Knee Replacement2021-01-21T07:37:56-08:00

Mako SmartRobotics™ Knee Replacement

Mako SmartRobotics™ Knee Replacement

Total knee replacements in the United States are expected to increase 189% by 2030,1 yet studies have shown that approximately 20% of patients are dissatisfied after conventional surgery.2 Mako Total Knee combines Stryker’s advanced robotic technology with its clinically successful Triathlon Total Knee System, which enables surgeons to have a more predictable surgical experience with increased precision and accuracy.3Mako SmartRobotics™ consists of three unique components – 3D CT-based planning, AccuStop™ haptic technology and insightful data analytics. In clinical studies, Mako 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, improved knee flexion and soft tissue protection in comparison to manual techniques.4,5 Click the links below for more information about each type of knee replacement surgery.

Why Choose Mako SmartRobotics™?

  • Mako SmartRobotics™ for Total Knee has been associated with less pain, less need for opiate analgesics, less need for inpatient physical therapy, reduction in length of hospital stay, improved knee flexion and soft tissue protection in comparison to manual techniques.7,9

  • Mako Total Knee combines Stryker’s advanced robotic technology with its clinically successful Triathlon Total Knee System, which enables surgeons to have a more predictable surgical experience with increased accuracy.9,10

  • The Mako Total Knee application was designed based on the clinically successful Mako Partial Knee and Mako Total Hip applications. Mako Robotic- Arm Assisted Surgery enables surgeons to have a more predictable surgical experience and offers them a leadership advantage in our evolving healthcare environment.

Learn More About Your Surgery

Mako SmartRobotics™ for Partial Knee replacement2021-01-21T07:31:15-08:00

Mako for Partial Knee replacement

We understand that knowing what to expect from your joint replacement experience is important to you. As you are reading through this material, please reach out to us to discuss if you have additional questions.

Each patient is unique and can experience joint pain for different reasons. It’s important to talk to us about the reason 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 Partial Knee replacement, which may provide you with relief from your knee pain.

Mako can help your surgeon plan for better outcomes, like less pain and shorter recovery times compared to manual partial knee replacement surgery.1

How Mako works

Mako partial knee CT-based surgical plan

Mako is an innovative solution for many suffering from painful arthritis of the knee.

Scan. It all starts with a CT scan so your surgeon can know more about your anatomy.

Plan. The CT scan is used to create a 3D CT-based model of your knee. Your surgeon uses this 3D model to create a personalized surgical plan and assist your surgeon in performing your knee replacement procedure.

Mako Can. In the operating room, your surgeon follows your personalized surgical plan while preparing the bone for the implant. The surgeon guides Mako’s robotic arm within the predefined area, and Mako’s AccuStopTM technology helps the surgeon stay within the planned boundaries that were defined when the personalized preoperative plan was created.

It's important to understand that the surgery is performed by an orthopaedic surgeon, who guides Mako's robotic arm during the surgery to position the implant in the knee joint. Mako does not perform surgery, make decisions on its own or move without the surgeon guiding it. Mako also allows your surgeon to make adjustments to your plan during surgery as needed.

  • Mako for Partial Knee replacement is a treatment option for adults living with early to mid stage osteoarthritis (OA) that has not yet progressed to all three compartments of the knee. Depending on where the arthritis affects the knee, patients may have an implant inserted in any of the following areas:
Mako partial knee implants

IMPORTANT INFORMATION

Partial 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
  1. Kayani B, Konan S, Tahmassebi J, Rowan F, Haddad F. An assessment of early functional rehabilitation and hospital discharge in conventional versus robotic-arm assisted unicompartmental knee arthroplasty: A PROSPECTIVE COHORT STUDY Bone Joint J 2019;101-B:24–33

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Copyright © 2023 Stryker


Learn more about Stryker's Mako Partial Knee replacement

Learn more about Stryker's Mako Partial Knee replacement

Mako SmartRobotics™ for Triathlon Knee Replacement2021-01-21T07:32:11-08:00

Triathlon Knee Replacement

We understand that making sure you know what to expect from the knee replacement experience is important to you. If you have additional questions as you are reading through this material, please reach out to us to discuss.

