Mako Robotic Assisted Knee Replacement

Mako Robotic Assisted Knee Replacement

The Future of Knee Replacement Surgery

Professor Jari is one of the pioneers of Mako Robotic arm assisted surgery having very successfully performed the first MAKO Total Knee Replacement and the second MAKO partial knee replacement in the North-West of England. The two patients concerned have kindly provided their video testimonials below.

The MAKO knee replacement surgery is available to most privately insured patients and all self-pay, patients. For our self-pay patients, Professor Jari has created an Exclusive Fixed Price All-Inclusive Package for his patients undergoing this surgery. Click on the link to see what is included

Mako Total Knee Replacement

Over the years, knee replacement techniques and instrumentation have undergone countless improvements. Mako Robotic-Arm Assisted Surgery System is an example of how technology is transforming the way joint replacement surgeries are being performed.

When you hear ‘robotic-arm assisted technology,’ it’s important to understand that the Mako Robotic-Arm doesn’t actually perform the surgery. Surgery is performed by Professor Jari, who uses the Mako System software to pre-plan the surgery. Professor Jari then guides the Mako robotic-arm to remove diseased bone and cartilage during the operation. Finally, Professor Jari will insert the knee replacement.
Mako Technology was designed to help surgeons in their efforts of providing personalized surgical experience, with each surgical plan being based on a patient’s specific diagnosis and anatomy.


The advantages of less invasive surgery are:

To allow quicker rehabilitation of the knee due to the decreased soft tissue and bony trauma.

There is also less bleeding which can lead to less swelling and less pain, which contributes to the quicker rehabilitation.

A greater range of motion can be achieved compared to a conventional approach. There is a potentially quicker return to function.

Taking all the above into account, a potential quicker return to function can be achieved, resulting in a shorter length of stay in the hospital of between 1 to 3 days.

By reducing the length of stay in a hospital, this has a secondary effect including to reduce the risk of hospital-acquired infections including MRSA as well as potentially reducing the risks of DVT and pulmonary embolus due to early mobilisation.

My patients who undergo knee replacement surgery follow an accelerated rehabilitation programme which commences on the day of surgery. This includes use of a CPM (Continuous Passive Motion) machine, immediate range of motion exercises, quadriceps strengthening, hyper-extension stretching and early walking (preferably on the day of surgery). This is combined with a specific and effective pain-relieving drug regime devised by Professor Jari which he has been successfully using with his patient for many years.

Operated leg with CPM machine
Personalized plan
It all begins with a CT scan of the patient’s knee joint that is used to generate a 3D virtual model of patient’s unique anatomy. This virtual model is loaded into the Mako system software and is used to create the patient’s personalized preoperative plan.
In the operating theatre
In the operating theatre, the Professor Jari uses Mako system to assist in performing the surgery based on the patient’s personalized preoperative plan. The Mako system also allows the Professor Jari to make adjustments to the patient’s plan during surgery as needed. When the Professor Jari prepares the bone for the implant, the Mako system guides him within the pre-defined safe areas and helps prevent the him from moving outside the safe planned boundaries. Overall this helps safely provide more accurate placement and alignment of the implant as per the patient’s personalised plan and intra-operative adjustments undertaken by Professor Jari.
After Surgery
After surgery, Professor Jari, nurses and physiotherapists set goals with the patient to get the patient back on the move. They closely monitor the patient’s condition and progress. Professor Jari will also obtain and review post-operative x-rays of the new knee.


How long has the Mako procedure been available?
The first Mako Partial Knee procedure was performed in June of 2006 and the first Mako Total knee procedure was performed in June of 2016.
Does the Mako Robotic-Arm actually perform the surgery?
No, surgery is performed by Professor Jari, who uses the surgeon-controlled robotic-arm system to pre-plan the surgery and to position the implant. The robotic arm does not perform the surgery nor can it make decisions on its own or move in any way without Professor Jari guiding it. The Mako System also allows Professor Jari to make adjustments to the patient’s plan during surgery as needed.
How long do knee implants last?
Individual results vary and not all patients will have the same postoperative activity level. The lifetime of a knee replacement is not infinite and varies with each individual.
The Mako system is generally not available through the NHS and is only available privately. It is funded by nearly all of the major healthcare insurers in the UK and is also available to self-funding patients. For further information, or to book a consultation with Professor Jari, please contact Claire on 0161 445 4988

Patient Experience

Regarding my recent surgery for a part knee replacement done by Professor Jari using the Mako-robot, the overall experience has been first class from the diagnostic to the treatment pre-op and more importantly post-op. The arrangement of bookings for x-rays, scans to consultations has been excellent.

The staff have gone beyond their duty to make me feel totally at ease with everything from choosing which Hospital to making appointments and choosing my physio. Especially Claire the practice manager who went above and beyond in helping me with regards my Insurance questions and any worries/concerns that I may have had.

It has now been 8 weeks since my operation and I wish I would have had it done sooner because there is no longer anymore pain in my left knee, I feel like a completely different person now and look forward to getting back to my regular hobbies that I couldn’t do because of the pain I was in. Here’s to happy golfing/swimming/cycling.

I would certainly recommend Professor Jari (TheKneeDoc) for whatever treatment that you may require.

Many thanks for everything

Just over 9 weeks ago I had a Mako Total Knee replacement performed by Professor Jari and I cannot thank him enough for making a major procedure a positive experience.  After suffering problems for over 7 years, I am now walking with a normal gait and am mainly pain free, just the odd niggle as part of the rehab process.  I am walking 2 miles without any aids, cycling for 25 minutes on the indoor bike, and returned to Pilates 2 weeks ago (via zoom in the current lockdown), although avoiding kneeling exercises that take the weight on the operated knee.  Professor Jari explained thoroughly about the operation, post-op care, rehab and answered all my queries clearly during the consultation process.  The operation went smoothly, and I was home after 2 nights, moving around on crutches, with minimal pain. As I continue my rehab, with physio help, I am confident that I will be back cycling outdoors, walking in the Lake District, and playing walking rugby before too long.  I would not hesitate to recommend Professor Jari for a Mako Total Knee replacement or any other knee surgery, having had minor procedures performed by him in the past.  A thank you to Jen also for her help and cheery phone calls. Thank you also to all staff at the Spire Hospital Manchester.

Once again thank you and if you need a Knee specialist, I would recommend Professor Jari for first class care and expertise.

Kim Rothwell

Jan 2021


Mako Total Knee Replacement

With robotic arm assisted TKA vs conventional TKA there is potential for;

Reduced soft tissue trauma1
Reduced blood loss1
Lower post op pain1

Potential for reduced time to discharge and a lesser requirement for post op physio2.

1,KayaniB., Konan S., PietrziekJ., Haddad F. S. Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm
