Is Mako Robotic Knee Replacement Better Than The Conventional One
Mako Robotic Total Knee Replacement provides better accuracy for implant positioning hence resulting in better patient outcomes, lesser pain, faster recovery, and improved results.
Mako robotic total knee replacement is the most innovative technology in the field of orthopedics. With over 5 lakh Mako robotic total knee replacements done worldwide, Mako stands as the state-of-the-art technology.
So, with all the buzz around Mako and Robotics, you would be wondering if there is any additional benefit of Mako Robotic Total Knee Replacements over manual ones.
There are over 250 published, peer-reviewed studies which highlight the patient benefits and clinical outcomes of the Mako Total Knee Replacements.
Broadly, following are the major differences between Mako Total Knee Replacements and Manual Total Knee Replacements:
· Planning based on simple X-ray
· Planning based on CT scan
· Improved precision in planning
· Positioning and alignment done by traditional tools
· May need larger cut
· Positioning and alignment performed by Mako
· Smaller cut
· Less ligament release so less pain
Benefits of Mako Total Knee Replacements over Manual Total Knee Replacements post-surgery
· Lesser pain
· Improved results
Lets now delve deeper into understanding the factors that contribute to these benefits of Mako Total Knee Replacements over Manual Total Knee Replacements:
Read more: https://pubmed.ncbi.nlm. nih.gov/32131103/
Robotic Knee Replacements May Lead To A Longer
During knee replacement surgery, our orthopedic surgeons guide the robotic arm to the incision site and throughout the entire operation. By using the robotic arm with its specialized navigation, our highly skilled surgeons can ensure the artificial knee parts are placed as accurately as possible and to fit each patients unique anatomy. Because robotic-assisted surgery allows the surgeon to place your implant with a high degree of precision, patients often report a more natural fit and better function.
Robotic techniques are fairly new within the past decade, so we’re still studying the long-term benefits. However, early findings demonstrate that robotic-assisted techniques are associated with increased accuracy and precision in placement of the knee replacement, better early functional outcomes, and improved limb alignment.
Orthoedge’s Total Care Process:
At OrthoEdge, joint replacement surgery is a joint endeavor. We take seriously our responsibility to help patients overcome their fears and concerns about the treatments we provide. We believe a total joint care planan open dialogue, empathy, and a true partnership between doctor and patientis critical to achieving great patient care, faster recovery, and lasting results. More knowledge, less anxiety, and increased confidence for you and your familythats the OrthoEdge difference.
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Why Should I Consider A Robotic
After digesting the above facts and answers to frequently asked questions, you may now be wondering, What is the right knee replacement procedure for me?
If youre looking for the most up-to-date, least invasive procedure, then its a knee replacement using Strykers Mako System.
Strykers Mako System has transformed our approach to joint replacement surgeries. It allows us as surgeons to be incredibly accurate when performing knee replacements. So, how does it work?
First, a CT scan of your knee is conducted. Highly advanced software takes your CT scan and creates a 3D model of your exact knee, helping surgeons formulate an even more personalized preoperative plan. That 3D model is then uploaded into the Mako, and the surgeon guides the robotic arm during surgery. No decisions are made by the robotic arm itself. The surgeon is in complete control and can make any adjustments during the surgery as necessary.
All patients in need of a partial or total knee replacement are candidates for a Mako robotic-arm-assisted procedure. The only requirement is that your physician must be properly trained and comfortable with using the Mako.
And last, but not least, what about the effects on recovery time? Due to the procedure being less invasive, patients may return home the same day as the procedure.
To make an appointment with me or any of our other physicians highly trained in Strykers Mako System, visit orthovirginia.com/appointments.
What Are The Risks Of Robotic Knee Surgery
Robotic knee surgery has the same risks of traditional knee surgery, including infection, knee stiffness, ongoing knee pain or an implant that doesnt work the way the patient and doctor hoped it would.
Complication rates with traditional knee replacement surgery are low 95% of people dont have problems. We dont yet know if robotic surgery will further reduce your chance of complications.
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How Is The Surgery Performed
In the operating room, your surgeon will use the Mako System to assist in performing your surgery based on your personalized pre-operative plan. When the surgeon prepares the bone for the implant, the surgeon guides the robotic-arm within the pre-defined area and the Mako System helps the surgeon stay within the planned boundaries that were defined when the personalized pre-operative plan was created. The Mako System also allows your surgeon to make adjustments to your plan during surgery as needed.
What Is Robotic Knee Surgery
Robotic surgery does not mean that an actual robot performs the entire surgery. Instead, doctors use a robotic surgical arm to execute parts of the procedure, assisting in areas that demand the steadiest hand and navigating small places. Robotics becomes another tool in the doctors kit.
Using CT scans, the robotic arm can work from 3D images of the surgical area and perform a range of tasks, such as:
- Prepare the bone.
