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What Is Mako Knee Surgery

What Is Mako Robotic Arm Assisted Surgery

MAKOplasty: Robotic-assisted surgery for partial knee replacement

This highly advanced robotic technology transforms the way joint replacement surgery is performed, enabling our surgeons to have a more predictable surgical experience with increased accuracy.

The Stryker Mako system facilitates higher level alignment and positioning during surgery, resulting in shorter recovery times and reduced post-operative pain helping patients get back to doing what they love.

Watch our videos to find out more…

This Involves The Person Being In The Medical Facility For Less Than

In addition to medical images and the impact on your daily living activities, a claims adjuster might look more closely at less costly alternatives because of the many options and. The first makoplasty procedure was performed in june of 2006 and more than 3,900 makoplasty procedures were performed as of june 2010. Which part of medicare actually covers your surgery depends on what.

Q: How Long Can I Expect The Implant Used In A Makoplasty Procedure To Last

A: All implants have a limited life expectancy that depends on several factors including a patients weight, activity level, quality of bone stock and compliance with the doctors orders. However, alignment and positioning are also very important factors affecting the life expectancy of an implant. By using the MAKO Tactile Guidance System, we aim to achieve the optimal alignment and positioning for your implant to help it last as long as possible. In addition, because very little bone is actually removed during a MAKOplasty® procedure, the implant can be replaced with another procedure such as a total knee replacement in the future, if necessary.

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Osteotomy Of The Anterior Tibial Tuberosity

Preferred and used routinely by some authors in knee joints that are difficult to expose, this is an approach that offers excellent exposure.

A midline skin incision is made that extends 810 cm below the ATT. The medial parapatellar arthrotomy begins at a point about 6 cm proximal to the patella and ends distally on the anterior tibial crest.

A trapezoidal osteotomy is performed , leaving the periosteum and lateral muscular attachments intact to the bone fragment . Once the ATT has been overturned, the extensor mechanism can be raised proximally allowing complete exposure of the joint. However, this approach is technically demanding, carries a high risk of complications and should be reserved for selected cases.

The rate of complications occurring with this approach and reported in the literature, such as loss of reduction, impaired synthesis and fracture of the tibia, ranges from 7% to 22% . Wolff reported a risk of loss of reduction if the bone block of the ATT is too short . Whiteside highlighted a risk of fracture of the tibia if the tibial bone block is too long .

Engh and Rorabeck , in 185 revision knee arthroplasties, used a standard approach in 54% of the cases, a quadriceps snip in 29%, a VY approach in 13%, and ATT osteotomy in only 4%.

What Does The Procedure Involve

MAKO Robotic

Your surgeon will use Mako to make a 3-D virtual model of your knee. He or she will then virtually put the implant in place, and once its in the proper position, this plan can be implemented during surgery.

As youre under general anesthesia, Makos robot arm, along with the doctor, will hold the surgical instrument. Your surgeon will be able to see the pre-surgical plan overlaid on the real-time surgery to use as a guide, and the instruments are under his or her control the entire time.

The robotic instrument has tracking eyes and can adjust for very small movements of the knee if they occur. It precisely prepares the bone according to visual boundaries that protect the essential structure of the knee and removes only the part thats been affected. The implant is placed, the joint is properly balanced, and if necessary, your surgeon can make adjustments if needed.

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What Are The Results Of Makoplasty Partial Knee Replacement

In general, patients are able to walk out of the clinic, and between three to five weeks after the procedure, most report feeling better than they did prior to surgery.

Garys successful surgery is a testament to MAKOplastys effectiveness.

Dr. Bonenberger got me up and walking the next day at the hospital after the surgery, Gary says. Five weeks out, the strength is coming back, its a lot better than it was. I can go downstairs a little easier, and the pains not there.

Gary is also relieved that he didnt wait to have the surgery done. The reason I wanted to get it done now is so that I could have the mobility for the rest of my life, says Gary. They told me that the knee would last at least 25 years before it would have to be replaced, but I think itll last a lot longer than that.

