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Robotic Surgery assist can help our surgeons perform total and partial knee replacements.

Robotic Assisted Surgery

Orthopedic Associates has partnered with area hospitals to offer patients an established and innovative option for partial and total knee replacements using the Stryker Mako® and Zimmer-Biomet Rosa® robots. Through 3D modeling of a patient’s bone anatomy, surgeons can use the robotic assisted system to create a personalized surgical plan and identify the implant size, orientation and alignment based on each patient's unique anatomic geometry.

Where degeneration, due to osteoarthritis, has not yet progressed to all three compartments of the knee, robotic assisted surgery can often selectively target only the part of the knee damaged by osteoarthritis, allowing the surgeon to resurface the diseased portion of the knee, while helping to spare the healthy bone and ligaments surrounding the knee joint.

The Mako Total and Partial Knee surgery may reduce:
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  • need for opiates
  • length of hospital stay
  • inpatient physical therapy
  • post-operative pain

Your Options

The Total Knee application

Knee replacement treatment option designed to relieve the pain caused by joint degeneration due to osteoarthritis. Through CT-based 3D modeling of bone anatomy, surgeons can use the Mako Robotic-Arm Assisted System to create a personalized surgical plan and identify the implant size, orientation and alignment based on each patient's unique anatomy.

The Partial Knee application
a treatment option designed to treat joint degeneration due to osteoarthritis that has not yet progressed to all three compartments of the knee. By selectively targeting only the part of the knee damaged by osteoarthritis, surgeons can resurface the diseased portion of the knee, while helping to spare the healthy bone and ligaments surrounding the knee joint.

Why Mako Robotic-Arm Assisted Technology
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The Mako Robotic-Arm Assisted Technology enables orthopedic surgeons to enhance their patients’ joint replacement experience. Through 3D modeling of bone anatomy, surgeons can create a personalized surgical plan and identify the implant size, orientation and alignment based on each patient’s unique anatomy. The Mako System also enables surgeons to virtually modify the surgical plan intraoperatively and assists them in executing bone resections.

The Mako System is established globally. Since 2007, more than 83,000 total procedures, including total knee, partial knee and total hip replacements, have been performed with Mako.

How it works
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Mako Robotic-Arm Assisted Technology provides you with a personalized surgical plan based on your unique anatomy. First, a computerized tomography (CT) scan of the diseased hip or knee joint is taken. This CT scan is uploaded into the Mako System software, where a 3D model of your hip or knee is created. This 3D model is used to pre-plan and assist your surgeon in performing your joint replacement procedure.

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 helps the surgeon stay within the planned boundaries that were defined when the personalized pre-operative plan was created.

In a laboratory study, Mako Total Knee Technology demonstrated accurate placement of implants to a personalized surgical plan.1 This study also showed that Mako Total Knee replacement demonstrated soft tissue protection to the ligaments around the knee.1 In patient and laboratory studies on Mako Total Hip and Partial Knee replacement, Mako Technology demonstrated accurate placement of implants to a personalized surgical plan.2-4


Total Knee VS. Partial Knee Replacement
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Based on the severity of the arthritis in the knee, total or partial knee replacement may be recommended by a surgeon. Both procedures involve the orthopedic surgeon guiding the Mako Robotic-Arm to remove diseased bone and cartilage.

Knee CT Scan


Partial Knee replacement

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:

Step 1. Knee CT Scan
Step 2. Knee Personalized Planning


Total Knee replacement

A treatment option for adults living with mid to late-stage osteoarthritis of the knee. With Total Knee replacement, the entire knee joint is replaced and the surgeon inserts a Triathlon Total Knee implant. With over a decade of clinical history, Triathlon knee replacements are different than traditional knee replacements because they are designed to work with the body to promote natural-like circular motion.5-8


Step 1. Knee CT Scan

Step 2. Knee Personalized Planning


Joint Replacement
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It's important to us that you know what to expect from your joint replacement experience. The following provides some information. If you have additional questions, please reach out to us at (800) 824-9861 .

Each patient is unique, and can experience joint pain for different reasons. It's important to tell your orthopedic surgeon about the reason for your joint 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 relief with those treatment options, you may be a candidate for Total Knee or Partial Knee replacement, which may provide you with relief from your joint pain.

Important Information — Knee Replacements
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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, 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 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: Mako, Stryker, Triathlon. All other trademarks are trademarks of their respected owners or holders.

References
›
  1. 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
  2. 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
  3. 1. Bell, Stuart W. MBChB, MRCP, FRCS(T&O), Anthony, IainPhD, Jones, Bryn MBChB, FRCS(T&O), MacLean, Angus MBChB, RCS(T&O), Rowe, Philip BSc(Hons), PhD, and Blyth, Mark MBChB, FRCS(T&O). Improved accuracy of component positioning with robotic-assisted unicompartmental knee arthroplasty. The Journal of Bone and Joint Surgery. Volume 98-A: Number 8. April 20, 2016. pp 627-35.
  4. Bell, Stuart W., Anthony, Iain, Jones, Bryn, MacLean, Angus, Rowe, Philip, and Blyth, Mark. Improved accuracy of component positioning with robotic-assisted unicompartmental knee arthroplasty. The Journal of Bone and Joint Surgery. Volume 98-A: Number 8. April 20, 2016. pp 627-35.
  5. Mistry J, Elmallah R, Chughtai M, Oktem M, Harwin S, Mont M. Long-Term Survivorship and Clinical Outcomes of a Single Radius Total Knee Arthroplasty. International XXVIII.
  6. Designed to maintain collateral ligament stability throughout the range of motion. Stryker-Initiated Dynamic Computer Simulations of Passive ROM and Oxford Rig Test, Stephen Piazza, 2003.
  7. 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.
  8. 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 Ortho Relates Res. 2010;468(5):1214-1220.

Physicians Available

Dr. Chad Reed
Dr. Chad Reed
DO, FAOAO
Specialties:

Orthopedic Surgery, Sports Medicine, Robotic Assisted Surgery

Dr. Chad Weber
Dr. Chad Weber
DO, FAOAO
Specialties:

Orthopedic Surgery, Robotic Assisted Surgery, Trauma

Dr. Jerrod Steimle
Dr. Jerrod Steimle
DO
Specialties:

Orthopedic Surgery, Robotic Assisted Surgery, Trauma

Dr. Joseph DiCicco
Dr. Joseph DiCicco
DO, FAOAO, FAAOS
Specialties:

Orthopedic Surgery, Trauma

Dr. Nathan Melton
Dr. Nathan Melton
DO
Specialties:

Orthopedic Surgery, Sports Medicine, Robotic Assisted Surgery

Dr. Safet Hatic
Dr. Safet Hatic
DO, FAOAO
Specialties:

Foot and Ankle Surgery, Orthopedic Surgery, Robotic Assisted Surgery

Other Services
Services
  • Orthopedic Trauma ›
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    • Healthy Bone Clinic ›
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