- Check for the right fit.
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Is Mako Knee Replacement Covered By Medicare
There are a lot of factors that can affect whether or not a mako knee replacement is covered by medicare. The first thing to look at is what kind of medicare plan you have. Some medicare plans will cover the replacement as long as it is considered medically necessary, while others may only cover a portion of the cost. You will also need to check with your specific provider to see if they cover mako knee replacements.
With the latest knee replacement techniques, you can expect the highest level of precision in the market with Mako Total Joint Replacement. Your orthopedic surgeon will perform your minimally invasive surgery with a robotic arm assisted procedure that includes real-time data and images of your knee. In most cases, a Mako will be covered by insurance, including Medicare and private plans.
In multiple studies, it has been discovered that this method produces better results than any other partial knee replacement technique. There is no evidence that recovery time decreases, function improves, or pain levels improve in the studies. There are encouraging signs, but the results are still preliminary.
If the doctor believes total knee replacement surgery is medically necessary, Medicare will cover the cost. Outside of surgery, Medicare will cover alternative knee replacement treatments, such as crutches. Therapy, injections, and durable medical equipment are Medicare-covered alternatives to knee replacement.
Is Robotic Knee Surgery New
Robotic technology isn’t a new technology. In fact, back in 2006, surgeons performing a partial knee replacement were the first to use robotic-arm-assisted technology. Since then, millions of robotic-assisted procedures have been done on different parts of the body.
They keep making refinements in terms of the technology, Dr. Pui said. Weve been waiting for robotic technology to get to the point where it makes sense for our patients and now it has.
By investing in this technology, were able to provide another option thats not widely available within other health care systems, she added.
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What Is Mako Robotic Knee Replacement Surgery
In knee replacement surgery, one of the challenges surgeons face is ensuring that the knee implant is aligned and accurately positioned so that it functions smoothly and feels as natural as possible.
Thats why the advent of robotic surgery, also known as robot-assisted or robotically-assisted surgery , has been such a game changer. This leading-edge technology allows physicians to perform complex procedures with precision, control, and consistency.
There are multiple RAS platforms in the United States, including da Vinci, VELYS, NAVIO, CORI, ROSA, and Strykers Mako. OrthoEdge surgeons are trained and credentialed in the use of the Mako SmartRobotics System, which to date has been used in more that 500,000 procedures worldwide.
The Mako system utilizes a robotic arm, 3D CT-based planning, AccuStop haptic technology, and data analytics to help surgeons achieve better outcomes.
Using the robotic arm and Makos proprietary computer-assisted navigation platform, our surgeons can offer knee replacement patients a more predictable, personalized surgical experience with highly precise implant placement, less soft tissue damage, and greater bone preservation.
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 like to book an appointment for physical therapy, please contact us at 347-560-6920
Dr. Paul Nasri, PT, DPTStaff Physical Therapist
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What Is Mako Total Knee Replacement
Mako Total Knee Replacement is a robotic-assisted, minimally-invasive surgery used to treat knee pain and disability. The Mako System uses a robotic arm to precisely remove damaged bone and cartilage and replace it with a metal and plastic implant. The surgery is performed through small incisions, which results in less blood loss, less pain, and a shorter recovery time.
The robotic arm of the Mako Total Knee allows arthritic bone and cartilage to be removed from the knee. Your surgeon can use Makos real-time data to continuously assess the movements and tension of your new joint. A survey of patients 6 months after surgery found that pain scores were lower than those who received conventional joint replacement. When knee replacement surgery is performed, a patient with certain infections, mental disorders, or neuromuscular disorders should consult their doctor first. The lifetime of a joint replacement is not universal and can vary according to each person. A revision is possible as a result of a variety of implant-related risks, including loosening, loosening, and fracture.
Risks Associated With Mako Procedures
The complication rates with the Mako system seem to be low. Since this has only been in use for the last ten years, there are a limited number of studies.
One 2019 study reported zero complications or the need to stop and perform a traditional TKR. Two other studies reported the same outcomes.
As with all surgical procedures, theres a risk of infection. Yet, theres been no reports of heightened infections following the Mako procedure.
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Direct Anterior Approach Hip Replacement
During traditional hip replacement surgery, the muscles and tendons connected to the hip must be detached to gain access to the hip for removal of diseased bone and placement of the prosthetic. Detaching these structures can increase post-surgical pain, prolong recovery time exponentially, and heighten the risk of hip dislocation, the leading cause of hip replacement surgery failure. General approaches to hip replacement surgery include:
- Posterior approach the incision is made at the back of the hip
- Lateral approach access through the side of the hip
- Anterior approach access to hip through incision in front of the hip joint
The direct anterior approach for hip replacement is a minimally invasive procedure during which a small 34-inch incision is made at the anterior of the hip joint to gain access to the diseased hip joint. The surgeon is then able to simply move the soft tissue aside rather than detaching any muscles or tendons. This muscle-sparing approach has been shown in a Mayo clinic randomized study to produce faster recovery times than other methods, such as the mini-posterior approach.
