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Knee Replacement Surgery
I perform knee replacement using a range of surgical techniques and alignment strategies, with or without robotic assistance. The goal is to choose the solution best suited to each patient's anatomy, severity of osteoarthritis, deformity, ligament stability, activity level, and functional expectations.
Robotic surgery can be a useful tool for accurate pre-operative planning, improving the radiographic precision of component positioning and personalizing certain aspects of the implant. However, current evidence suggests that robot-assisted total knee replacement offers greater radiological precision and modest early-recovery benefits, without clearly demonstrating superior long-term clinical outcomes compared with conventional manual surgery.
For this reason, I do not consider robotic surgery to be necessarily better for everyone, but rather a tool to be used when it can offer a real advantage in an individual case. For other patients, a well-performed manual technique can be an equally valid and effective choice.
Alongside the traditional surgical approach, I also use the subvastus approach, a technique that, in selected cases, allows greater preservation of the quadriceps muscle and may promote faster functional recovery in the early post-operative phases.
I also perform knee replacement with both mechanical and kinematic alignment (and its modifications), choosing the most appropriate strategy based on the patient's anatomical and functional characteristics. Again, no single method is universally superior: the quality of the result depends on correct indication, planning, and execution of the procedure.
The choice between manual or robotic surgery, traditional or subvastus approach, mechanical or kinematic alignment is therefore defined in a personalized way, with the aim of achieving a stable, functional knee suited to the patient's specific needs.