Mako SmartRobotics™
Mako SmartRobotics™ for knee, hip, and joint (combined) replacement surgeries.
Kerlan-Jobe Surgery Center is one of the first hospitals in the Los Angeles area now offering Mako SmartRobotics™ for knee, hip, and joint (combined) replacement surgeries. Mako Total Knee combines Stryker’s advanced robotic technology with its clinically proven Triathlon Total Knee System,1 which enables surgeons to have a more predictable surgical experience.2 Total knee replacements in the United States are expected to increase 189% by 2030,3 yet studies have shown that approximately 20% of patients are dissatisfied after conventional surgery.4 Through CT-based 3D modeling of bone anatomy, our surgeons can now use the Mako System to create a personalized surgical plan based on a patient’s unique anatomy and to virtually modify the surgical plan intraoperatively as needed. The only robotic-arm assisted surgical technology equipped with AccuStop™ haptic technology, Mako for Total Knee Replacement enables surgeons to limit soft tissue damage by providing visual, auditory and tactile feedback, limiting sawblade action outside of the haptic boundary.5
Mako is changing the way joint replacement surgeries are performed by enabling surgeons to provide each patient with a personalized surgical experience based on their specific diagnosis and anatomy. Our surgical team has information at our fingertips that we’ve never had access to before. Stryker’s Mako System is the first and only SmartRobotics™ System that can be used across the joint replacement service line to perform total knee, total hip and partial knee replacements. Our new offering of the SmartRobotics™ System is a key demonstration of Kerlan-Jobe Surgery Center’s commitment to provide the community with outstanding healthcare, and we are proud to be at the forefront of innovative robotic technology. To learn more about Mako Total Knee surgery, please visit click the links below.
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.
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. Scott CEH, Bell KR, Ng RT, MacDonald DJ, Patton JT, Burnett R. Excellent 10-year patient-reported outcomes and survival in a single-radius, cruciate-retaining total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2019;27(4):1106-1115. doi:10.1007/s00167-018-5179-9
2. Hampp EL, Scholl LY, Prieto M, Chang T, Abbasi AZ, Bhowmik-Stoker M, Otto JK, Jacofsky DJ, Mont MA. “Accuracy Assessment of Robotic and Manual TKA in a Cadaveric Model.” Robotic-arm assisted total knee arthroplasty demonstrated greater accuracy to plan compared to manual technique. ORS 2017 Annual Meeting.San Diego. Poster No.2412
3. 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. 4. 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
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