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ROBOTIC TECHNOLOGY CAN BE A USEFUL TOOL IN TKR IN A POST-CABG PATIENT: A CASE REPORT AND LITERATURE REVIEW

Background: - Total knee replacement (TKR) is a major surgery associated with complications like pulmonary embolism, myocardial infarction, deep vein thrombosis and death. Associated risk factors like old age, male gender, pre-existing cardiac disease increase the risk of these post-operative complications. Use of robotic technology leads to reduced blood loss, decreased risk of pulmonary embolism and related complications. In our study, we evaluated the use of this technology in a patient undergoing total knee replacement, post coronary artery bypass grafting surgery.
Case Presentation: - An 85y old male patient, known case of hypertension, diabetes mellitus, ischaemic heart disease, who had undergone coronary artery bypass grafting (12 years back), presented with severe osteoarthritis in left knee, and was operated for total knee replacement surgery using robotic technology. The procedure was uneventful with satisfactory recovery of the patient. Use of robotic technology, along with good perioperative planning and its execution can help achieve successful outcomes in patients with cardiopulmonary risk factors.