The country’s first four-site 5G remote synchronous robot hip and knee replacement surgery was completed

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Director Zhang Wenming, let’s reconfirm the preoperative plan of the patient in Fujian. The technical parameters of hip replacement for obese patients weighing up to 200 pounds still need to be fine-tuned..." By the Shanghai six hospital orthopedic xian-long zhang team led by professor 4 to 5 g remote robot hip, knee joint replacement surgery 25 synchronization in Shanghai sixth people’s hospital, the first hospital affiliated to fujian medical university, Shanghai sixth people’s hospital of haikou orthopaedics and diabetes, taizhou grace hospital medical center (group) grace hospital. Professor Zhang Changqing, vice president and orthopaedic professor of Shanghai Sixth Hospital, said that from big data to AI, from Internet medical to 5G medical, it is the first time in China to apply 5G telemedicine in the field of artificial joint and carry out simultaneous surgery in multiple points and multiple centers. "Experience of the sixth Hospital" can be copied and promoted to more primary hospitals.

 

Robot hip and knee replacement surgery watch the scene

 

Robot-assisted standardized medical care

At 9:00 am on the same day, haikou Orthopedics and Diabetes Hospital of Shanghai Sixth People’s Hospital started the first remote robot-assisted total hip replacement surgery based on 5G network with the help of remote technology. In traditional joint replacements, even experienced doctors typically achieve only 85 percent accuracy. The emergence of robotic surgery is a transformative technology for joint surgery, which can help doctors complete each operation with standardization and precision, and bring patients faster recovery with less trauma. The accuracy of surgery can be close to 100%.

 

Before the operation, 3D modeling was used to generate the preoperative plan for the patient’s imaging data. Professor Chen Yuanliang from Haikou Bone sugar Hospital transmitted the patient’s data to the Remote consultation Center of Shanghai Sixth People’s Hospital in real time through 5G transmission.

 

The expert team in Shanghai can modify and update the patient’s surgical plan in real time, and the experts in Shanghai and Haikou can finally confirm the patient’s surgical plan through online interaction. During the operation, Professor Zhang xianlong watched the whole process of the operation and guided the acetabular registration through the remote mode. After the registration was completed, he adjusted the intraoperative plan again.

 

Finally, the 5G remote surgery achieved the best reduction effect through field reduction data measurement, and the surgical results were satisfactory. Subsequently, Shanghai Sixth People’s Hospital and the First Affiliated Hospital of Fujian Medical University connected to start the second remote robot-assisted total hip replacement. Director Zhang Wenming’s team from Fujian province performed the remotely adjusted surgical plan at the operation site, and verified the position of acetabular cup again by intraoperative remote technology. The operation was successfully completed.

 

Short recovery period forgotten surgical experience

Compared with traditional surgery, robot-assisted surgery has obvious advantages in the field of hip and knee replacement surgery, said Zhang Xianlong, a professor at the Department of Orthopedics of Shanghai Sixth Hospital. "The accuracy of the surgical robot is up to 0.1mm, the incision is smaller, the soft tissue is better protected and important tissue structures are not damaged, so the revision rate is much lower than traditional surgery," zhang said.

 

Since Shanghai Sixth Hospital successfully completed the first robot-assisted knee condyle replacement in China in September 2016, there have been more than 180 cases of robot-assisted total hip replacement and more than 170 cases of total knee replacement. According to the follow-up results of existing cases, the clinical results of robot-assisted hip and knee replacement are better than traditional surgery.

 

5G digitization makes the "experience of the Sixth Shanghai Hospital" replicable

 

"The operation is over! At 11:05 a.m., with the closing of Taizhou Enze Hospital, the hip and knee replacement surgery of the four-place 5G remote synchronous robot was successfully completed. As the guidance for the whole process of the surgery, Professor Zhang Xianlong said that the remote 5G system can further verify and optimize the surgical plan, ensure that the whole surgical results are consistent with the plan, and truly reflect the precision medical characteristics of the robot. Three experts in Fuzhou, Haikou and Taizhou also said that although they were far apart, they felt as if they were in the operating room of six hospitals, and could receive technical guidance in real time.

 

Zhang Changqing, vice president of Shanghai Sixth Hospital and professor of Orthopedics, said, "This helps to sink high-quality medical resources, which is of great significance to improve medical services in regional and marginal areas. At the same time, the experience of "six hospitals" can be copied and promoted to more basic hospitals through technical means, so as to further improve the medical service level of national and regional medical centers.

 

 

 

 

This article is reprinted from "CNR.cn"

 

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