Total Knee Replacement

The ROSA® Knee System for Total Knee Replacement

Surgeon-guided robotic technology for precise knee replacement

You’re a unique individual and so is your body. That’s why 3D Sports Medicine & Orthopaedic Center uses the ROSA® Knee robotic technology for patients that need total knee replacement surgery. ROSA is a Robotic Surgical Assistant, that assists Dr. Mark Davis, who is an experienced orthopaedic surgeon specially trained for this procedure, in ensuring the precise knee implant placement is a perfect fit.

Every patient’s situation is unique to them, so the length of time a knee replacement lasts will vary between patients. Individual results may vary, and your personal outcome and recovery will be based on several factors including your medical history, body weight, physical condition, activities, and surgical techniques. Since artificial replacements are not as strong or durable as natural, healthy joints, there is no guarantee that it will last for life. At some point, a patient may need another knee replacement.

Arthritis in the knee joint

The knee is the largest joint in your body. Three bones form the knee: the tibia (shinbone), femur (thighbone), and patella (kneecap). There is also cartilage tissue that lubricates the bone edges in the knee joint, acting as a cushion during movement.

Your age, activities, and injuries can damage the cartilage tissue and bone. The increased friction due to the lack of cartilage in the bones of your knee joint can become increasingly painful making it difficult to bend your knee or move around as the cartilage continues to wear down. This is a condition known as Osteoarthritis and it is the most common form of arthritis. It typically develops after several years of repetitive motion and constant pressure in the knee joints. If non-surgical options are not providing relief, Dr. Davis may recommend knee replacement surgery using our surgeon-guided robotic technology.      

ROSA KNEE Robotic Technology

A precise-fitting knee implant is essential to your comfort, recovery, and overall outcome after knee replacement surgery. The ROSA Knee robotic technology collects vital data before the procedure and during surgery, giving Dr. Davis precise information about your unique physical anatomy to ensure a more accurate implant fit. This precision technology allows Dr. Davis and 3D Sports Medicine to plan a custom total knee replacement surgery based upon your unique individual needs.

Before surgery

During the preoperative procedure, Dr. Davis and 3D Sports Medicine may use the ROSA Knee system to take a series of x-rays to create a three-dimensional (3D) model of your knee joint. Dr. Davis will use this 3D model of your knee to tailor the knee replacement surgery just for you.

During surgery

Robotic total knee replacement surgery with 3D Sports Medicine is very similar to traditional surgery, but with the guidance of robotic technology. Dr. Davis is an experienced orthopaedic surgeon specially trained to use the ROSA Knee system and will customize the procedure for your unique knee and joint structure. 

During the procedure, optical trackers will be attached to your leg. The robotic cameras use these trackers to keep track of the precise location of your knee during surgery, like the way GPS uses satellites to track objects.  This way if your leg moves, the robot will update and make any necessary adjustments. The ROSA Knee system will continually provide Dr. Davis with data about your knee throughout the surgery. The assistance of robotic technology and Dr. Davis’ skills as an experienced orthopaedic surgeon, will help ensure the precise positioning and placement of the artificial joint for your unique anatomy.

It is important to note that the robotic technology that 3D Sports Medicine uses doesn’t operate by itself. It is operated by Dr. Davis and only moves when instructed. Your surgical procedure will be under the command and control of Dr. Davis for the duration of the surgery.

After surgery

Dr. Davis will provide you with a personalized recovery plan which will include the length of stay in the hospital after surgery. You can expect to remain in the hospital for one to three days.  The remainder of your recovery will be at home. Dr. Davis will let you know when to begin resuming daily activities and which activities to avoid during the recovery period. Remember that recovery time varies, but most patients can drive after two weeks, gardening in three to four weeks, and golfing six to eight weeks.

Complications

Complications are rare but can occur during and after any surgical procedure. Complications can include, but are not limited to blood clots, infection, implant breakage, malalignment, and premature wear, which can require additional surgery.

Implant surgery is extremely successful in most cases, but some patients still experience stiffness and pain. An implant may not last for the rest of your life. There are many factors that can affect the implant’s longevity, including your weight, and post-surgery activities. Be sure to follow the personalized recovery plan that Dr. Davis provides and keep all follow-up appointments.

Dr. Davis may have preoperative requirements before surgery to reduce the risk for complications, such as obtaining tests from your primary care provider and ensuring your dental work is up to date. You may also be instructed on preparing your home to avoid falls. Be sure to discuss these and other risks with Dr. Davis.

Summary

At 3D Sports Medicine & Orthopaedic Center, we understand that deciding to have a surgical procedure can be difficult. We hope that the information we have provided about the ROSA Knee System will help you feel comfortable making the decision that is right for you. Please schedule an appointment with 3D Sports Medicine, to see if total knee replacement is right for you.