Diagnosis and treatment of knee pain

Each patient is unique, and can experience knee pain for different reasons. It’s important to talk to us about the reason for your knee pain so you can understand the treatment options available to you.

Knee compartmentsArthritis, one possible reason for knee pain, can affect one or more of the three compartments of the knee. Take a look at the different areas where arthritis can affect the knee joint:

  1. the inside of the knee, or medial compartment
  2. the outside of the knee, or lateral compartment
  3. the top of the knee is also known as the kneecap, or patella compartment

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. If you haven’t experienced adequate relief with medication and other conservative treatments, total knee replacement may provide you with relief from your arthritis.

Total knee replacement surgery

Single radius designTotal knee replacement is a surgical procedure in which the diseased or damaged area of all three compartments of the knee is replaced with an artificial joint called an implant. The Triathlon Knee is different from traditional knee replacements because the single radius design of the Triathlon Knee means that as your knee flexes and extends, there is a constant center of rotation, like a circle. Take a look at how it works:


IMPORTANT INFORMATION

Knee Replacements

General Indications: Total knee 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.

Contraindications: Knee 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 knee, or excessive body weight.

Common Side Effects of Knee Replacement Surgery: As with any surgery, knee replacement surgery has serious risks which include, but are not limited to, 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 include dislocation, loosening, fracture, nerve damage, heterotopic bone formation (abnormal bone growth in tissue), wear of the implant, metal sensitivity, soft tissue imbalance, osteolysis (localized progressive bone loss), and reaction to particle debris. 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 right for you. Individual results vary and not all patients will receive the same postoperative activity level. The lifetime of a joint replacement is not infinite and varies with each individual. Your doctor will help counsel you about how to best maintain your activities in order to potentially prolong the lifetime of the device. Such strategies include not engaging in high-impact activities, such as running, as well as maintaining a healthy weight. Ask your doctor if the Triathlon knee 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: Stryker, Triathlon. All other trademarks are trademarks of their respected owners or holders.

TRIATH-PE-53_10796
Copyright © 2016 Stryker Corporation


Mako SmartRobotics™ for Total Knee replacement2021-01-21T07:28:52-08:00

Mako for Total Knee replacement

We understand that knowing what to expect from your joint replacement experience is important to you. As you are reading through this material, please reach out to us to discuss if you have additional questions.

Each patient is unique and can experience joint pain for different reasons. It’s important to talk to us about the reason 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 Total Knee replacement, which may provide you with relief from your knee pain.

Mako can help your surgeon plan for better outcomes, like less pain and shorter recovery times, compared to manual knee replacement surgery.1

How Mako works

Mako total knee CT-based surgical plan

Mako is an innovative solution for many suffering from painful arthritis of the knee.

Scan. It all starts with a CT scan so your surgeon can know more about your anatomy.

Plan. The CT scan is used to create a 3D CT-based model of your knee. Your surgeon uses this 3D model to create a personalized surgical plan and assist your surgeon in performing your knee replacement procedure.

Mako Can. In the operating room, your surgeon follows your personalized surgical plan while preparing the bone for the implant. The surgeon guides Mako’s robotic arm within the predefined area, and Mako’s AccuStopTM technology helps the surgeon stay within the planned boundaries that were defined in the personalized surgical plan to prepare the bone for the Triathlon Total Knee implant. With over a decade of clinical history, Triathlon knee implants are different from traditional knee replacement implants because they are designed to work with the body to promote natural-like circular motion.2-5

It’s important to understand that the surgery is performed by an orthopaedic surgeon, who guides Mako’s robotic arm during the surgery to position the implant in the knee joint. Mako does not perform surgery, make decisions on its own or move without the surgeon guiding it. Mako also allows your surgeon to make adjustments to your plan during surgery as needed.

