Robotic Assisted Hip Surgery/Makoplasty
Degenerative joint disease (DJD), a common cause of hip pain, is a chronic condition hampering the quality of life of affected individuals. There are different types of DJD and the most common ones include osteoarthritis (OA), post-traumatic arthritis, rheumatoid arthritis (RA), avascular necrosis (AVN), and hip dysplasia.
MAKOplasty® Total Hip Replacement is a novel surgical alternative for patients with degenerative joint disease (DJD). In this procedure a Robotic Arm Interactive Orthopedic System (RIO®) assists the surgeon in aligning and positioning implants more precisely.
MAKOplasty can be considered in patients with pain while bearing weight on the affected joint, pain or stiffness in the hip while walking or performing other activities, and also in patients not responding to a conservative line of management.
Accurate placement and alignment of the hip implant is crucial in hip replacement surgery. MAKOplasty® Total Hip Replacement utilizes a CT scan of the patient’s hip to generate a 3-D model of their pelvis and femur. This aids the surgeon in planning your surgery.
During surgery, the RIO® software provides dynamic information to enhance accuracy of the procedure. Such real-time information assists the surgeon in precise placement of the implant, which can be difficult to achieve with traditional surgical techniques.
- Precise placement of the hip implant using the surgeon-controlled robotic arm system with a decline in the possible risk of hip dislocation
- Uniformity in leg length, reducing the requirement of a shoe lift
- Increased longevity of the implant due to a reduction in abnormal rubbing between implant and bone Robotic Arm Interactive Orthopedic System (RIO®)
- Accurately plan implant size, orientation and alignment utilizing CT-derived 3-D modeling
- Enabling the pre-resection capture of patient-specific kinematic tracking through full flexion and extension
- Real-time intra-operative adjustments for correct hip kinematics and soft-tissue balance
- Minimally invasive and bone sparing, with minimal tissue trauma for faster recovery
Robotic Assisted Knee Surgery/Makoplasty
MAKOplasty® is a novel surgical procedure performed to relieve pain caused by joint degeneration due to osteoarthritis. It is performed using the robotic-arm technology that allows the surgeon to precisely perform the surgery through a smaller incision as compared to traditional surgery.
Patients suffering from unicompartmental or bicompartmental knee disease may benefit from MAKOplasty® partial knee resurfacing. Patients with osteoarthritis symptoms such as knee pain associated with activity, knee swelling, knee locking, and failure to respond to non-surgical treatment would be good candidates for the MAKOplasty® procedure.
Your doctor may order a few X-rays and CT scan to determine the damaged areas, of the joint, that need to be removed for the precise placement of the knee implant.
During the MAKOplasty® procedure, a four to six inch incision is made over your knee with small incisions over your thigh bone (femur) and the shin bone (tibia). Only the diseased portion of your knee is removed, preserving the surrounding healthy bone and tissue. An implant is then secured over the prepared portion of your knee joint that results in resolution of symptoms and a natural knee movement.
MAKOplasty ® offers the following benefits:
- Replaces only the arthritic portion of the joint
- More ideal joint function
- Accurate implant positioning
- Smaller incision
- Bone and tissue sparing
- Minimal hospitalization
- Rapid recovery
Since healthy bone is preserved, patients who undergo MAKOplasty® may have a total knee replacement procedure later, if required. MAKOplasty® is usually covered by health insurance. Your doctor will discuss the associated benefits and risks of the procedure.
MAKOplasty® Partial Knee Resurfacing
Who would be a good candidate for the MAKOplasty® procedure?
Although the best treatment for each patient must be determined individually, typical MAKOplasty® patients share the following characteristics:
Knee pain with activity, on the inner knee, under the knee cap or the outer knee
Startup knee pain or stiffness when activities are initiated from a sitting position
Failure to respond to non-surgical treatment such as rest, weight loss, physical therapy and non-steroidal anti-inflammatory medication