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What Is Makoplasty Knee Replacement

Do We Treat Patients Who Have Had Makoplasty & Partial Knee Replacements

Makoplasty vs. Total Knee Replacement — What is the difference ?

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

Overview Of Knee Osteoarthritis

Osteoarthritis, also known as degenerative arthritis, is caused by the stress we put on our joints over a lifetime of activities and/or injuries. Repetitive movements, high impact activities, and excess weight are all factors that can eventually create damage, especially on our weight-bearing joints like our knees. Your knee joint is made up of your large thigh bone, your lower leg bone, your kneecap, ligaments, tendons, cartilage, and synovial fluid. All of these components are what create your knee joints ability to bend and move freely. However, over time, breakdown in cartilage and loss of natural fluid causes the space in the joint to narrow and the bones to become damaged. This all ultimately results in pain with movement and limits to mobility.; However, with advances in medical technology and the right orthopedic surgeon, pain does not have to define your life. If supportive measures are now failing to give you relief from pain, your doctor may be recommending a partial or total knee replacement. Youll be happy to know that innovations in technology are allowing surgeons to replace the damaged parts of knee joints while minimizing pain and complications.

What Is Makoplasty Robotic Knee Replacement

MAKOplasty® is an FDA-approved technique in the well-established knee or hip replacement surgery. Orthopaedic surgeons are equipped with added computerized vision and the accuracy of robotic hands to achieve better outcomes.

A knee replacement surgery procedure involves removing worn-out cartilage, torn menisci and bone surfaces of an affected knee and replacing them with prosthetic knee implant. The surgery aims to restore excellent range of motion and function.

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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.

How Do You Know If You Need A Knee Replacement For Knee Pain

MAKOplasty: Robotic

Knee pain can be excruciating and frustrating. When conservative treatments such as anti-inflammatory medication, physical therapy, cortisone injections, and rest fail to reduce symptoms, knee replacement surgery will likely be recommended. In some cases, types of arthritis or a past knee injury, simply do not respond to nonsurgical treatment.

If you continue to experience symptoms of pain and discomfort, coupled with mobility problems, it is crucial to consult with an expert knee joint replacement specialist. Not only are our EmergeOrthoTriangle Region surgeons experts in their field, they are highly skilled and trained in computer and robotic-assisted knee replacement procedures.

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What Are Some Benefits Of Makoplasty

  • It allows specialists to work only in the damaged part of the knee.
  • The implants can be placed with more accuracy.
  • The surgeon makes a small incision, which means less blood is lost during the procedure. Because of that, the scar is much smaller than usual.
  • It gives more precision and achieves better results than standard surgery.
  • It gives a more natural feel of the troubled knee after the treatment.
  • It preserves the healthy tissue.
  • The recovery process is faster, resulting in a shorter hospital stay.

What Are The Benefits Of Robotic Surgery

The Mako robotic partial knee replacement will only remove the diseased portion of your knee which leaves the healthy bone and tissue surrounding it untouched. This will lead to faster recovery times and a better experience post-operatively. Furthermore, the procedure is said to take the guesswork out of surgery thus resulting in accurate and reproducible results.;

As compared to a total knee replacement, the MAKOplasty is said to have a more precise implant placement, quicker recovery time, and a shorter hospital stay or is performed outpatient, minimal blood loss, a smaller scar, a more natural feeling post-operatively, and the patient can return to normal activity within a few weeks.

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What Are The Benefits Of Makoplasty Partial Knee Replacement

Dr. Bonenberger Gary Makoplasty Knee Replacement

Perhaps the greatest benefit of MAKOplasty surgery is that it repairs only the deteriorated portion of the knee, and leaves the healthy parts of it intact.

Other benefits of MAKOplasty include:;

  • A quicker recovery compared to traditional knee replacement surgery
  • Patients are discharged and go home the same day as the surgery;
  • The exceptional accuracy of component placement and alignment provides a smoother and more natural knee motion following surgery in many cases;
  • No muscles are cut during the procedure and the incisions made are relatively small, helping qualify the procedure as minimally invasive;
  • Minimal blood loss;

Image Slices Of A Knee The Robot Can Help With Planning Before Your Surgery

MAKOplasty: Robotic-Assisted Surgery for Partial Knee Replacement

Before a robotic knee procedure, we get a CT scan of your knee, load this into a computer, and create a 3D image of you. A CT scan is a special x-ray machine that can take 100s of images at different angles quickly. We call these slices.

