MAKO Total Knee Replacement
The most common need for a knee replacement is osteoarthritis. Knee joint osteoarthritis is a degenerative disease resulting in the wearing away of the lubricating cartilage of the knee joint. This causes the end of the thigh and shin bones to rub together, resulting in pain with standing, walking, stairs, and activity. Sometimes, a bow-legged or knock-kneed appearance of the leg may develop. Pain can be felt all over the knee, or be localized to certain areas, depending on where in the joint the arthritis is. Degeneration can occur in three areas of the knee joint: the medial (inner) knee, the lateral (outer) knee, and behind the knee cap. Patients with end stage osteoarthritis, or osteoarthritis in two or more areas of the knee joint, could be considered candidate for a total knee replacement.
A total knee replacement is an option for patients with pain that affects their activities of daily living and quality of life. Typically, a knee replacement is indicated after exhausting conservative treatment options including steroid injections, viscosupplementation “gel” injections, anti-inflammatory medication, physical therapy, bracing, activity modification, lifestyle changes and/or weight loss.
A total knee replacement is a surgical procedure in which the knee joint surfaces are replaced with artificial implants. This consists of replacing the ends of the thigh and shin bones of the natural knee, and resurfacing the back of the knee cap. A plastic spacer is placed in between the metal implants of the thigh and shin to mimic a joint space. A total knee replacement helps to relieve pain, increase knee motion, correct knee alignment, and improve function.
There have been advancements made in the total knee replacement procedure over the years. Dr. Durkin performs a “minimally-invasive” robotic arm technique which allows for a smaller surgical incision, and does not cut the quadriceps muscle, which assists in easier recovery. He also uses a CT-scan based technology for patient-specific preoperative planning. A patient is requested to obtain a special CT scan with mako protocol of the knee within 30 days of surgery. This CT scan is used to develop 3D virtual model of your unique anatomy. This virtual model is loaded into the Mako software and is used by Dr. Durkin to create your personalized pre-operative plan. During surgery, Dr. Durkin prepares the bone for the metal implant by guiding the robotic-arm within the pre-defined areas on your anatmoy. Mako Robotic System helps with precision, accuracy and implant placement during surgery. The Mako System allows Dr. Durkin to measure and double check before proceeding with implant placing.
While many patients with knee joint osteoarthritis are best suited for a total knee replacement, some patients with osteoarthritis and pain localized to only one area of the knee joint may be a candidate for a partial knee replacement which is also done using mako.