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Popular Moth storyteller Tom Shillue hosts this hour. The star of the kid’s TV show Blue’s Clues details his complicated relationship with fame. A 13 year old girl from Somalia immigrates to the US and struggles to keep her troubled sister in the country.
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Adam Simone, director of marketing for Blue Belt Technologies, and Dr. Eric Green demonstrate a robotic assisted surgical system Feb. 3 that is used in partial knee replacements at the St. tadalafilireland Cloud Surgical Center. But after an injection of cartilage six months before failed to bring an end to his chronic knee pain, the time was right for a partial knee replacement.
And just days after an unusual surgical procedure on Jan. 29, Goedker and his wife, Nancy, saw noticeable improvements.
What makes Goedker’s procedure so different is that it was the first partial knee replacement in Minnesota done with the assistance of the Navio Robotic Surgical System produced by Plymouth based Blue Belt Technologies.
Helping doctors save on preparation time and be more precise in surgery, the three part robotic system serves as a planning tool and guide in performing partial knee replacements.
“(The doctors) came up with the idea,” Goedker said. “They thought I’d be a good victim,” he chuckled.
Surgeon Eric Green at the St. Cloud Surgical Center has been leading their team of doctors in learning about and working with the $400,000 system the surgical center is in the process of owning.
“(Blue Belt Technologies) had some great ideas and I thought it would be a cool service to our patients,” Green said. “I think it’s exciting technology.”
In a traditional partial knee replacement, patients would need to come in weeks before their surgery and have a CT scan done. From there, doctors would start drafting potential ways they could go in and correct the knee. During the surgery, http://www.tadalafilireland.nu essentially a trial and error method would be used to assess correctly sized pieces and for checking the patient’s range of motion.
However, with the Navio system, the guesswork and pre operation calculations have been virtually eliminated.
How it works
Once a patient has been found to meet the requirements for a partial knee replacement having an intact anterior cruciate ligament (ACL), weighing less than 250 pounds and other parts of the knee are considered healthy they can go into surgery.
In the operating room, tracking pins for the Navio Robotic Surgical System are inserted into the thigh bone (femur) and the shin bone (tibia). Images from the pins are transmitted to the Navio computer so the surgeon can see where these bones are in preparation for the creation of the 3 D model.
The computer cart that gives the surgeon 3 D imagery of the patient’s leg and a camera cart each stand on the opposite side of the knee undergoing the surgery. Interconnected with these carts is the hand tool surgeons use to perform the procedure. https://en.wikipedia.org/wiki/Tadalafil The camera cart registers the positions of both the hand tool and the trackers in the thigh and shin bones.
After proper communication between the leg and the camera has been established, surgeons begin to find the range of motion of not only the knee, but also the hip and the ankle, focusing on the entire motion of the leg.
Next, using a point probe hooked up to the computer, doctors map out four key points of the knee structure before using the probe, like a paint brush, to paint over the area which is then transmitted to the computer. The same sort of procedure is then done for both the tibia and the femur.
The Navio system will then suggest different types of implants to use to gain the desired results. Simulated suggestions can be placed into the 3 D model of the knee on the computer and tests can be simulated to “try out” the implants.
“We can place the components on the computer and it will provide us with instantaneous feedback on the effect,” Green said.
The surgeon can then manipulate different parts of the process until the desired result is reached.
Once a plan has been determined, the hand tool, also equipped with sensors read by the camera, tadalafilireland can begin the process of drilling into the patient’s knee. The Navio system provides an almost topographical color coded map on the computer that doctors can use to ensure they are cutting to just the right level they need. If a doctor reaches the desired spot, the drilling bur in the hand tool will retract.
After the surface bone has been removed, the Navio system will provide surgeons with the locations that need to be drilled to insert the implants. And all the surgeon has to do then is to cement the implant in place.
“It took a little bit longer than what I’m used to,” Green said of his first Navio assisted surgery. “But in the long term, each surgery from now on will be faster and more efficient.”
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