The 3D model of your knee

The computer only lets me do what we have planned

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Who Is A Candidate For A Mako Procedure

Any patient who is a candidate for a traditional hip or knee joint replacement procedure is a candidate for a robotic arm assisted procedure.;

Typically, robotic joint replacement patients share the following characteristics:

  • Knee or hip pain with activity
  • Start-up pain or stiffness when activities are initiated from a sitting position
  • Failure to respond to non-surgical treatments including injections, physical therapy, activity modification and nonsteroidal anti-inflammatory medication

Patients suffering from diseases including osteoarthritis, rheumatoid arthritis, avascular necrosis, and traumatic arthritis can find their way back to activities and a better lifestyle with robotic replacement surgery.;

Important Information About Hip And Knee Replacement

Hip joint replacement is intended for use in individuals with joint disease resulting from degenerative and rheumatoid arthritis, avascular necrosis, fracture of the neck of the femur or functional deformity of the hip.

Knee joint replacement is intended for use in individuals with joint disease resulting from degenerative, rheumatoid and post-traumatic arthritis, and for moderate deformity of the knee. Joint replacement surgery is not appropriate for patients with certain types of infections, any mental or neuromuscular disorder which would create an unacceptable risk of prosthesis instability, prosthesis fixation failure or complications in postoperative care, compromised bone stock, skeletal immaturity, severe instability of the joint, or excessive body weight.

Like any surgery, joint replacement surgery has serious risks which include, but are not limited to, pain, bone fracture, change in the treated leg length , joint stiffness, hip joint fusion, amputation, peripheral neuropathies , circulatory compromise ), genitourinary disorders , gastrointestinal disorders ), vascular disorders , blood loss, or changes in blood pressure or heart rhythm), bronchopulmonary disorders , heart attack, and death.

Ask your doctor if a joint replacement is right for you.

Stryker is a sponsor of the PGA TOUR. Hal Sutton and Fred Funk are paid spokespersons of Stryker, and their statements represent their personal views based on their personal experiences.


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What Are The Benefits Of Makoplasty Knee Replacement

MAKOplasty technology enables surgeons to plan total knee replacement procedures accurately and allows optimal implant size, position, and alignment for each patient. As a minimally invasive approach, MAKO robotic orthopaedic surgery offers the following benefits:

  • Smaller incisions leading to reduced scarring and minimal blood loss
  • Reduced postoperative pain
  • Shorter hospital stay and recovery period
  • Quicker return to daily activities
  • Lower incidence of complications

According to Dr. Bonenberger, robotic surgery is at the leading edge of medicine and is often an important discussion point for patients undergoing elective surgery. Its hard to know when the right timing is, he says. The technology has advanced a great deal, and robotic knee replacements and other joint replacements are coming into the forefront. We have that available, and Terri was a perfect candidate for a robotic-assisted knee replacement.

Not only was Terri discharged the day of her surgery, but Dr. Bonenbergers team had her up and walking almost immediately after the procedure. When I got out of surgery, I was up in the recovery room probably in less than an hour, says Terri. The nurse wanted me to get up and walk to the bathroom and back. She took the time to explain exactly why I needed to get up right away and didnt get annoyed. I knew they had other patients because there were a lot of surgeries that day. However, the staff really cares about their patients. You can tell.

Who Is A Good Fit For This

Robotic Assisted Partial Knee Replacement Surgery ...

MAKOplasty in Singapore is suited to people with an early to middle stage of osteoarthritis. That said, it depends on which compartments the disease has affected. You will be a good candidate for the treatment if you have arthritis in the outer , top or inner areas of your knee.

In general, you want to consider MAKOplasty if you regularly experience stiffness and swelling of the knee. Additionally, pain and difficulty performing everyday activities are common symptoms that bring you closer to qualifying for the procedure.

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Patients Guide To Makoplasty Robotic Knee Replacement

Knee replacement surgery is an ideal surgical solution for knee pain resulting in severe pain, deformity and loss of function in our patients. A technological advancement in this field is the use of a robotic technology known as the MAKOplasty® Robotic Knee Replacement. This technique helps orthopaedic surgeons execute joint replacement surgery with greater precision and accuracy. This includes partial knee replacements, total knee replacements and hip replacements.

What Is Different About Makoplasty

Undergoing a MAKOplasty procedure is like having a partial knee replacement done, but the difference is that the joint is not replaced in any way. Instead, using the MAKOplasty technique, the knee joint is resurfaced. This helps to relieve pain that is specifically associated with the development of osteoarthritis.

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What Is Robotic Surgery

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.;

What Is The Lifespan Of The Makoplasty Implant

Mittal MakoPlasty Partial Knee Replacement

All implants have a life expectancy that depends on several factors including the patients weight, activity level, quality of bone stock and compliance with their physicians orders.

