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First patient to have robotic-assisted hip replacement surgery at BMI The Princess Margaret Hospital with Mr Kucheria

Robert Twydle, from Amersham was the first patient to have robotic-assisted replacement surgery at BMI The Princess Margaret Hospital, in Windsor on 25th July with Mr Rakesh Kucheria.

Robert had been walking with an increased limp for some four or five years and was aware that he needed to consider a hip replacement.

In April of this year, the pain and discomfort had been getting increasingly worse. As an accountant, his work was predominantly sitting still in a chair – and if he was sat for more than 15-30 minutes he would need to move, get up painfully and shake his hip. This was even worse on hard chairs. At night he would be regularly woken up by pain if he lay in the wrong position for any length of time. He was perhaps fortunate that he was not having to take regular pain killers. He was still managing to get around the golf course occasionally, with the help of a little ibuprofen and was still able to walk the dogs every day but this was becoming increasingly painful.

Robert was recommended to Mr Kucheria by his brother who was a radiographer and had much experience of hip replacement surgeons. Robert met with Mr Kucheria in late April and he immediately arranged a scan which clearly showed the damage and wear and tear to his hip.

Robert explained “I had never heard of robotic-assisted surgery before. But the use of robotics was explained to me and how this would enable much greater accuracy regarding measurements and positioning of my new hip. After the surgery I was out of bed and walking up and down the corridor the next day and was doing physiotherapy from day one. I was climbing up and down the stairs on day two and home on day three. The progress was incredible.”

Robert was walking with just one crutch by two weeks after the operation and was off all pain killers in less than 10 days other than an occasional paracetomol.

Unfortunately, Robert then developed a different health issue unrelated to the operation which slowed his progress but by five weeks, he was walking virtually normally and then just needed  physiotherapy to correct the bad habits he had built up over the years

Robert adds: “Mr Kucheria was excellent and certainly knew what he was doing. Mr Kucheria came to visit me a few times after the surgery and reassured me that everything had fitted perfectly. I would highly recommend him and the surgery. I was driving and walking the dogs shortly after five weeks with no difficulty and this might have been earlier if I had not had my other health issue.

Mr Kucheria concludes: “The MAKO robotic arm surgery is very exciting. Robotic arm surgery works with pre-op evaluation and planning – each patient will undergo a CT scan to look at the anatomy and compare it to the other side, and then have a pre-op plan created by experts. The plan is then executed and checked in theatre which will lead to proper implant sizing and reduce the risk of complications and redo surgery. Robert has made great progress and I am so pleased that he is able to get back to his normal daily life without any more pain or discomfort’.

Robert three months on says “Now 12 weeks after my operation I am back doing everything I could do before and more with no pain or any discomfort. Looking back, I have been able to do this pretty much from four weeks after the operation and now very often completely forget I have had it done. I would certainly recommend this to others as overall it feels amazing which is clearly down to the accuracy of the robotic process.”