Other benefits of utilizing the direct anterior approach for hip replacement include:
- Less post-operative pain
- Better stability of the hip joint
- Less or no hip precautions after surgery
Knee Replacement Using A Robotic Arm
When this procedure is performed with the assistance of a robotic arm, CT scan images are used instead of X-rays. CT imaging technology allows the surgeon to construct a three-dimensional model of the joint. The surgeon then uploads the images to the robotic software system to establish a plan for the surgery.
During the procedure, the surgeon controls the robotic arm, using the 3D model for guidance, and positions the implant in the precise location necessary to ensure the correct leg alignment and soft tissue balance.
The technology used to perform a robotic knee replacement, known as the Mako® system or MAKOplasty®, allows the surgeon to preserve undamaged portions of the joint. This approach to arthroplasty also provides a number of other advantages for the patient.
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Is Total Knee Arthroplasty The Same As Total Knee Replacement
Total knee replacement, also known as total knee arthroplasty, is a type of surgery in which the parts of the knee joint are replaced with artificial ones . In a normal knee, a hinge joint between the upper and lower leg bones is located.
Sleeping Well After Knee Replacement Surgery
It can be difficult to recover from knee replacement surgery because it is a major procedure. It is critical that you follow your doctors instructions and allow for the best possible recovery. You will be able to sleep better after surgery and resume your normal activities faster if you follow these tips.
What Happens Before Surgery
Before Mako knee replacement surgery, youll get a CT scan of your affected leg. Capturing the whole limb allows us to view the anatomical alignment of your hip, knee and ankle joints. It takes about 30 minutes and can be done at a facility thats convenient for you.
The CT scan is then uploaded into the Mako system software, which creates a 3D image of your knee joint, bone structure, and surrounding tissues. Your doctor uses this virtual model to evaluate your disease severity and joint mechanics, and to create an operative plan that is specific to the unique shape and motion of your knee.
Once your surgeon has reviewed the operative plan and adjusted it if necessary, it is uploaded to the hospitals Mako robot.
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What Are The Cons Of Robotic Knee Replacement Surgery
Robotic assisted knee replacement is relatively new technology, particularly in performing total knee replacements, so although the clinical studies performed so far are encouraging, more longer-term studies are needed.
The procedure takes slightly longer to perform than a conventional joint replacement so the risk of infection could be slightly increased, although to what amount is uncertain at present.
More importantly, by leaning harder on a computerised system, some surgeons have already pointed out that any system is only as good as the data it uses and the people who process it, meaning that the quality of the scans used need to be of the highest quality and extra time and resources are going to have to be funnelled into the training of staff to get the optimal effects with the Mako system.
The cost of the procedure is also slightly more than a conventional joint replacement because a CT scan is required of the joint to plan the procedure.
For more advice on the pros and cons of Mako robotic knee replacement, call to arrange a consultation at my Bristol clinic or for my London knee clinic.
Benefits Of Mako Robotic Knee Replacement
When compared to traditional joint replacement surgery, Mako robotic arm-assisted surgery offers some distinct advantages:
- Personalized surgical plan based on your unique anatomy
- Greater surgical precision means that less bone and tissue is disturbed, speeding up the bodys natural healing process.
- Technology facilitates optimal joint alignment and ligament balance, creating a more natural feeling knee.
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Mako Hip Replacement Precautions
There are several precautions that should be taken following a mako hip replacement. These include avoiding high impact activities, such as running or jumping, for at least six weeks. It is also important to avoid crossing your legs or bending your hip more than 90 degrees. Additionally, you should sleep on your back or side and use a pillow between your legs for comfort. Finally, you should avoid sitting in chairs that put your knees higher than your hips for the first few weeks.
If you suffer from hip pain, you may benefit from a Mako Total Hip Replacement. There are several reasons why people may experience joint pain, and each one is unique. With the assistance of robotic-arm assisted technology, you can have your surgical plan tailored to you. During surgery, an orthopaedic surgeon instructs the surgeon-controlled robotic arm to move. Hip replacement should not be performed on patients with infections, mental or muscular disorders, or excessive body weight. Joint replacement surgery is fraught with risks, including pain, bone fracture, and loss of leg length . It is critical to consult with your doctor before undergoing robotic arm-assisted surgery.
The Cost Of Knee Surgery And Disability Benefits
Most people have health insurance and can have knee replacement surgery. A knee replacement in the United States will cost between $30,000 and $50,000 in 2020. If you have knee surgery and are unable to work, you may be able to receive disability benefits. This group should include those suffering from chronic pain and who are unable to work for more than a year.
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