MAKOplasty Robotic Replacements
Throughout his career, Dr. Denis Nam has had a special interest in robotic replacements and is now among the first to master this cutting-edge approach. Robotic assistance is the most innovative and advanced technology available, providing a level of precision and accuracy that can’t be achieved with manual techniques.
MAKOplasty Joint Replacement
Compared to traditional procedures, MAKOplasty robotic-arm assisted replacements are less invasive, and allow Dr. Nam to selectively target any damage while sparing the healthy bone and ligaments surrounding it. This approach often results in a more natural feeling replacement and shorter recovery time.
The procedure begins with a CT scan of the affected joint, which is then uploaded into the Mako system and a virtual 3D model is created. This allows Dr. Nam to see more details than an x-ray alone to determine the optimal size, placement, and positioning of the replacement. During the procedure, Mako provides real-time data that allows Dr. Nam to assess the movement and tension of each patient’s joint.
During the procedure, Dr. Nam removes the arthritic bone using a robotic-assisted surgical arm. Using real-time information, Dr. Nam then customizes the replacement to optimize the function and stability for each individual patient. He targets and removes any damage while sparing healthy bone and ligaments. A virtual boundary provides resistance to help Dr. Nam stay within the boundaries defined by your surgical plan. As he prepares to place the implant into its final position, the robotic-arm guides the implant at the desired angle determined in your surgical plan to ensure the placement and alignment of the implant are performed according to plan. This results in a joint replacement that genuinely mimics your own pre-arthritic joint – more natural; more comfortable.
The Mako Total Knee Replacement Difference:
- Improved accuracy in execution of the surgery 1, 2
- Minimized damage to the soft tissue and ligaments 3
- After six months, patients who opted for Mako robotic surgery reported lower pain scores compared to those who had a traditional joint replacement surgery 4
- Higher satisfaction overall comparatively with those who opted for traditional joint replacement surgery
The Mako Partial Knee Replacement Difference:
In clinical studies, Mako partial knee replacements resulted in:
- Improved accuracy related to removal of the bone and placement of the prosthesis (artificial joint), leading to better outcomes and knee function 5, 6
- Reduction of pain in the near term post-surgery 7
- Shorter hospital stay8
- Shortened recovery period. Three weeks post-surgery, Ninety percent of patients reported walking without the assistance of a cane or walker 9
The Mako Total Hip Replacement Difference:
In a clinical study, Mako total hip replacements resulted in:
- The prosthesis (artificial hip) placed more accurately10
- Reduced probability of dislocation post-surgery11, 12
- Reduction in loss of blood13
- A more natural-feeling hip 14
- More healthy bone preserved 15, 16
Is a Makoplasty Joint Replacement Right for You?
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References:
- Haddad, Fares. How Procedural Innovation Has Changed My Practice: Mako TKA. World Arthroplasty Congress Rome, IT April 2018
- Hampp EL, Scholl LY, Chang TC, et al Robotic-arm assisted total knee arthroplasty demonstrated greater accuracy to plan compared to manual technique. 17th annual CAOS Meeting, June 2017, Vol 1, 2017; 1-
- Kayani B., Konan S., Pietrziek J., Haddad F. S. Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee Arthroplasty: A Prospective Cohort Study and Validation of a New Classification System. “https://www.ncbi.nlm.nih.gov/pubmed/29699827″J Arthroplasty. 2018 Aug;33(8):2496-2501.
- Marchand RC, Sodhi N, Khlopas A, Sultan AA, Harwin SF, Malkani AL, Mont MM. Patient satisfaction outcomes after robotic-arm assisted total knee arthroplasty: a short-term evaluation. J Knee Surg. 2017 Nov;30(9):849-853.
- Blyth MJ, Anthony I, Rowe P, Banger MS, MacLean A, Jones B. Robotic-arm assisted versus conventional unicompartmental knee arthoplasty: Exploratory secondary analysis of a randomized controlled trial. Bone and Joint Research. 2017 Nov 16 (11):631-9.
- Bell SW; Anthony I; Jones B; MacLean A; Rowe P; Blyth M. Improved accuracy of component positioning with robotic-assisted unicompartmental knee arthroplasty: data from a prospective, randomized controlled study. J Bone and Joint Surg. 2016;98: 627-35.
- Baker Tilly, LLP. Mako robotic-arm assisted system: a clinical and economic analysis for health plans and providers. 2016.
- Coon T, Shi S, DeBattista J. Clinical and functional outcomes of robotic-arm assisted medial unicompartmental knee arthroplasty. European Knee Society 2017 Annual Meeting. London, England. Poster No. P59. April 19-21, 2017.
- L Kleeblad, T Borus, T Coon, J Dounchis, J Nguyen, A Pearle. Midterm Survivorship and Patient Satisfaction of Robotic-Arm Assisted Medial Unicompartmental Knee Arthroplasty: A Multicenter Study. The Journal of Arthroplasty, January 2018: 1-8.
- Domb BG, El Bitar YF, Sadik BS, Stake CE, Botser IB. Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA: A Matched-Pair Controlled Study., Clin Orthop Relat Res. 2014 Jan;472(1):329-36
- Illgen R. Robotic Arm Assisted THA Improved Accuracy, Reproducibility, and Outcomes Compared to Conventional Technique. 43rd Annual Course: Advances in Arthroplasty, October 22-25, 2013, Boston, MA.
- Bukowski, B.; Abiola, R; Illgen R. Outcomes after primary total hip arthroplasty: Manual compared with robotic assisted techniques. ; 44th Annual Advances in Arthroplasty; Cambridge, MA. October 7-10 2014.
- Bukowski BR, Anderson P, Khlopas A, Chughtai M, Mont MA, Illgen RL Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty. Surg Technol Int. 2016 Oct 26;XXIX:303-308.
- Itay Perets, John P. Walsh, Mary R. Close, Brian Mu, Leslie C. Yuen and Benjamin G. Domb. Robotic-Assisted Total Hip Arthroplasty – Clinical Outcomes and Complication Rate. SPEAKER: Itay Perets
- Suarez-Ahedo, C; Gui, C; Martin, T; Chandrasekaran, S; Domb, B. Robotic-arm assisted total hip arthoplasty results in smaller acetabular cup size in relation to the femoral head size: A Matched-Pair Controlled Study. Hip Int. 2017; 27 (2): 147-152.
- Nawabi DH; Conditt MA; Ranawat AS; Dunbar NJ; Jones, J; Banks S, Padgett DE. Haptically guided robotic technology in total hip arthroplasty – A cadaveric investigation. Journal of Engineering in Medicine. December 2012;227(3):302-309.