MAKOplasty is a robotic arm assisted partial knee resurfacing procedure designed to relieve the pain caused by joint degeneration due to osteoarthritis (OA). By selectively targeting the part of your knee damaged by OA, your surgeon can resurface your knee while sparing the healthy bone and ligaments surrounding it.

MAKOplasty Partial Knee Resurfacing Can:

• Enable surgeons to precisely resurface only the arthritic portion of the knee

• Preserve healthy tissue and bone

• Facilitate optimal implant positioning to result in a more natural feeling knee following surgery

• Result in a more rapid recovery and shorter hospital stay than traditional total knee replacement surgery

Unlike other more invasive procedures MAKOplasty can often be performed through a four to six inch incision over your knee with small incisions in both your femur (thigh bone) and tibia (shin). Additionally the preservation of your own natural bone and tissue along with more ideal patient specific implant positioning may also result in a more natural feeling knee. And since healthy bone is preserved, patients who undergo MAKOplasty partial knee procedures may still be a candidate for a total knee replacement procedure later in life if necessary. The MAKOplasty procedure is indicated for patients suffering from unicompartmental or bicompartmental knee disease. A total replacement is sometimes necessary if your surgeon discovers during surgery that your knee has more damage than originally seen in the pre-operative X-rays and CT scan. Your physician should discuss the specific risks associated with MAKOplasty and other treatment options with you. In addition, you should be informed of any pre-operative and post-operative instructions by your surgeon or his or her staff.

As a knee arthroplasty procedure, MAKOplasty is typically covered by Medicare insures- check with your private health insurers. In some cases it may be performed on an outpatient basis depending on what your surgeon determines is the right course of treatment for you.

 

What is MAKOplasty®?

MAKOplasty® Partial Knee Resurfacing is an innovative treatment option for adults living with early to mid-stage OA that has not progressed to all three compartments of the knee. It is powered by the RIO® Robotic Arm Interactive Orthopedic System, which allows for consistently reproducible precision in performing partial knee resurfacing.

During the procedure, the diseased portion of the knee is resurfaced, sparing the patient’s healthy bone and surrounding tissue. An implant is then secured in the joint to allow the knee to move smoothly again. MAKOplasty® Partial Knee Resurfacing can:

• Facilitate ideal implant positioning to result in a more natural feeling knee following surgery
• Result in a more rapid recovery and shorter hospital stay than traditional knee replacement surgery
• Be performed on an outpatient basis
• Promote a rapid relief from pain and return to daily activities

As a knee arthroplasty procedure, MAKOplasty® is typically covered by most Medicare-approved and private health insurers.

How may MAKOplasty® benefit me?

The MAKOplasty® Partial Knee Resurfacing procedure is designed to relieve the pain caused by joint degeneration and potentially offers the following benefits:

• Improved surgical outcomes
• Less implant wear and loosening
• Joint resurfacing
• Bone sparing
• Smaller incision
• Less scarring
• Reduced blood loss
• Minimal hospitalization
• Rapid recovery

 How does MAKOplasty® work?

The RIO® Robotic Arm Interactive Orthopedic System features three dimensional pre-surgical planning.

During surgery, the RIO® provides the surgeon with real-time visual, tactile and auditory feedback to facilitate optimal joint resurfacing and implant positioning. It is this optimal placement that can result in more natural knee motion following surgery.

Individual results may vary. There are risks associated with any knee surgical procedure, including MAKOplasty.® Your physician can explain these risks and help determine if MAKOplasty® is right for you.

Who would be a good candidate for the MAKOplasty® procedure?

Typically, MAKOplasty® patients share the following characteristics:

• Knee pain with activity, usually on the inner knee and/or under the knee cap
• Start up knee pain or stiffness when activities are initiated from a sitting position
• Failure to respond to non-surgical treatments or nonsteroidal anti-inflammatory medication

 If I undergo MAKOplasty®, what can I expect?

MAKOplasty® can be performed as either an inpatient procedure or on an outpatient basis depending on what your orthopaedic surgeon determines is right for you. Hospital stays average anywhere from one to three days; ambulatory patients return home the same day.

In many cases, patients are permitted to walk soon after surgery, drive a car in the first few weeks, and return to normal daily activities shortly thereafter.

 What is the lifespan of a MAKOplasty® implant?

All implants have a life expectancy that depends on several factors including the patient’s weight, activity level, quality of bone stock and compliance with their physician’s orders.

Proper implant alignment and precise positioning during surgery are also very important factors that can improve the life expectancy of an implant. Through the use of RIO®, implants can be optimally aligned and positioned to ensure the longest benefit. RESTORIS® MCK implants enable the treatment of one or two compartments with OA disease. With single compartment disease, a second compartment may be treated in the future if OA spreads. In addition, because very little bone is actually removed during a MAKOplasty® procedure, the implants can be replaced with another procedure such as a total knee replacement, if necessary.

Robotic Arm Interactive Orthopedic System (RIO®)

The RIO® Robotic Arm Interactive Orthopedic System features three dimensional pre-surgical planning. During surgery, the RIO® provides the surgeon with real-time visual, tactile and auditory feedback to facilitate optimal joint resurfacing and implant positioning. It is this optimal placement that can result in more natural knee motion following surgery.

RIO® Features:

  • Accurately plan implant size, orientation and alignment utilizing CT-derived 3-D modeling
  • Enabling the pre-resection capture of patient-specific kinematic tracking through full flexion and extension
  • Real-time intra-operative adjustments for correct knee kinematics and soft-tissue balance
  • Minimally invasive and bone sparing, with minimal tissue trauma for faster recovery

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