Innovative Technologies

Dr Darshan Angadi has been at the forefront in evaluating and using cutting-edge technologies to provide the best treatment options to his patients with excellent results.

1. Robotic - assisted joint replacement procedures

Patients with severe arthritis in hip and knee joints undergo joint replacement surgery to treat their symptoms. The joint replacement operation can be performed using manual instruments or using robotic technology. During a robotic-assisted joint replacement procedure expert surgeons like Dr Darshan Angadi use the robotic machine to accurately prepare the damaged joint and replace it precisely with an artificial joint depending on the patient size and body parameters. Using the robotic machine partial and full joint replacement surgery can be performed

There are many advantages of joint replacement surgery using robotic technology as below:

  • Minimal blood loss and a smaller scar
  • Less perioperative pain than manual instrumentation
  • Accurate preparation of damaged bone and joint
  • Precise placement of joint replacement implants
  • Preservation of bone and soft tissues 
  • Better outcomes and quicker recovery

As an orthopaedic surgeon with global experience in advanced joint replacement procedures, Dr Darshan Angadi has used several robotic systems including Makoâ„¢, OMNIBoticsâ„¢ and Cuvisâ„¢ amongst others. Hence patients can discuss their procedure in detail and also see a simulated surgical procedure prior to their surgery giving them clarity and complete information regarding robotic-assisted joint replacement procedure

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2. Virtual reality (VR) and metaverse based applications

Virtual reality is a computer-generated environment that can simulate physical presence in places in the real world or imagined worlds. VR Metaverse is a virtual world that can be accessed through virtual reality devices such as the Oculus QuestTM, HTC ViveTM, Samsung GearTM VR, Microsoft HoloLensTM and Google DaydreamTM. It is also known as a 3D internet or metaverse. The metaverse allows people to communicate with each other through avatars and explore virtual spaces together.VR has several healthcare related applications and capabilities that help surgeons improve patient outcomes. Scientific studies from leading centres of orthopaedic excellence from across the globe have demonstrated the numerous benefits of this technology in treating orthopaedic patients.

Dr Darshan Angadi is one of the pioneering orthopaedic surgeons to have adopted VR technology in his clinical practice not only to treat and improve patient outcomes but also to teach students and junior doctors.

Patients can request the following:
– VR consultation
– VR counselling session with explanation regarding their health condition and findings from scans such as CT and MRI using immersive 3D reconstructions that patients can interact with in real-time
– VR therapy after injury or surgery to help in earlier recovery.

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3. 3D printed and custom implants

Three-dimensional (3D) printing is a technology that uses additive manufacturing processes to create three-dimensional objects. 3D printers use computer aided design (CAD) software to generate cross sections of an object. A material is then deposited layer by layer onto a platform. Once the desired shape is completed, the printed object is removed from the platform and trimmed down to size.
3D printing is revolutionizing the way we treat musculoskeletal pathologies. Certain orthopaedic conditions can result in complex patterns of bone and soft tissue defects which commercially available implants and prosthesis will not be appropriate. In such scenarios, this exciting technology allows us to create custom implants and orthopaedic devices that fit each patient’s needs.

Concept of bioprinting of human bone. Part of the artificial tibia ready for transplantation to the patient. 3D illustration.
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4. Finite element implant simulation

Finite element analysis (FEA) is a simulation technique used in engineering to solve problems involving complex geometries. It is used in a variety of applications such as mechanical and structural engineering, biomedical engineering, materials science and chemical engineering. 
FEA has been developed to study bone and joint diseases, bone mass detection, and implant design. Finite element analysis can simulate the mechanical response of bones under load to simulate day to day activities which generate physiological and traumatic loading on the bones and orthopaedic implants.

Further information is available on the weblinks below:

This technique allows expert surgeons like Dr Darshan Angadi to precisely predict the implant behaviour after complex reconstruction or revision implant surgery. Hence any potential complications that can arise from implant design factors such as material composition or metallurgy, geometry and measurements can be corrected even before the patient undergoes surgery. This makes the complex surgical procedure both safe and effective in providing successful outcomes

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