Proper implant alignment and accurate positioning during surgery are also very important factors that can improve the life expectancy of an implant. Through the use of RIO ® robotic arm technology, implants can be optimally aligned and positioned to optimize surgical outcomes. RESTORIS® MCK implants enable the treatment of one or two compartments with OA disease. Because very little bone is actually removed during a MAKOplasty procedure, the implants can be replaced with another procedure such as a total knee replacement if necessary.

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Makoplasty Knee Recovery Time

Everyone experiences pain in their knees at some point in life, but not everyone needs to have a knee replacement. Thats because the pain that is experienced does not interfere with the overall quality of life that can be experienced. For others, however, a partial or total knee replacement is something that makes sense because they cant sleep at night, walk, or trust their knee because it has an impaired ability to function. Thats where the MAKOplasty knee recovery time can be an advantage to you. Thats because it is faster than the traditional knee surgery recovery!

How Does Makoplasty Work

The MAKO robotic arm interactive orthopedic system creates a three-dimensional pre-surgical plan from your personal CT scan. Dr. Martin uses this pre-surgical plan to template the appropriate implants for your needs.;

During surgery, the system provides him with real-time visual, tactile and auditory feedback to facilitate optimal joint resurfacing and implant positioning.;

It is this precise placement that can result in more natural knee or hip motion following surgery.

The precision of the robotic arm also lessens post-op soft tissue irritation.;

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When Is Makoplasty Mako Partial Knee Replacement Performed

A Mako Partial Knee Replacement is typically performed to address painful early, mid and late stage knee osteoarthritis or osteonecrosis in one or two of the three compartments in your knee, when nonsurgical treatments and minor surgical procedures have not been effective, or are no longer effective. This procedure may be right for you if you have persistent knee pain, swelling, or stiffness that makes it difficult for you to do everyday tasks like walking or climbing stairs.

HistoryA thorough review of your knee history is completed prior to your procedure. This includes your knee symptoms, duration of symptoms, non-surgical and surgical treatments youve had in the past. A review of your medical history is obtained to ensure any medical conditions are managed properly leading up to, during and after your procedure, to optimize your safety and outcome.

Physical ExamA physical examination of the knee joint is performed in the office prior to final confirmation of your procedure. This will evaluate your leg alignment, knee range of motion, knee joint stability, your vascular system, your strength, your skin, and your joints above and below the knee.

X-raysSpecific X-rays are reviewed of your knee and legs to evaluate the amount of damage and wear in the compartments of the knee joint, your alignment of your leg and any other issues that might anatomically affect your procedure.

Makoplasty And Physical Therapy

What is MAKOplasty and why it

Following this procedure, you will have to perform Physical Therapy to make sure the knee regains full function. You will focus on restoring the range of motion within the first few weeks as well as making sure the quadriceps muscle is firing appropriately.;

Goals of therapy will include ambulating without the assistance of a cane or walker, being able to stand up without assistance of the arms, and going up and down stairs normally. The goal following surgery is to be able to return to work after 6 weeks which is a much shorter recovery time as compared to a TKA.;

Although you will return back to normal daily and household activities without limitations within about 6 weeks there are still limitations for high impact activities. Normally physicians make the patient wait 6 months before returning to activities such as tennis and skiing.;

Your physical therapist will make sure to direct your treatment towards your specific functional goals to optimize your recovery and return you back to your prior level of function.

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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 , a lateral compartment and a compartment right underneath the patella . 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.;

What Is The Makoplasty Robot

The robot is essentially a small machining or cutting tool that has several three-dimensional markers on it. These markers are watched by a computer video system in the operating room. This allows the computer to understand exactly where the cutting tool is in space down to less than 0.5mm of accuracy. While the computer can track the tools, it can also track the bones around your knee with similar markers placed during surgery. By knowing where the knee surfaces are along with the robot tools, we can precisely understand what is going to happen in the surgery on a computer screen. Think of it, for the mechanical people out there, as a machining tool, or CNC machine, the surgeon can control.

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What Is Robotic Assisted Surgery

Robotic-Arm Assisted Technology is used for partial knee and total replacements.;

Using a pre-op CT a specific 3-D model of your knee anatomy is constructed. This 3D model is virtually templated to determine the specific;position of the implants to correct;leg alignment and to balance the ligaments of the knee.;;This plan is then uploaded to the “robot”: The robot technology enables;the surgeon to perform ;a fully personalised surgical plan with fine control.


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