What Is Mako Robotic Surgery

Makois robotic arm assisted surgery that is an innovative tool for orthopedic surgeries including hip replacements, knee replacements and partial knee replacements.

How Mako Works

The robot is a surgical instrument for the orthopedic surgeon to place the artificial joint in the optimal position. The instruments are attached to the robotic arm, and during the surgery the surgeon gets constant feedback from the robot that they are following the surgical plan.

The Advantages of Mako

Mako allows surgeons to be reproducibly accurate, which means that by using the robotic device, surgeons can be more accurate than they can by doing the surgery manually. This allows for more precise position of the components and less room for error.

The right positioning ensures better function and joint longevity. These procedures enable patients to potentially have a quicker recovery with a lower chance of complications due to the prosthetic joint being malaligned.

There was a study with hip replacement patients at Harvard, and they found that even with some of the best trained surgeons in the world, the robot is more accurate. The surgeons do a good job, but the robots are much more precise.

Who is a Candidate?

Any patient that needs either a hip replacement, knee replacement or a partial knee replacement is a candidate for Mako robotic assisted surgery. Ask your physician if Mako surgery is a good fit for you.

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Learn More About The Best Options For Treating Knee Pain

If you are living with mid to late-stage osteoarthritis of the knee, Mako Robotic-Arm Assisted Surgery may be an option for you. During Mako assisted surgery, your orthopedic surgeon will use a robotic-arm assisted procedure that includes real-time information and images of your knee, allowing for more precise placement of the knee implant.

How Does Mako Knee Replacement Surgery Work

MAKO Total Knee Replacement surgery patient from Canada – 1 year post-op

Mako joint replacement surgery uses a surgeon-directed robotic arm for precision alignment and placement of knee replacement implants.

First, your surgeon will do a CT scan of your damaged joint.

Then, the CT scan of your knee is loaded into the Mako system, where a 3D virtual model of your joint is created. This 3D model allows your surgeon to see exactly what needs to be done in your knee replacement surgery and creates a detailed preoperative plan. Your bone structure, disease severity, joint alignment, and surrounding tissue is assessed and the proper size, placement, and alignment of your implant is determined..

During surgery your surgeon will use your customized plan and guide the Mako robotic-arm to remove only the damaged bone, taking only what is necessary and leaving your healthy bone and tissue in place. Mako provides a virtual boundary based on the preoperative plan, assisting your surgeon with laser accuracy.

Next, your surgeon will use the Mako system to precisely place and align the implant.

The Mako system provides real-time data to your surgeon about the movement and tension of your new joint so that the surgeon can adjust as necessary to give you outstanding outcomes..

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Unbearable Knee Pain Left Bob Searching For Treatment Options Luckily He Found A Minimally

Despite living an active lifestyle, Bob Romanaskas had unbearable knee pain in both knees.

At work, Id be called out to respond to a problem, and I could make it out the first time, walking about a half-mile or mile, says the 67-year-old Scranton resident. If I was called out again, Id take a few ibuprofens. The next time, Id have to take more ibuprofen.

Even leisurely tasks like shopping with his wife became difficult. While walking at the mall, I would go looking for the first bench I could find, he says.

Q: How Can You Determine If I Am A Candidate For The Makoplasty Procedure

A: The first step is to get your complete medical history including your symptoms, when they began, how they have progressed and any non-surgical treatment you have tried. Your physician will then perform a thorough examination of your knee joint. He/she will observe your knee while you are standing and walking, examine your knee, hips and ankle alignment, and evaluate your range of motion, ligament stability and angular deformity. If surgery might be the best option for you, a weight-bearing X-ray will be obtained to determine the extent of damage in your knee.

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Fear Bending And Baby The Knee

I have been in the field working as a therapist for over 20 years and havent yet seen an incision split open with active bending exercises, however I do understand how this fear can overwhelm early on in the recovery. The rule is baby the knee went it comes to walking but dont baby the knee when it comes to bending. That doesnt mean you aggressively bend the knee. You must use frequent low loads and the knee will respond delightfully and give you back your range of motion in steady increments.