A healthy knee
An arthritic knee

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
  1. 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.
  2. 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.
  3. 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.
  4. 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
  5. 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

JR-MKOSYM-OTHW-747688
Copyright © 2023 Stryker


Learn more about Stryker's Mako Total Knee replacement

Learn more about Stryker's Mako Total Knee replacement

Learn more about Stryker's Mako Total Knee replacement

All surgery carries risk. See your orthopaedic surgeon to discuss your potential benefits and risks. Not all patients will have the same post-operative recovery and activity level. Individual results vary.

IMPORTANT INFORMATION

Knee Replacements Knee 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. Knee 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.

REFERENCES:
1. AAOS. Projected volume of primary and revision total joint replacement in the U.S. 2030 to 2060. http://aaos-annualmeeting-presskit.org/2018/research-news/sloan_tjr/. Accessed May 9, 2018.
2. Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KDJ. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clin Orthop Relat Res. 468(1):57-63. doi:10.1007/s11999-009-1119-9.
3. Mahoney O, Kinsey T, Mont M, Hozack W, Orozco F, Chen A. Can computer generated 3D bone models improve the accuracy of total knee component placement compared to manual instrumentation? A prospective multi-center evaluation. Poster presented at: 32nd Annual Congress of the International Society for Technology in Arthroplasty (ISTA); October 2-5, 2019; Toronto, Canada.
4. Kayani B, Konan S, Tahmassebi J, Pietrzak JRT, Haddad FS. 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 Joint J. 2018;100-B(7):930-937. doi:10.1302/0301-620X.100B7.BJJ-2017-1449.R1
5. Kayani B, Konan S, Pietrzak JRT, Haddad FS. 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. J Arthroplasty. 2018;33(8):2496-2501. doi:10.1016/j.arth.2018.03.042
6. Hozack WJ. Multicentre analysis of outcomes after robotic-arm assisted total knee arthroplasty. Bone Joint J:Orthop Proc. 2018;100-B(Supp_12):3
7. Kayani B, Konan S, Pietrzak JRT, Haddad FS. 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. J Arthroplasty. 2018;33(8):2496-2501. doi:10.1016/j.arth.2018.03.042
8. Hozack WJ. Multicentre analysis of outcomes after robotic-arm assisted total knee arthroplasty. Bone Joint J:Orthop Proc. 2018;100-B(Supp_12):38.
9. Kayani B, Konan S, Tahmassebi J, Pietrzak JRT, Haddad FS. 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 Joint J. 2018;100-B(7):930-937. doi:10.1302/0301-620X.100B7.BJJ-2017-1449.R1
10. Mahoney O, Kinsey T, Mont M, Hozack W, Orozco F, Chen A. Can computer generated 3D bone models improve the accuracy of total knee component placement compared to manual instrumentation? A prospective multi-center evaluation. Poster presented at: 32nd Annual Congress of the International Society for Technology in Arthroplasty (ISTA); October 2-5, 2019; Toronto, Canada.
11. Kolisek FR, Chugtai M, Mistry JB, et al. Outcomes of second-generation tapered wedge femoral stem. Surg Technol Int. 2016;28:275-279.
12. AAOS. Projected volume of primary and revision total joint replacement in the U.S. 2030 to 2060. http://aaos-annualmeeting-presskit.org/2018/research-news/sloan_tjr/. Accessed May 9, 2018.
13. Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KDJ. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clin Orthop Relat Res. 468(1):57-63. doi:10.1007/s11999-009-1119-9.
14. Stryker sales data.
15. Khlopas A, Chughtai M, Hampp EL, et al. Robotic-arm assisted total knee arthroplasty demonstrated soft tissue protection. Surg Technol Int. 2017;30:441-446.
16. Illgen RL, Bukowski BR, Abiola R, et al. Robotic-assisted total hip arthroplasty: outcomes at minimum two year follow up. Surg Technol Int. 2017;30:365-372.
17. Kleeblad LJ, Borus T, Coon TM, Dounchis J, Nguyen JT, Pearle AD. Midterm survivorship and patient satisfaction of robotic-arm-assisted medial unicompartmental knee arthroplasty: a multicenter study. J Arthroplasty. 2018;33(6):1719-1726. doi:10.1016/j.arth.2018.01.036.

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