Orange City Area Health System is one of the first hospitals in the region to offer Stryker’s Mako Robotic-Arm joint replacement procedures. This latest advancement in partial knee and total knee replacement surgery transforms the way joint replacement procedures are performed.
Robotic-arm assisted surgery is a new approach to joint replacement that offers the potential for a higher level of patient-specific implant alignment and positioning. The technology allows surgeons to create a patient-specific 3D plan and perform joint replacement surgery using a surgeon controlled robotic-arm that helps the surgeon execute the procedure with a high degree of accuracy.
“Mako is changing the way joint replacement surgeries are performed,” said Joshua Locker, MD, orthopedic surgeon at Orange City Area Health System. “With Mako SmartRobotics™ I know more about my patients, and I’m able to cut less. For some patients, this can mean less soft tissue damage; for others, greater bone preservation.”
Locker added: “Mako’s 3D CT allows me to create a personalized plan based on each patient’s unique anatomy, all before entering the operating room, and make any necessary adjustments while guiding the robotic arm to execute that plan.”
These important features of the system have the potential to lead to better outcomes and higher patient satisfaction. In clinical studies, Mako Partial and Total Knee demonstrated the potential for patients to experience less pain, less need for opiate analgesics, less need for inpatient physical therapy, reduction in length of hospital stay, and improved knee flexion and soft tissue protection in comparison to manual techniques.
”We are proud to be among the first to use this innovative technology in our area,” said Marty Guthmiller, CEO of Orange City Area Health System. “This addition to our orthopedic services further demonstrates our commitment to provide outstanding healthcare to the communities we serve.”
What is a Mako Smart Robotics?
Mako is an interactive robotic arm that provides the surgeon with real-time, visual, tactile and auditory feedback throughout the procedure to ensure optimum placement of the implant and restore both the bio-mechanical alignment and range-of-motion of the joint.
Using 3-D printing technology, Mako also allows the surgeon to create a detailed model of the existing joint and develop a surgical plan customized to each patient's diagnosis and anatomy prior to the actual surgery. During the surgery, any necessary adjustments can be made using the robotic arm and image-guided technology to execute the plan.
Learn More
Partial and Total Knee Replacement
Each patient is unique, and can experience joint pain for different reasons. It's important to talk to us about the reson for your knee pain so you can understand the treatment options available to you. Pain from arthritis and joint degeneration can be constant or come and go, occur with movement or after a period of rest, or be located in one spot or many parts of the body. It is common for patients to try medication and other conservative treatments to treat their knee pain. If you haven’t experienced adequate relief with those treatment options, you may be a candidate for Mako knee replacement, which may provide you with relief from your knee pain.
Learn More about Partial Knee Replacement
Learn More about Full Knee Replacement
How it Works
Total knee replacement surgery with Mako Smart Robotics represents a pinnacle of precision and innovation in orthopedics. This advanced approach has three distinct steps: the complete physical examination and CT scan, the surgical plan, and the actual surgery itself.
Frequently Asked Questions
IMPORTANT INFORMATION
Total knee replacement
Knee replacement is intended for use in individuals with joint disease resulting from degenerative and rheumatoid arthritis, or avascular necrosis.
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, infection, bone fracture, change in the treated leg length (hip), joint stiffness, hip joint fusion, amputation, peripheral neuropathies (nerve damage), circulatory compromise (including deep vein thrombosis (blood clots in the legs)), genitourinary disorders (including kidney failure), gastrointestinal disorders (including paralytic ileus (loss of intestinal digestive movement)), vascular disorders (including thrombus (blood clots), blood loss, or changes in blood pressure or heart rhythm), bronchopulmonary disorders (including emboli, stroke or pneumonia), heart attack, and death.
Implant related risks which may lead to a revision of the implant include dislocation, loosening, fracture, nerve damage, heterotopic bone formation (abnormal bone growth in tissue), wear of the implant, metal and/or foreign body sensitivity, soft tissue imbalance, osteolysis (localized progressive bone loss), audible sounds during motion, reaction to particle debris , and reaction to metal ions (ALTR). Hip and knee implants may not provide the same feel or performance characteristics experienced with a normal healthy joint.
The information presented is for educational purposes only. Speak to your doctor to decide if joint replacement surgery is appropriate for you. Individual results vary and not all patients will return to the same activity level. The lifetime of any joint replacement is limited and depends on several factors like patient weight and activity level. Your doctor will counsel you about strategies to potentially prolong the lifetime of the device, including avoiding high-impact activities, such as running, as well as maintaining a healthy weight. It is important to closely follow your doctor’s instructions regarding post-surgery activity, treatment and follow-up care. Ask your doctor if a joint replacement is right for you.
Stryker Corporation or its other divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: AccuStop, Mako, Stryker, Triathlon. All other trademarks are trademarks of their respective owners.
References
B. Kayani, S. Konan, J. Tahmassebi, J. R. T. Pietrzak, F. S. Haddad Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: A PROSPECTIVE COHORT STUDY Bone and Joint Journal: 2018; 100-B:930–7.
Mistry JB, Elmallah RK, Chughtai M, Oktem M, Harwin SF, Mont MA. Long-term survivorship and clinical outcomes of a single radius total knee arthroplasty. Surg Technol Int. 2016;28:247-251.
Piazza S. Designed to maintain collateral ligament stability throughout the range of motion. Stryker-Initiated Dynamic Computer Simulations of Passive ROM and Oxford Rig Test. 2003.
Wang H, Simpson KJ, Ferrara MS, Chamnongkich S, Kinsey T, Mahoney OM. Biomechanical differences exhibited during sit-to-stand between total knee arthroplasty designs of varying radii. J Arthroplasty. 2006;21(8):1193-1199. doi:10.1016/j.arth.2006.02.172
Gómez-Barrena E, Fernandez-García C, Fernandez-Bravo A, Cutillas-Ruiz R, Bermejo-Fernandez G. Functional performance with a single-radius femoral design total knee arthroplasty. Clin Orthop Relat Res. 2010;468(5):1214-1220. doi:10.1007/s11999-009-1190-2
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