Knee Arthroplasty Advancements With MAKOplasty

Contents
  1. MAKOplasty Total knee replacement
  2. Robotic Assisted Surgery
  3. New Robotic Procedure for Knee Pain Offers Potential for Quicker Recovery – Spectrum Health Newsroom
  4. Total Knee Replacement | Advanced Knee Care
  5. The Current State of Affairs in Total Knee Replacement Surgery
  6. ProPublica Surgeon Scorecard Data
  7. Guidelines for Antibiotics After Total Knee Replacement
  8. Unicompartmental Knee Arthroplasty Using MAKOplasty
  9. New Minimally Invasive Partial Knee Resurfacing: Relieve Osteoarthritis Pain Using Robotic Arm Technology
  10. Makoplasty vs. Partial Knee Replacement
  11. What is a Makoplasty?
  12. How does a Makoplasty work? 
  13. How does a Makoplasty differ from a traditional total knee replacement? Is it better?
  14. Am I a good candidate for a Makoplasty?
  15. Do we treat patients who have had Makoplasty & partial knee replacements?
  16. MAKO Robotic-Arm Assisted Surgery
  17. What is MAKOplasty?
  18. Click HERE to learn more about MAKO surgery at Community Hospital
  19. The Benefits of MAKOplasty
  20. Conquer Your Knee & Hip Pain with MAKO, today!
  21. What Surgeons Say About MAKO
  22. MAKO Robotic-Arm Assisted Surgery is now available for partial and totalknee replacements and total hip replacements
  23. How the MAKO Procedure Works
  24. MAKOplasty®
  25. MAKOplasty® Partial and Total Knee Procedures
  26. MAKOplasty® Hip Procedure
  27. Interested in MAKOplasty®?
  28. Makoplasty Knee Surgery (Robotic Knee Replacement) in NYC
  29. Why is Makoplasty partial knee surgery performed?
  30. What does robotic partial knee replacement with Mako involve?
  31. What are the advantages of undergoing Makoplasty knee surgery?

MAKOplasty Total knee replacement

Knee Arthroplasty Advancements With MAKOplasty

Total knee replacement constitutes two-thirds of all lower extremity joint replacement in the United States. Mako robotic assisted surgery was introduced in 2007 for partial knee replacement and in 2011 for total hip and October 2016 total knee replacement. The technology is a major improvement in accuracy and precision in bone perpetration and implant positioning.

Mako robotic assisted total knee replacement overcomes limitations in instrumentation design and the human imprecision in implementing the preoperative plan. It allows us to execute the desired plan to within one degree for each patient.

A surgeon's tool

When you hear ‘robotic-arm assisted technology,’ it’s important to understand that the Mako robotic arm doesn’t actually perform the surgery. The surgery is performed by the orthopedic surgeon, who uses the Mako System software to pre-plan the patient’s surgery.

The surgeon guides the Mako robotic arm to remove diseased bone and cartilage and then inserts the total knee implant. The Mako technology was designed to help surgeons provide patients with a personalized surgical experience their specific diagnosis and anatomy.

Here's how it works:

Step 1- Before surgery

It begins with a CT scan of the patient’s knee joint that is used to generate a 3-D virtual model of the patient’s unique anatomy. This virtual model is loaded into the Mako system software and is used by the surgeon to create the patient's personalized pre-operative plan.

(See below)

Step 2 – In the operating room

In the operating room, as the bone is prepared for the implant, the surgeon guides the robotic-arm within the area defined in the patient's pre-operative plan. The Mako system helps the surgeon stay within the planned boundaries. This protects any soft tissue from unintentional injury. The Mako system also allows the surgeon to make adjustments to the plan during surgery, as needed.

Step 3 – After surgery

After surgery, the surgeon, nurses and physical therapists will set goals for the patient according to post-operative total knee replacement protocols. They will also closely monitor patient’s condition and progress.

Ultimately, the Mako total knee replacement represents an exciting technological advance that helps precisely execute the preoperative plan and will hopefully result in higher rates of patient satisfaction.

Mako vs. manual

In a recent study comparing Mako robotic-assisted total knee replacement versus traditional manual total knee replacement, Mako demonstrated on average cuts that were four times more accurate and implant placement that was three times more accurate.

Reference:

Robotic-arm assisted total knee arthroplasty demonstrated greater accuracy to plan compared to manual technique. E. Hampp, L. Scholl, et al. The Core Institute, Phoenix, Ariz.; The Cleveland Clinic, Cleveland, Ohio.

