, ultimately providing patients with improved functionality and reduced post-surgical complications. The integration of artificial intelligence from MAI-Motion enhances surgical planning and execution, tailoring the procedure to each patient's unique anatomical and functional needs.

 

Who is a good candidate for TWIS-TKR?

Ideal candidates for the TWIS-TKR technique are those seeking customised solutions and precision in surgical planning. This includes individuals with unique knee joint structures, chronic knee pain, moderate to severe knee deformities, or a history of failed previous knee surgeries. Good overall health, realistic expectations, and a commitment to post-operative care are essential criteria for potential candidates.

 

Improving patient outcomes:

Clinical evidence supports the effectiveness of TWIS-TKR, demonstrating improved functional outcomes, enhanced patient satisfaction, reduced complication rates, and accelerated recovery times. Patients experience a more natural knee function, quicker return to normal activities, and reduced pain post-surgery. The technique's biomechanical advantages, coupled with AI-driven precision, contribute to its longevity and effectiveness.

 

Innovation in orthopaedic surgery:

TWIS-TKR, pioneered by Professor Paul Lee, stands out as an innovative approach in orthopaedic surgery. The custom rotational alignment, integration of artificial intelligence, enhanced mobility and stability, improved functional outcomes, reduced complication rates, faster recovery, biomechanical advantages, and a holistic approach to patient care collectively contribute to its innovative nature.

 

Comparing recovery time with traditional methods:

TWIS-TKR demonstrates a significantly expedited recovery compared to traditional knee replacement methods. Patients experience improved mobility, stability, and a quicker return to normal activities. Comparative studies reveal lower complication rates, shorter hospital stays, and reduced post-operative pain management needs. In contrast, traditional knee replacements generally require up to a year for full recovery, with most patients resuming normal activities about six weeks post-surgery.

 

Professor Paul Lee is a highly respected orthopaedic surgeon with over 15 years of experience. You can schedule an appointment with Professor Lee on his Top Doctors profile.

By Professor Paul Lee
Orthopaedic surgery

Professor Paul Lee is a consultant orthopaedic surgeon based in London and Grantham, Lincolnshire, specialising in hip replacement, knee surgery and knee cartilage replacement alongside revision hip replacement, meniscus surgery and anterior cruciate ligament (ACL) surgery. He privately practises at 108 Harley Street medical centre and as the director at MSK Doctors in Ancaster, Lincolnshire. His NHS base is United Lincolnshire Hospitals NHS Trust where he is a consultant sports and arthroplasty surgeon and the Director of Research.

Professor Lee is highly qualified, and received his MBBCh in Medicine from Cardiff University in 2005 and went on to receive an MSc in Sports Medicine - Muscle Performance and Recovery, from Cardiff Metropolitan University three years later. He then returned to Cardiff University to complete a PhD entitled 'Treatment of Muscle Injuries' in 2013. 

He regularly treats elite sports people, including treatment of muscle injuries in UK Premier League footballers, significantly reducing their recovery time, allowing them to return to playing sooner. 

Professor Lee, who is held in high esteem by his patients, offers various non-surgical orthopaedic techniques including micro artho-glycan knee, actovegin muscle injury and stem cell injection treatments alongside the Unloader One® knee brace. He also prides himself in his surgical skills in the S.P.A.I.R.E tendon-sparing total hip replacement, FT-MPFL Patella re-alignment and All-Inside ACL reconstruction surgeries. 
He has also combined surgery, technology, engineering to develop the Single Treatment Autologous Chondrocyte implantation (STACi) procedure. 

Further to his qualifications, Professor Lee also has various fellowships from respected institutions including the Royal College of Surgeons of Edinburgh (Tr & Orth), the European Board of Orthopaedics and Traumatology (FEBOT) and Orthopaedics Hospital in Oswestry. 

He is also a certified expert in the use of the Exeter hip system, which was developed after training on the Robin Ling Exeter Hip Replacement Fellowship in the Princess Elizabeth Orthopaedic Hospital in Exeter. He also did international fellowships in Germany and Australia. Other higher training saw Professor Lee become a certified member of the Faculty of Sports and Exercise Medicine (MFSEM).

Professor Lee is widely published in various peer-reviewed journals and is an active member of the British Hip Society (BHS), British Orthopaedic Sports Trauma and Arthroscopy Association (BOSTAA) and the British Orthopaedic Association (BOA) alongside the Biological Knee Society (BKS). He is internationally recognised at the ICRS teaching centre of excellence for his teaching in cartilage and joint preservation surgery. 

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