Two Valley Health Hospitals adds robotic technology for knee replacement

Technology offers Warren and Winchester patients personalized precision orthopedic care

Valley Health orthopedic surgery teams at Warren Memorial Hospital (WMH) and Winchester Medical Center (WMC) have used two new surgical robots to help patients seeking relief from arthritis knee pain and immobility through total knee arthroplasty.

Teams led by fellow-trained orthopedic surgeons Mesfin Shibeshi, DO, at WMH and Max Lingamfelter, DO, at WMC, are using robotic technology to facilitate same-day total knee reconstruction procedures at both facilities.

“The surgical robot is another enhancement to the comprehensive care our teams provide, from extensive preoperative patient education to postoperative surgery and physiotherapy, so that our patients can return to life more fully, more comfortably, and more quickly.” , said Julie Miksit, BSN, MBA, vice president, operations and service lines at Valley Health.

Robot-assisted surgery provides uncompromising stability and precision during total knee replacement surgeries. Combined with robotic technology, an imaging and surgical planning interface provides a detailed 3D model of the patient’s unique anatomy, enabling more precise planning of incisions and implant placement prior to surgery. During the procedure, the surgeon can guide the robotic arm to perform the predetermined surgical plan with a high level of precision, while also having the freedom to make intraoperative adjustments, if necessary. This level of surgical customization and precision can limit soft tissue damage, preserve bone, and reduce post-surgical pain in some patients.

About 25% of American adults suffer from arthritis. It is one of the main causes of work incapacity, with annual costs for medical care and lost income of $303.5 billion. Replacing a knee or hip joint damaged by osteoarthritis with a prosthesis is one of the most common orthopedic procedures. According to the American Academy of Orthopedic Surgeons (AAOS), 90% of people who undergo knee replacement surgery experience a significant reduction in pain.

Valley Health’s orthopedic team performs more than 1,000 total joint replacement procedures each year, providing relief to people whose joints are damaged by degenerative arthritis, injury, or wear and tear. Improvements in surgery, pain management and rehabilitation have continued to improve the overall experience. For many, joint replacement is now an outpatient surgery and patients go home the same day.

“The robot has been an important addition to our orthopedic surgery program at Warren Memorial,” Dr. Shibeshi said. “The individualized 3D pre-planning is exceptional and the robotic arm is a very stable and precise extension of the surgeon’s hands. We are thrilled to offer patients this breakthrough for the long-term relief of knee pain and immobility. » WMH was the first Valley Health hospital to earn the Gold Seal of Approval® for Joint Commission total knee replacement and total hip replacement certification, recognizing its compliance with rigorous performance standards for safe, high-quality joint replacement care. This certification attests to the quality of the hospital’s entire joint program, from pre-surgical consultation and patient education, to surgery, pain management, rehabilitation and follow-up.

One of the first patients to benefit from WMH’s new robotic equipment was Front Royal resident Marie McDaniel, 75, an avid walker despite severe arthritis and bone spurs. She was very pleased with the personal care she received from the whole team, before, during and after her outpatient surgery in mid-March. “They’re the best of the best,” McDaniel said of the WMH team. “They still have the care and compassion of a small town, and provide excellent medical, personal and psychological care.” She started physical therapy at Valley Health’s Riverton Commons location with realistic expectations. “I’m not a patient person, but I have a wonderful physical therapist who I love,” she said.

Dr. Lingamfelter, along with Dr. Shibeshi, are fellowship trained and experienced in all levels of complexity of orthopedic surgery. “Robot-assisted surgery is the next evolution of total joint replacement and offers a level of precision beyond the human eye,” said Dr. Lingamfelter. “With this technology, we are able to plan and create a three-dimensional model of the knee before the bone is cut, which allows us to predict how the knee will react to these implants. This provides a more consistent and repeatable feel to each knee and allows us to achieve this goal using the most conservative bone cuts.

One of Dr. Lingamfelter’s patients, Trista Runion, 47, of Martinsburg, WV, had suffered multiple gym injuries and had previously struggled to walk and climb stadium steps at sporting events. “My knees are so bad that I can’t do a lot. Managing being overweight is especially difficult when exercise is so painful,” she said. “Dr. Lingamfelter was very compassionate; he was not judgmental, he just wanted to help. Runion has had very little surgical pain since his robotic procedure in March and has made tremendous functional gains throughout his postoperative recovery. “I I’ve never felt so stable,” she said, adding that Dr. Lingamfelter’s robot-assisted team will replace her other knee in mid-May.

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