Yaser Metwally, M.D., FRCS

Orthopedic surgeon

Advance Joint Replacement Center of Southern Oregon

Source: https://www.advancedjointreplacementcenter.com/blog/makoplasty-total-knee-replacement-3643.html

Robotic Assisted Surgery

Knee Arthroplasty Advancements With MAKOplasty

What is Precision Joint Replacement? How is it Different from Traditional Joint Replacement Surgery?

Recent advancements in orthopedics have brought revolutionary changes in joint replacement procedures.

Computer-assisted equipment – using CT-scanned 3-D modeling and robotic arm technology – now allows for a much higher level of precision, smaller incisions and much faster recovery.

Customized implants mirror the surface contours of your knee to help provide greater coverage and implant fit.

Traditional Knee Replacement vs. Personalized MAKOplasty® Implants

There are many different types of knee procedures that vary according to your individual needs and treatment options. Depending on your circumstances, you may require either a total knee replacement or a partial knee replacement (either bicompartmental or unicompartmental). Click here to learn more about your knee anatomy and surgical options.

The following illustrates three different patients, used to demonstrate the overriding differences between the traditional knee replacement and personalized implant procedures:

With personalized implants, only the arthritic portion of the knee is resurfaced. This preserves healthy bone and tissue, giving you more options for the future. Implants are optimally positioned in the hip or knee joint to allow the knee to move smoothly again.

Traditional Hip Replacement vs. Personalized MAKOplasty® Implant Procedure

A recent study by Massachusetts General Hospital found that with traditional hip replacement surgery, the ball and cup placement was aligned incorrectly 50% of the time.

The personalized MAKOplasty® Implant Procedure was developed to achieve much greater accuracy. Even a few millimeters off can mean unnecessary pain for the patient. To learn more about your hip and the MAKOplasty technology, click here.

In Utah, joint replacement surgery with this level of precision is now available at the Hofmann Arthritis Institute. Advanced technology allows our surgeons to align the bone and implant with a degree of accuracy that was not possible before.

The computer gives detailed information allowing balance between the ligaments before surgery so that the first incision is precise.

The opening itself is much smaller than traditional procedures of the past, which means less scarring, discomfort and time spent in hospital recovery.

When combined with the experience and skill of a Hofmann Arthritis Institute surgeon, MAKOplasty® creates a visual map of the bone and then utilizes robotic assistance to place the implants in the precise anatomic location. In most cases, this leads to a shorter recovery, equal leg lengths, improved motion, and improved long-term outcomes and longevity of the hip replacement.

The Results?

  • Faster, easier recovery
  • Shorter hospital stay – average is around 1 to 3 days
  • Smaller incision and less scarring
  • Improved ease of movement
  • Improved surgical outcomes

The Experienced Clinic in Utah With This State-of-the-Art Technology

Hofmann Arthritis Institute is the one of the most experienced clinics offering this innovative, state-of-the-art technology to our patients.

Our hip, shoulder, and knee replacement surgeons bring you revolutionary changes to traditional joint replacement surgery. Our precision joint replacement approach uses robotic arm and CT-scanned 3-D modeling that allows for precision joint replacement.

Customized implants are designed to perfectly mirror the contours of your knee, which leads to greater implant fit.

This technology is provided by MAKOplasty®, the industry leader in precision joint replacement.

As a knee or hip arthroplasty procedure, MAKOplasty® is typically covered by most Medicare-approved and private health insurers.

Read more about MAKOplasty or call our office today at (801) 355-6468 to schedule an evaluation. We are happy to answer any questions you may have about the technology and procedure.

Hofmann Arthritis Institute. Providing the most technologically advanced precision and joint replacement in Utah. Call us today!.

Source: http://hofmannarthritisinstitute.com/precision-joint-replacement/

New Robotic Procedure for Knee Pain Offers Potential for Quicker Recovery – Spectrum Health Newsroom

Knee Arthroplasty Advancements With MAKOplasty

Listen to Dr. Golladay discuss MAKOplasty® (mp3, 18MB)

High school teacher Nancy Bruinsma will be ready this September if her students ask her what she did over her summer vacation.

Bruinsma, 56, was one of the first patients in Michigan to undergo MAKOplasty®, a new partial knee replacement surgery that combines surgeon-guided robotic arm technology with three-dimensional computer imaging.

When I teach, I to incorporate examples of innovation and progress because it’s something I support. It’s exciting to be one of the first patients, said Bruinsma, who hopes to have a video of her surgery to share with interested students. I’m happy that I was the hospital in two days and my physical therapist says I am ahead of schedule with my progress.