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Recovery From Mako Partial Knee Resurfacing

States first bilateral MAKO knee replacement surgery ...

A Mako⢠Partial Knee Resurfacing can be performed as either an inpatient or an outpatient procedure. It depends on what your orthopedic surgeon determines is right for you. Hospital stays average from one to three days. In many cases, patients are permitted to walk soon after surgery, drive a car in the first few weeks, and return to normal daily activities shortly thereafter.

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Mako Technology Was Designed To Help Surgeons Provide Patients With A Personalized Surgical Experience Based On Their Specific Diagnosis And Anatomy

When you hear robotic-arm assisted technology, its important to understand that the Mako Robotic-Arm doesnt actually perform the surgery. Surgery is performed by an orthopaedic surgeon, who uses the Mako System software to pre-plan your surgery. Your orthopaedic surgeon will guide the Mako robotic-arm to remove diseased bone and cartilage. Then the surgeon will insert a Triathlon Total Knee implant.

How Does Mako Robotic

The Mako Robotic-Arm Assisted Surgery System uses applications for total and partial knee replacement to help your surgeon plan and execute a joint replacement specific to your individual needs.

  • Personalized Surgical PlanBefore surgery, a CT scan of your knee is taken to develop a 3D virtual model of your unique joint. Your surgeon uses this model to evaluate your bone structure, disease severity, joint alignment and even the surrounding bone and tissue, so he or she can determine the optimal size, placement, and alignment of your implant.
  • Range-of-Motion AssessmentThroughout your procedure, Mako provides real-time data to your surgeon. This allows him or her to continuously assess the movement and tension of your new joint, and adjust your surgical plan as needed.
  • Arthritic Bone RemovalIn the operating room, your surgeon guides Makos robotic arm to remove the arthritic bone and cartilage from the knee. A virtual boundary provides tactile resistance to help the surgeon stay within the boundaries defined in your surgical plan.
  • Implant PlacementWith the diseased bone gone, your implant is placed into the knee joint. Then its off to the recovery room to begin your journey to strengthening your new joint.
  • How the Partial Knee Application for the Mako Robotic-Arm Assisted Surgery System can help to personalize your partial knee replacement procedure.

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    How Do I Know If I Need Knee Replacement Surgery

    You may need surgery if:

    • Your knees are stiff and swollen.
    • There is pain throughout the day, even at rest.
    • Walking, getting up or climbing stairs is difficult and painful.
    • Medication and therapy do not offer enough relief.
    • Knee cartilage is so damaged and worn away that you are walking âbone on bone,â in which the bones of the joint are scraping together.

    What Is The Makoplasty Robotic System

    MAKOplasty: Robotic-Assisted Surgery for Partial Knee Replacement

    It is a state of the art remedy for patients suffering from painful joints and arthritis of the hip or knee. The system utilizes a 3D virtual model of your unique anatomy and a robotic arm, called Mako which helps Dr. Martin plan and perform your joint replacement surgery with increased accuracy and efficiency.

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    Is Mako Robotic Surgery Right For You

    The MAKO system is specifically designed to help patients who suffer from severe joint pain and require joint replacement surgery. This joint pain usually stems from arthritis.

    But to truly know whether MAKO robotic-arm assisted surgery is right for you, you should consult a specialist at Carolinas Center for Surgery. If you live in the area, consult one of our orthopedic surgeons in Jacksonville, North Carolina.

    The Future Of Knee Replacement Surgery

    Professor Jari is one of the pioneers of Mako Robotic arm assisted surgery having very successfully performed the first MAKO Total Knee Replacement and the second MAKO partial knee replacement in the North-West of England. The two patients concerned have kindly provided their video testimonials below.

