Dr. Joseph Conflitti, an orthopedic surgeon and joint replacement specialist with UT Health East Texas Orthopedic & Sports Medicine Institute in Tyler, recently completed his 2,000th robotic-assisted joint replacement surgery. This milestone reflects years of surgical experience and the integration of advanced technology in patient care.
Dr. Conflitti began performing robotic-assisted procedures in 2016, following the acquisition of the Mako robotic system by the institute. Initially, the technology was utilized for partial knee replacements. Its use expanded to total hip replacements in 2017 and subsequently to total knee replacements in 2018. Since then, Dr. Conflitti has become recognized as one of the region’s most experienced robotic joint replacement surgeons.
His expertise extends to pioneering advanced hip replacement techniques. Dr. Conflitti has performed the anterior approach to total hip replacement since 2007. This muscle-sparing procedure is conducted through the front of the hip, which avoids cutting major muscles. Patients undergoing this approach often experience less pain, a faster recovery period, fewer activity restrictions, and a reduced risk of dislocation compared to traditional surgical methods.
Since 2017, Dr. Conflitti has combined this anterior approach with robotic-assisted technology. This integration allows for highly personalized surgical planning. Before surgery, patients undergo a CT scan to create a detailed three-dimensional model of their unique anatomy. The robotic platform then enables precise planning and positioning of both the acetabular cup and femoral stem implants, optimizing alignment, stability, and overall function for each patient.
To date, Dr. Conflitti has performed more than 600 robotic-assisted total hip replacements. This individualized approach has contributed to an exceptionally low hip dislocation rate of approximately 0.16%, a figure significantly below rates commonly reported in medical literature. What further distinguishes his method is the comprehensive utilization of robotic technology, incorporating data to optimize placement of both the cup and femoral stem, creating a customized reconstruction based on each patient’s unique anatomy, whereas many surgeons use robotic systems primarily for acetabular cup positioning.
In addition to his proficiency in hip replacement, Dr. Conflitti has established a reputation for successful robotic-assisted knee replacement surgery. Patients undergoing these procedures typically begin physical therapy within hours of surgery, are often able to return home the same day, and commence a structured rehabilitation program immediately. This expedited process is designed to promote a quicker return to daily activities and improved mobility.
Dr. Conflitti notes that while robotic-assisted surgery enhances precision and allows for personalized treatment, "experience remains critical." He underscores that technology serves as a valuable tool, with the ultimate objective being to achieve the best possible outcome for each patient.