Spectrum Health’s Center for Joint Replacement at Blodgett Hospital is the first in Michigan to offer MAKOplasty® to adult patients with early to mid-stage knee osteoarthritis.

The minimally invasive procedure can relieve knee pain and restore range of motion.

It also can result in a shorter hospital stay, faster recovery and a more natural feeling knee after surgery compared with traditional total knee replacement surgery.

The first MAKOplasty® procedure at Spectrum Health was performed in April 2010.

This really is the next level of advancement in joint replacement surgery, said Gregory Golladay, MD, Orthopedic Associates of Michigan surgeon and clinical advisor for Spectrum Health’s joint replacement program.

Because Spectrum Health is one of the leaders in the United States in joint replacement in terms of volume and patient outcomes, we are constantly evaluating new procedures as they become available. We always want to do whatever is best for our patients.

MAKOplasty® allows us to be more precise and more accurate with a minimal amount of bone loss.

MAKOplasty® partial knee replacement may be an option for patients whose osteoarthritis has not yet affected the entire knee joint. Osteoarthritis, often called “wear and tear” arthritis, is the most common form of arthritis.

It occurs when cartilage between the joints breaks down, allowing the bones to rub against each other. This creates stiffness, pain and loss of movement in the joint.

Many osteoarthritis patients eventually turn to knee replacement surgery for relief.

Bruinsma underwent partial knee replacement in her right knee two years ago, using the traditional approach. When she started experiencing severe pain in her left knee, she wanted to improve her quality of life as soon as possible.

I am a very active person and I was missing out on traveling, gardening, walking my dog, and enjoying camping and other activities with my family, she explained. And as a teacher, I need to be on my feet, interacting with my students.  I found myself in a chair most of the time. I’m too young to be so limited. 

Bruinsma said she did her research as she sought an orthopedic surgeon and hospital. Her surgeon was Thomas Malvitz, MD, also with Orthopedic Associates of Michigan and chairman of Spectrum Health’s orthopedic department. She was excited to learn that the MAKOplasty® procedure would be offered at Blodgett Hospital. 

Using an interactive robotic arm system, combined with three-dimensional modeling and visualization, surgeons can precisely resurface only the diseased portion of the knee joint, sparing healthy bone, tissue and ligaments.  The new technology also allows for patient-specific alignment and positioning of implants that can result in knee motion that feels more natural after surgery.

Using robotic technology to prepare the bone surfaces allows us to be incredibly accurate. In addition, we can place the implants in near perfect orientation in all dimensions which leads to a more normal feeling knee for the patient, explained Golladay.

Golladay said that total knee replacement patients could anticipate a recovery time of two to three months. MAKOplasty® patients typically recover in less than half that time.

“I’m proud of the fact that we can be a technology leader, offering new procedures that focus on what’s good for the patient. Not every hospital can do this,” said Golladay.

Bruinsma says she won’t try to “rush” her recovery from her surgery and she is very happy that research has shown her new knee replacement could last for a decade or longer.

Who knows what they might come up with in the next 10 years? she said with a smile.

The Spectrum Health Center for Joint Replacement ranks first in West Michigan and second in the state for the number of joint replacements performed each year.

It is also the only program in West Michigan to hold Disease Specific Care Certification for joint replacement surgery from The Joint Commission for meeting or exceeding the most rigorous national standards for quality, safety and clinical outcomes.

Patients can learn more about MAKOplasty® by visiting www.spectrum-health.org/knee or by calling 616.486.5519 or toll free 877.422.5830.

Spectrum Health is a not-for-profit health system in West Michigan that offers a full continuum of care through the Spectrum Health Hospital Group, a collection of eight hospitals and more than 140 service sites; the Spectrum Health Medical Group, mmpc® and West Michigan Heart—physician groups totaling more than 400 providers; and Priority Health, a health plan with nearly 580,000 members. Spectrum Health’s 16,000 employees, 1,500 medical staff members and 2,000 volunteers are committed to delivering the highest quality care. The organization provided $79.4 million in community benefit during its 2009 fiscal year. In 2010, Spectrum Health was named a Top 10 Health System by Thomson Reuters.

Source: https://newsroom.spectrumhealth.org/new-robotic-procedure-for-knee-pain-offers-potential-for-quicker-recovery/

Total Knee Replacement | Advanced Knee Care

Knee Arthroplasty Advancements With MAKOplasty

MakoRobotic Total Knee Replacement patients routinely recover with less pain and have a faster return to normal function due to multimodal pain management, improved traditional surgical techniques, and rapid rehabilitation protocols.

I will continue to evolve surgical techniques and incorporate new technologies into the practice of orthopedic surgery to improve patient experience and patient outcomes.

