Makoplasty Robotic Knee Surgery -
Partial Knee Replacement
The Mako Partial Knee application is a 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 System to 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 intra-operatively and assists the surgeon in executing bone resections.
PARTIAL KNEE RESURFACING WITH MAKOPLASTY®
Brian Gruber, MD utilizes the MAKO robot technology in a surgical technique that resurfaces the damaged area of the knee without compromising the healthy bone, ligaments and tissue surrounding it. The robotic-arm assisted, minimally invasive procedure is performed through a small incision. In most cases there is a faster, less painful recovery than traditional joint replacement surgery. Many patients are back on their feet in just days. Consider this: the best surgical outcomes are in unicompartmental knee patients. Uni patients have a higher satisfaction score, lower chance of infection, stroke, heart attack, blood transfusion, blood clot and lower death rate compared to total knee replacement patients.
ADVANCED TECHNOLOGY
The process begins with a detailed evaluation, including an office visit with Dr. Gruber for specific knee history, detailed physical exam and standing 4 view knee x-ray series. Usually, other special imaging tests are not required. After the decision to perform Mako is finalized, three main steps are completed to assure accurate sizing, precise implant alignment and proper balancing of the knee.
Mako System surgery is an outpatient procedure with patients discharged to home from the Outpatient Surgery Center, alert and walking.
Typical recovery includes using a cane or walker for a week and return to driving within 1-2 weeks. Most people return to work in 1-4 weeks. As a knee arthroplasty procedure (CPT 27446), MAKO Technology is typically covered by all health insurers. update 9/2022
PROVEN PROCESS
FOR RESULTS
PROCESS FOR PARTIAL KNEE RESURFACING WITH MAKOPLASTY®
The CT provides precise, unique anatomic detail of your knee. This data is entered into the Makoplasty computer and is used both before and during the procedure to accurately plan implant size, orientation and alignment utilizing CT-derived 3-D modeling. A provisional sizing and positioning of components is done before surgical implantation.
1: CT SCAN OF THE KNEE AT THE IMAGING FACILITIES
This “tells” the computer in real time exactly where the knee bones are in space and provides kinematic detail about knee motion and knee ligament balance. This information is used to attain exact placement of the implant, still in the virtual realm at this point in time.
2: INTRA OPERATIVE PLACEMENT OF COMPUTER NAVIGATION
The Robotic Arm Interactive Orthopedic System is now introduced into the knee using minimally invasive exposure and bone sparing removal of damaged tissue to form a shallow trough to allow the Restoris implants to be permanently placed into the knee, replicating the precise sizing and location derived from CT scan, Computer Navigation and virtual kinematics.
Commonly Identified Benefits of Robotic Knee Resurfacing
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Same Day Surgery – sleep in your own bed
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Less Pain vs. Total Knee – considerably less
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Rapid Recovery is Commonly Seen
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Minimal Rehab – typical is 3-4 weeks in Physical Therapy
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Minimally Invasive Incision
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Precision Implant Position
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Easier Recovery Than Total Knee Has Been Observed
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Return to Activity Including Golf, Tennis, Hiking, Biking, Work
GET MOVING AGAIN
Mako is a Tool, Not a Surgeon
While Mako offers a major advancement and precision in joint replacement surgery, it’s important to remember that it doesn’t replace your orthopedic surgeon. Your surgeon still performs the knee replacement procedure and is guided by the robotic-arm assisted technology for optimal results. Using Mako requires specialized training and expertise. Brian Gruber, MD, MBA, Board Certified Orthopedic Surgeon is specifically trained in using the Mako system for total and partial knee replacements. Patients can rest assured of the highest levels of competency and skill when they see Dr. Gruber to discuss their options for knee replacement.
Brian Gruber, MD, MBA
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