Mako Robotic-Arm Assisted Technology for total hip replacement
We understand that making sure you know what to expect from the joint replacement experience is important to you. As you are reading through this material, if you have additional questions please reach out to us to discuss.
Each patient is unique, and can experience joint pain for different reasons. It’s important to talk to us about the reason for your hip 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 hip pain. If you haven’t experienced adequate relief with those treatment options, you may be a candidate for Mako Total Hip replacement, which may provide you with relief from your hip pain.
How Mako Technology works
Mako Robotic-Arm Assisted Technology provides you with a personalized surgical plan based on your unique anatomy. First, a CT scan of the diseased joint is taken. This CT scan is uploaded into the Mako System software, where a 3D model of your hip is created. This 3D model is used to pre-plan and assist your surgeon in performing your total hip replacement.
In the operating room, your surgeon follows your personalized surgical plan while preparing the bone for the implant. The surgeon guides the robotic-arm within the pre-defined area and the Mako System. The surgeon guides the robotic-arm within the pre-defined area and the Mako System helps the surgeon stay within the planned boundaries that were defined when the personalized pre-operative plan was created. This helps to provide more accurate placement and alignment of your implant. 1,2
Mako Robotic-Arm Assisted Total Hip replacement is a surgical procedure intended for patients who suffer from non-inflammatory or inflammatory degenerative joint disease (DJD). Some forms of DJD include osteoarthritis (OA), post-traumatic arthritis, rheumatoid arthritis (RA), avascular necrosis (AVN) and hip dysplasia.
Step 1. Hip CT Scan
Step 2. Hip Personalized Planning
It’s important to understand that the surgery is performed by an orthopaedic surgeon, who guides the surgeon-controlled robotic-arm during the surgery to position the implant in the hip joint. The Mako Robotic-Arm does not perform surgery, make decisions on its own, or move without the surgeon guiding the robotic-arm. The Mako System also allows your surgeon to make adjustments to your plan during surgery as needed.
Mako hip replacements
Hip joint replacement is intended for use in individuals with joint disease resulting from degenerative and rheumatoid arthritis, avascular necrosis, fracture of the neck of the femur or functional deformity of the hip.
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, 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 sensitivity, soft tissue imbalance, osteolysis (localized progressive bone loss), audible sounds during motion, and reaction to particle debris.
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 physician’s instructions regarding post-surgery activity, treatment and follow-up care. Ask your doctor if robotic-arm assisted surgery 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: Mako, Stryker. All other trademarks are trademarks of their respected owners or holders.
- Nawabi DH, Conditt MA, Ranawat AS, Dunbar NJ, Jones J, Banks SA, Padgett DE. Haptically guided robotic technology in total hip arthroplasty - a cadaver investigation. Proc Inst Mech Eng H. 2013 Mar22 7(3):302-9
- Illgen R. Robotic assisted total hip arthroplasty improves accuracy and clinical outcome compared with manual technique. 44th Annual Advances in Arthroplasty Course. October 7-10, 2014, Cambridge, MA.F
Copyright © 2017 Stryker Corporation
Total Hip Replacement (THR)
The most common need for a hip replacement is osteoarthritis. Hip joint osteoarthritis is a degenerative disease resulting in wearing away of the lubricating cartilage of the hip joint. This causes the bones of this hip joint to rub together, which produces painful symptoms in the groin, decreased motion of the hip, and pain with walking and activity. Symptoms of arthritis tend to worsen as the degeneration progresses. A total hip replacement is a treatment option for patients with end stage osteoarthritis of the hip joint, and pain affecting their activities of daily living and quality of life.
Typically, a hip replacement is indicated after exhausting conservative treatment options that can include steroid injections, anti-inflammatory medication, activity modification, lifestyle changes and/or weight loss.
A total hip replacement is a surgical procedure in which the hip joint is replaced by an artificial implant.This consists of replacing both the ball and socket of the natural hip. A total hip replacement helps to relieve pain, increase hip motion, and improve function.
There have been tremendous advancements in the total hip replacement procedure over the years. Dr. Durkin is on a short list of surgeons qualified to perform the direct anterior approach to total hip replacement. There are several benefits to the anterior approach to surgery. The procedure is considered minimally invasive, and is accomplished through an incision approximately 9cm long. Fewer, if any, muscles and tendons are cut, so there is less pain and more joint mobility after surgery. For this reason, there are also here are no hip restrictions postoperatively. There is decreased risk for hip dislocation, and decreased risk for unmatched leg lengths.
Dr. Durkin also uses robotic technology for additional accuracy and surgical precision. He is one of the first physicians in Illinois who is qualified and trained to perform a MAKO total hip replacement with use the RIO Robotic Arm Interactive Orthopedic System.
While most hip replacements are elective procedures, sometimes it is performed on an emergency basis in patients who have sustained a trauma, or certain types of fractures, to the already arthritic hip.