The Current State of Affairs in Total Knee Replacement Surgery

Mako Robotic Total Knee Replacement surgery uses a robotic arm, 3-D virtual planning computer navigation and haptic guidance. Improvements over the last decade in traditional surgery techniques, multimodal pain management, infection prevention and rapid rehabilitation protocols produce the best patient recovery paths. Our patients do great!

Typical Recovery: Same Day Surgery. Walker/cane for 5-10 days. Driving within 1-2 weeks. Return to work in 1-3 months. Results vary depending on individual’s physical condition, other constitutional characteristics. Many patients take a year to reach a completely healed state.

Typical Risks include infections, blood clots, wound bleeding and knee stiffness. Antibiotics are used in the pre-operatively to lower infection risk. Aspirin, Sequential Compression Devices and early mobilization are used to lower risk of blood clots.

Aggressive, early Physical Therapy for 6-8 weeks is used to maximize range of motion and function.

Billing and Coding: The CPT billing code for TKR is 27447, for unicompartmental knee replacement 27446 and for patellofemoral arthroplasty 27438. These codes are useful to patients when discussing cost with insurance companies or surgeons. If you would to know more or have specific questions about medical costs, email me.

Typical Risks include infections, blood clots, wound bleeding and knee stiffness. Antibiotics are used in the peri operative period to lower infection risk. Aspirin, Sequential Compression Devices and early mobilization are used to lower risk of blood clots. Aggressive, early Physical Therapy for 6-8 weeks is used to maximize range of motion and function.

ProPublica Surgeon Scorecard Data

Rating surgeons is still an inexact science. Dr. Tarlow chooses to include a link to his data so that patients are informed. Dr. Tarlow’s adjusted complication scale is in the best quartile. Of the 19 surgeons rated in Dr. Tarlow’s geographic area 14 surgeons had a greater and 4 surgeons had a lesser complication scale.

That being said, the range of complication scale for our geographical area is 1.4% – 3.3%. I would opine that all surgeons in our area are performing well. Healthline analyzed data on over 1.5 million Medicare and privately insured people to take a closer look at these complications. this analysis, 4.

5 percent of patients under the age of 65 experience complications during this period.

However, the same data set showed that the complication rate more than doubles for older adults ProPublica (Medicare data – patients 65 year or older) has a uniform rating system that compiles hospital derived data on 300 potential complications that can occur anytime within the first 30 days after Total Knee Replacement surgical procedures.

These include procedure specific complications such as post op infection, blood clots and other complications such as heart attack, breathing problems or kidney failure. Since all orthopedic surgeons are rated using the same system there is some validity to adjusted complication scale. It is also important to state that a zero complication rate is not reality for major surgery such as total knee replacement.

Guidelines for Antibiotics After Total Knee Replacement

In 2012 this recommendation update by the AAOS and a clinical practice guideline was published: Current recommendation is ANTIBIOTICS are not required if healthy patient without dental infection. Susceptible patients (diabetes, HIV, Rheumatoid on immunosuppresive meds, Cancer patients immunocompromised – to name a few) should always use prophylactic antibiotics for Dental work.

Use Clindamyacin 600 mg if PCN allergic.

Source: https://tarlowknee.com/surgical-treatments/total-knee-replacement/

Unicompartmental Knee Arthroplasty Using MAKOplasty

Knee Arthroplasty Advancements With MAKOplasty

Hero Images/Getty Images

In order to talk about MAKOplasty we first have to talk about unicompartmental knee arthroplasty (UKA or ‘uni’ for short).

That may be an intimidating medical term, it simply means single-compartment knee replacement (or knee re-shaping if you want to be technical).

The knee has three compartments: medial (inside of knee), patellofemoral (between knee cap and femur), and lateral (outside section of knee joint). 

The most common form of osteoarthritis is a tri-compartmental arthritis that affects all 3 compartments of the knee. Therefore, it makes sense that the traditional knee replacement is a tri-compartmental arthroplasty that replaces all 3 compartments of the knee.

A small subgroup of people with osteoarthritis of the knee has unicompartmental OA. This type of arthritis affects on one of the 3 compartments. A UKA has been designed to address unicompartmental OA.

UKAs are traditionally designed for isolated arthritis of the medial compartment of the knee, however, newer designs have become available that are specific to lateral knee OA.

While isolated medial-sided knee OA is the traditional indication for UKA, this may not be the best option for all patients with this condition.

Whether a UKA is a viable option also depends on a person’s weight, functional status, age, and the presence of any alignment abnormality of the knee (if the person is bowlegged or knock-kneed).