Please Note: The information on this site does not constitute medical advice. It is intended to provide an overview of our robotic total knee replacement surgery procedure. This overview doesn’t include all information necessary to determine your eligibility for knee replacement surgery or for the proper use and care of artificial knee replacements or any contraindications, warnings, precautions, and possible adverse effects. Please review all information and consult with Dr. Davis or Dr. Dominguez at 3D Sports Medicine to determine if total knee replacement is right for you.

Knee pain and solutions
Zimmer Biomet ROSA total knee replacement.

3D Sports Medicine is proud to offer ROSA® Assisted Surgery for full knee replacements.

Common Injuries

  • Knee Injuries
  • Meniscal tears
  • Cartilage Repair
  • Shoulder Dislocations
  • Shoulder Impingement
  • SLAP Tears
  • Labral Tears
  • Rotator Cuff Repair
  • Elbow Injuries
  • Ankle Injuries
  • Ankle Sprains/Fractures
  • Achilles Tendon Repairs
  • Hip Injuries/Labral Injuries
  • Trauma/Fractures
  • Wrist Fractures
  • Patella Fractures
  • Clavicle Fractures
  • Pediatric Fractures
  • Total Joint Replacement
  • Arthritis
  • PRP

Shoulder

There are a number of causes for shoulder pain. The shoulder is one of the most flexible joints and therefore is prone to injury. Shoulder pain occurs when soft tissues (Muscle, tendon, labrum & Ligaments) are injured or overused. The shoulder is prone to instability and even to dislocations which may require extensive rehabilitation or surgery. As well, years of use along with other medical conditions can cause stiffness, bursitis, rotator cuff tears, frozen shoulder, or even arthritis. At 3D Sports Medicine & Orthopaedic Center, Dr. David Dominguez is fellowship trained in Sports Medicine and Arthroscopic Surgery with specific expertise in diagnosing and treating a broad spectrum of athletic, degenerative and traumatic shoulder problems. Should you need surgery Dr. Dominguez is skilled in the latest minimally invasive surgical techniques geared to expedite your recovery.

Hip

As weight bearing joints your hips are highly susceptible to arthritis and surgery, including sports injuries and work related injuries. Characterized by joint deterioation and movement limitation, hip injuries and conditions can be especially painful and debilitating. Non-Surgical treatment of hip problems may include physical therapy and injections. At 3D Sports Medicine & Orthopaedic Center, Dr. David Dominguez, fellowship trained in Sports Medicine and Arthroscopic Surgery with specific expertise in diagnosing and treating a broad spectrum of athletic, degenerative and traumatic hip problems. Should you need surgery, Dr. Dominguez is skilled in the latest minimally invasive surgical techniques geared to expedite your recovery.

Ankle

Ankle injuries like fractures and sprains are common sports related injuries. An Ankle fracture is the break of one or more of the bones in the ankle. If treated appropriately either by casting or with surgery, one can anticipate a full recovery. Ankle Sprains are when the foot rolls, turns or twists, beyond its normal abilities. Ankle sprains typically occur when the foot lands in an odd position and with great force, causing stretched ligaments and sometimes tears. At 3D Sports Medicine & Orthopaedic Center, Dr. David Dominguez is fellowship trained in Sports Medicine and Arthroscopic Surgery with specific expertise in diagnosing and treating a broad spectrum of athletic and traumatic ankle problems. Should you need surgery, Dr. Dominguez is in the latest minimally invasive surgical techniques geared to expedite your recovery.

Trauma/Fracture

A fracture is a medical condition in which there is a break in the continuity of the bone. Inappropriate treatment or neglect of fracture care could lead to permanent deformity and disability. Dr. David Dominguez has specific training and experience treating complex fractures. Prior to completing his sports medicine fellowship, he worked as an orthopaedic traumatologist at Holmes Regional Medical Center. We treat both adult and pediatric patients who have sustained injuries sustained during auto accidents, sports related, life threatening falls etc. At 3D Sports Medicine & Orthopaedic Center, Dr. David Dominguez, fellowship trained in Sports Medicine, have specific, expertise diagnosing and treating a broad spectrum of athletic and traumatic injuries. We have state of the art casting, splinting, and bracing available. Should you need surgery, Dr. Dominguez is skilled in the most advanced minimally invasive surgical procedures to maximize your recovery.

If your are experiencing pain relating to these common injuries above,
please contact 3D Sports Medicine and Orthopaedic Center to schedule an appointment today.

Links to Helpful Articles from the American Academy of Orthopaedic Surgeons (AAOS)