    The MAKO knee replacement surgery is available to most privately insured patients and all self-pay, patients. For our self-pay patients, Professor Jari has created an Exclusive Fixed Price All-Inclusive Package for his patients undergoing this surgery.

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    What Can I Expect If I Have A Robotic

    MAKOplasty robotic surgery can be performed as either an inpatient procedure or on an outpatient basis depending on what Dr. Martin determines is right for you.

    The majority of Dr. Martins MAKOplasty surgery is performed in an outpatient setting and patients return home the same day.

    Patients are permitted to walk directly after surgery, drive a car within two weeks and return to normal daily activities shortly thereafter.

    What Is Robotic Surgery

    [pdf] Free Download Improving Accuracy In Knee ...

    Robotic surgery, in general, is a type of surgical procedure that allows surgeons to perform complex surgical procedures while circumventing limitations of traditional and minimally-invasive surgery. Robotics enhance the surgeons skills with advanced control, flexibility and precision. Robotic surgery or robotic-arm -assisted surgery for MAKOplasty, allows Dr. Martin to perform a total hip replacement, total knee replacement, and partial knee replacement with these benefits.

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    Minimal Invasive Surgery Approaches

    The needs to reduce surgery complications, hospital stay, and the need to accelerate functional postoperative recovery have lead surgeons to use smaller incisions that disrupt less tissue. Additionally, blood loss is significantly lower than that in the classic incision cases some patients may experience less postoperative pain, some may be able to resume their daily activities sooner, and some prefer the aesthetic aspect of the shorter scar .

    Figure 21.

    MIS incision versus classical in TKA.

    The need for faster recovery time in total knee arthroplasty with less tissue disruption helped develop the mini-incision TKA technique in which the same surgical concepts are utilized, the same alignment goals are followed, but the original instruments have been minimized. A surgeon performing this technique should first have a good background in using the standard TKA procedure and should be familiar with the classical prosthesis components.

    The mini-incision TKA is not indicated for all patients. Candidates for mini-incision arthroplasty must have preoperative flexion greater than 90% and must not be obese.

    Extreme varus or valgus cases are contraindicated and also patients suffering from rheumatoid arthritis, for structural tissue reasons.

    Figure 22.

    MIS skin incision vs classical.

    Figure 23.

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    Physical Therapy After Joint Replacement

    The Jacksonville Orthopedic Institute is certainly a leader in the use of the Mako Procedure in the North Florida Region. JOI remains dedicated to innovative technology and advancements in all areas of orthopedic care. JOI combines innovative technology, joint camp education and advanced rehabilitation to achieve superior clinical outcomes.

    If you want to learn more about Mako or Robotic total joint replacement, visit the link below:

    To schedule an appointment with a JOI Joint Replacement Specialist, call , schedule online, or Click HERE.

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    About The Makoplasty Robot

    The MAKOplasty® procedure is a treatment option for patients who suffer from osteoarthritis in the medial portion of the knee or less commonly the outer lateral compartment. This technology can also be used for the patello-femoral joint and for a total knee replacement.

    Using the newly developed Tactile Guidance System, surgeons are able to perform a partial knee replacement through a 2-3 inch incision.

    Only the diseased portion of your knee is removed, leaving the healthy bone and tissue surrounding it untouched.

    3D modelling and templating enables the surgeon to create a plan to ensure you knee implant is:

    • Sized correctly
    • Positioned accurately
    • Oriented with precision

    Further, during the procedure the surgeon can adjust and align the implant in real time – to balance your ligaments

    What Are The Benefits Of A Knee Replacement

    Mako Robotic Partial Knee Replacement

    You do not have to live with a painful knee for the rest of your life. During this surgery your problem knee joint is replaced with an artificial joint . After a knee replacement you can look forward to moving more easily and without pain. Most people gain all the following benefits

    • Stops or greatly reduces knee pain.
    • Improves quality of life by allowing you to do your activities of daily living and low impact activities in greater comfort.
    • Enables you to sleep without pain.
    • Provides years of reliable function. Most total knee replacements last for many years.

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