 So with all these limitations why get a UKA versus a traditional total knee arthroplasty? The answer to that questions is complicated and multifaceted. For the perfect patient, the UKA feels more natural, as one study found that asked patients that had a UKA done on one side and a total knee on the other found.

Now that we have the basics of what a ‘uni’ is covered, the discussion can shift to MAKOplasty. A MAKOplasty is simply a ‘uni’ that is put in using computer navigation and a specialized robotic arm.

The combination of computer navigation and the robotic arm make it easier for the surgeon to put the components in proper mechanical alignment.

Robotics and computer navigation are an easy sell to consumers, and this has made MAKOplasty an increasingly popular option.

While studies have shown that computer navigation in joint replacement surgery does lead to more consistent mechanical alignment, to date there are no studies that show improved clinical outcomes with the use of this technology.

The use of computer navigation requires drilling of additional pins into the femur and tibia. Some surgeons argue that this creates the potential for creating an accidental fracture in those bones.

Another important point is that surgeons that are experienced with UKAs are able to put in well-aligned prostheses without the added cost and time required to use a MAKOplasty.

A strong argument can be made is that the use of computer navigation will help those surgeons that are less experienced. This will eliminate the “outliers,” meaning the small number of ‘unis’ that those surgeons put in that may result in poor alignment; computer navigation will make sure that all the installed ‘unis’ fall into a consistent range.

So if you are a patient with isolated, end-stage, osteoarthritis of the medial compartment of the knee, does it make sense to get a MAKOplasty? Hard to say, that requires a long conversation with your surgeon.

And the best route may be to pick a surgeon that you trust and let him pick the tool that is most appropriate for you and that he feels most comfortable with. At the end of the day, the tool that your surgeon feels most comfortable with and has the most experience with is the one that is most ly to lead to the best outcome.

The best takeaway is to do our best to not fall prey to effective marketing: robots are great, but may not make the best surgeons.

Thanks for your feedback!

What are your concerns?

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  • Journal of AAOS
  • MAKOplasty Partial Knee Resurfacing. Patient Education. MAKO Surgical.
  • MAKOplasty Partial Knee Resurfacing. Q & A.

Source: https://www.verywellhealth.com/what-is-makoplasty-2552049

New Minimally Invasive Partial Knee Resurfacing: Relieve Osteoarthritis Pain Using Robotic Arm Technology

Knee Arthroplasty Advancements With MAKOplasty

Everyday I come across patients who are suffering from joint pain in their knee due to osteoarthritis. I am frequently asked about the latest treatment techniques that may offer faster recovery. One procedure that can relieve pain is a minimally invasive technique for partial knee resurfacing. Below are some frequently asked questions about this new procedure.

What is osteoarthritis?

Osteoarthritis (OA), or degenerative joint disease, is characterized by the breakdown and eventual loss of joint cartilage. Cartilage is a substance that serves as the “cushion” for our joints. As the cartilage wears away, eventually the bone is exposed. Severe OA is characterized by “bone-on-bone” changes. Symptoms of OA of the knee include: 

  • Pain with activities such as standing, walking, stair climbing, or getting up from a chair
  • Start up pain or stiffness when activities are initiated from a sitting position
  • Joint stiffness after getting bed
  • Swelling in one or more areas of the knee
  • A grating sensation or crunching feeling in the knee during use

How do you treat osteoarthritis?

Symptoms are always treated non-surgically first, but when those solutions fail, total knee arthroplasty is an effective procedure to deal with the pain and disability associated with arthritis in the knee.

Approximately 600,000 total knee replacements are performed annually in the United States. A subset of these patients (perhaps 10-30%) may be candidates for a partial knee replacement or unicompartmental replacement.

In this procedure, only the affected portion of the knee is replaced leaving the rest of the intact and functioning knee joint in place.

What is the advantage of a partial knee replacement?

The advantages of this procedure, compared to a total knee replacement, are a quicker functional recovery, smaller incisions, less hospitalization and perhaps a more “natural” feel to the operated knee.

Are there any downsides?

Historically, the unicompartmental knee replacement has been a very technically challenging procedure. Small alignment errors may contribute to failure of the procedure.

What advancements have been made in this procedure?

MAKOplasty is the next evolution in unicompartmental knee replacement. In MAKOplasty, a 3-dimensional CT scan of the patient’s leg is obtained.

This data is placed into the RIO – Robotic Arm Interactive Orthopedic System pre-operatively.

The surgeon then uses 3-dimensional computer modeling to plan the surgery and uses the robotic arm during surgery to complete the plan with great accuracy. The MAKOplasty system also allows for intra-operative adjustments.

What have the results been?

The MAKOplasty procedure is an exciting advancement in partial knee replacement. Studies have shown that it increases the accuracy of the procedure 2-3 times compared to standard techniques. The improved precision of the surgery should lead to better patient outcomes in the short and long term.

Where is it performed?

In Tucson, the procedure is only available at Oro Valley Hospital and is performed by specially trained orthopaedic surgeons.

If you have knee pain well localized to one are of the knee, you may be a candidate. Call the Tucson Orthopaedic Institute in Oro Valley to schedule a consultation with Dr. Bowers.

By Kevin W. Bowers, MD

Source: https://www.tucsonortho.com/new-minimally-invasive-partial-knee-resurfacing-relieve-osteoarthritis-pain-using-robotic-arm-technology/

Makoplasty vs. Partial Knee Replacement

Knee Arthroplasty Advancements With MAKOplasty

Knee pain resulting from osteoarthritis can be very debilitating. It prevents us from walking, going up and down stairs, playing with our grandchildren, and participating in leisurely activities.

For many of our patients, physical therapy can help to delay or prevent  more invasive procedures such as injections or surgery. In other cases, patients will require knee replacement surgery to resolve their pain and decreased function.

Most often, patients have elected to receive a standard total knee replacement (aka total knee arthroplasty- TKA) when their knee pain is severe and their orthopedist recommends it.

However, in the last 5-10 years, technological advancements have allowed orthopedists to utilize something called Mako Robotic-Arm Assisted Knee Replacement. The results have been great thus far, and I am here to help you better understand how this procedure works.

What is a Makoplasty?

A Makoplasty is performed utilizing robotic assisted technology along with a CT scan of the patient’s knee.

The surgeon is still performing the procedure, but the robotic arm is guided by cameras that allow for extremely precise incisions and removal of damaged articular cartilage.

A CT scan is taken prior to the surgery and is visible three-dimensionally on a screen that your orthopedist will closely observe during the procedure.

How does a Makoplasty work? 

A Makoplasty can be done as an alternative to a traditional total knee replacement, but it can also be performed as a partial knee replacement. The knee has a medial compartment (inside part), a lateral compartment (outside part) and a compartment right underneath the patella (knee cap).

With a partial knee replacement your orthopedist will preserve as much of the healthy articular cartilage as possible, and will only remove the damage/inflamed areas.

Most commonly, the medial compartment is replaced since that is the part of the knee that accepts the most amount of forces over our lifetime. 

How does a Makoplasty differ from a traditional total knee replacement? Is it better?

The Makoplasty differs from a traditional knee replacement because it allows the orthopedist to preserve the collateral ligaments. A traditional knee replacement requires the orthopedist to cut and remove the anterior cruciate ligament (ACL).

Some orthopedists also remove the posterior cruciate ligament (PCL), while others spare it. With a Makoplasty, neither ligament needs to be removed. These ligaments serve an important function in knee stability.

The primary incision made with Makoplasty is much smaller than a traditional TKA, and recovery time is accelerated compared to a traditional TKA. With most total knee replacements, recovery typically takes approximately 3-6 months.

Makoplasty procedures require a shorter recovery time (typically 1-2 months). These patients also often have less pain and swelling post-operatively, as compared to the traditional TKA.

Am I a good candidate for a Makoplasty?

It is always best to speak to your orthopedic surgeon to determine whether or not Makoplasty is appropriate for your needs.

Your surgeon does need to be trained in this technology, so it is important to seek a surgeon with this kind of expertise if you believe you may qualify.

Those who are the best candidates for partial knee replacements are typically those who have moderate to severe arthritis in one compartment (most often the medial compartment).

Do we treat patients who have had Makoplasty & partial knee replacements?

Yes! At Sarrica Physical Therapy & Wellness, we treat patients who have undergone these procedures and we see excellent results.

Part of that is due to the brilliant surgeons, part of it is our clinical expertise in assessing and treating the condition post-operatively, and part of it is the persistence and commitment from our patients who want to get back to the things they love.

If you have any questions, or would to book an appointment for physical therapy, please contact us at 347-560-6920

Dr. Paul Nasri, PT, DPTStaff Physical Therapist

Sarrica Physical Therapy & Wellness

Source: https://www.sarricapt.com/blog-/makoplasty-vs-knee-replacement

MAKO Robotic-Arm Assisted Surgery

Knee Arthroplasty Advancements With MAKOplasty

Community Hospital in Oklahoma City is proud to offer MAKO Robotic-Arm Assisted Surgery, the latest advancement in robotic-assisted joint replacement surgery for partial and total knee and total hip replacement surgery. This advanced technology is the latest tool in the battle against knee and hip pain.

The MAKO system provides unmatched surgical accuracy, allowing for the precise placement of implants, while surrounding tissue is undisturbed.

What is MAKOplasty?

MAKOplasty is a robotic arm assisted procedure that is used to perform full hip or knee replacement or partial knee resurfacing, in addition to joint resurfacing. MAKOplasty is supported by the RIO (Robotic Arm Interactive Orthopedic System), and was designed to help patients who suffer from degenerative joint diseases.

Click HERE to learn more about MAKO surgery at Community Hospital

The MAKO procedure enables Community Hospital surgeons to reach a new level of precision using the latest technology. The RIO robotic arm provides surgeons with a 3-D model to help prepare them for the upcoming surgery, and enables them to plan the placement of the knee or hip implants prior to surgery.

The Benefits of MAKOplasty

◾Quicker relief from pain◾Improved surgical outcomes◾Quicker recovery–from months to weeks◾Smaller incision, less scarring◾Reduced blood loss during surgery◾Shorter hospital stay

◾A more natural-feeling joint following surgery

Conquer Your Knee & Hip Pain with MAKO, today!

A recent clinical study has found that 89% of patients who have undergone a uni-compartmental knee arthroscopy procedure (such as MAKOplasty®) are “very satisfied” or “satisfied” at two years after the procedure.

What Surgeons Say About MAKO

The 3D model of your hip or knee is used to pre-plan to the surgery and provide your surgeon an unparalleled level of accuracy in performing a total hip replacement or partial knee replacement.

The MAKO system uses advanced 3D imaging of the affected joint to produce a pre-operative plan, customized to each patient’s unique anatomy and condition.

MAKO Robotic-Arm Assisted Surgery is now available for partial and totalknee replacements and total hip replacements

MAKO Robotic-Arm Assisted surgery is customized for your individual anatomy.

It all begins with a CT scan of your joint that is used to generate a 3D virtual model of your unique anatomy. This virtual model is loaded into the MAKO system software and is used to create your personalized pre-operative plan.

How the MAKO Procedure Works

From there, your surgeon uses the MAKO to assist in performing your surgery your personalized pre-operative plan. The MAKO system also allows your surgeon to make adjustments to your plan during surgery as needed.

When the surgeon prepares the bone for the implant, the MAKO system guides the surgeon within the pre-defined area and helps prevent the surgeon from moving outside the planned boundaries. This helps provide more accurate placement and alignment of your implant.

Don’t let chronic knee and hip pain keep you from what you love most.

MAKOplasty®

Knee Arthroplasty Advancements With MAKOplasty

MAKOplasty® is one of the latest surgical advancements utilized by the pioneering Joint Replacement Team at EmergeOrtho. It is powered by the RIO® Robotic Arm Interactive Orthopedic System, which allows for consistently reproducible precision throughout surgery. 

With the use of MAKOplasty®, EmergeOrtho’s talented team of surgeons can achieve the utmost accuracy and precision, providing you with the best chances for a successful outcome.

MAKOplasty® Partial and Total Knee Procedures

MAKOplasty® is an innovative treatment option that can be successfully utilized in both partial and total knee resurfacing procedures.

Partial knee resurfacing is typically reserved for candidates living with early to mid stage osteoarthritis (OA) in either the medial (inner), lateral (outer), patellofemoral (front), or a combination of two compartments in the knee.

If the early to mid stage OA is present in most or all compartments of the knee, total knee resurfacing (replacement) will most ly be needed. 

During the partial knee resurfacing procedure, the diseased portion of the knee is resurfaced, sparing the patient’s healthy bone and surrounding tissue.

An implant is then secured in the joint, allowing the knee to regain mobility.

A total knee replacement procedure is very similar to a partial knee resurfacing procedure, except that all areas of the knee are resurfaced with a total knee replacement, rather than just one spot. 

MAKOplasty® knee resurfacing can:

  • Facilitate optimal implant positioning
  • Result in a speedier recovery and shorter hospital stay
  • Be performed on an outpatient basis in some cases
  • Promote rapid relief from pain and a quicker return to daily activities

MAKOplasty® Hip Procedure

The MAKOplasty® hip procedure is a treatment option for people suffering with either non-inflammatory or inflammatory degenerative joint disease (DJD), as well as osteonecrosis of the hip.

The hip is a ball-and-socket joint consisting of the spherical head of the femur (thighbone), which moves inside a cup-shaped hollow socket in the pelvis (acetabulum). When cartilage in the hip wears down, bare bone is exposed. When bone-on-bone contact occurs within the joint, it can cause pain in the groin, hip, spine, thigh, and/or knee. 

Hip implants reconstruct a bearing surface to replace lost cartilage and prevent painful bone-on-bone grinding. Total hip replacement consists of removing diseased bone in the acetabulum, which is fit with a cup and liner, and replacing the femoral head with new head and stem components.

MAKOplasty® technology helps the surgeon accurately place and align the implant components, which is critical to the success of the hip replacement.

The RIO® Robotic Arm Interactive Orthopedic System enables surgeons to use a 3D anatomic reconstruction a CT scan of the patient’s hip to pre-surgically plan implant positioning.

During the procedure, it provides real-time data for intraoperative adjustments, further enabling surgeons to optimally align and position implants, and accurately reproduce the surgical plan.

The operation is performed by first preparing the socket (aka the acetabulum).  The surgeon uses the robotic arm to accurately ream and shape the acetabulum to prepare it for cup placement. The RIO® enables accuracy in controlling the depth of bone removal and determining the hip’s center of rotation, which aids in implant positioning and alignment.

  When the bone preparation is complete, the surgeon uses the robotic arm to implant the cup, and the plastic liner is then locked into the metal cup. Moving on to the femur, the surgeon shapes the inner aspect of the bone required for the implant, and the femoral component’s position is measured by RIO®.

  The femoral stem is implanted and the correct ball size is attached to the stem to reconstruct leg length and soft tissue tension.

Interested in MAKOplasty®?

Would you to know if you’re a candidate for MAKOplasty®? Click here to schedule an appointment at one of our locations. 

Source: https://emergeortho.com/specialties/makoplasty

Makoplasty Knee Surgery (Robotic Knee Replacement) in NYC

Knee Arthroplasty Advancements With MAKOplasty

Dr. Peter K. Sculco is pleased to offer Makoplasty, or partial knee replacement surgery performed with Mako technology, for patients undergoing partial knee replacement surgery, also sometimes referred to as unicompartmental knee replacement surgery.

Makoplasty knee surgery may be suitable for patients who are suffering from osteoarthritis of the knee affecting one compartment of the knee. Mako technology allows Dr.

Sculco to selectively target the part of your knee damaged by osteoarthritis, replacing the diseased part of your knee while sparing the healthy bone and ligaments surrounding it.

Makoplasty robotic partial knee replacement was developed by Stryker, a leader in the advancement of robot-assisted orthopedic technologies. The technology helps improve the precision and accuracy of joint replacement surgery.

The Mako system has proven its ability to recover patient joint functionality and pain, with a high patient satisfaction level two years after surgery. Clinical research has also shown that orthopedic surgeons who use the robot-assisted tool were more accurate during joint implantation than surgeons implanting manually.

Why is Makoplasty partial knee surgery performed?

Conservative treatment options may be sufficient for certain patients suffering from osteoarthritis of the knee. However, as the disease and your discomfort progress, conservative treatment options may not be enough. In this case, Makoplasty may be a good option for you.

What does robotic partial knee replacement with Mako involve?

A partial knee replacement surgery with Mako begins with a pre-surgical evaluation of the knee, using a CT scan or other imaging test. This helps your orthopedic surgeon develop a precise plan for surgery. This information is then scanned into the Mako machine, enabling pinpoint precision during the procedure.

During robotic knee surgery, Dr. Sculco will use the Mako robotic arm to assist in removing the damaged portion of the bone and tissue, leaving healthy bone and cartilage intact. Then, with assistance from the robotic arm, your surgeon will insert artificial components to replace the old, damaged portions of the joint.

What are the advantages of undergoing Makoplasty knee surgery?

Robotic partial knee replacement surgery offers a wide range of benefits, both during surgery and post-surgery:

  • Exact precision from Mako technology
  • Accurate implant placement
  • Allows for real-time adjustments to be made during surgery
  • Lowered pain in knee joint
  • Increased joint function
  • Shorter recovery
  • High success rate

If you’re suffering from lowered range of motion and pain in your knee joint, the first step to getting back to your normal life quickly is scheduling an evaluation with an experienced orthopedic surgeon. Dr. Peter K. Sculco provides customized treatment plans and personalized care paired with world-class orthopedic training. Call 212.606.1771 today to request an appointment.

Source: https://www.drpetersculco.com/procedures/partial-knee-replacement-surgery/robotic-knee-replacement-mako-makoplasty/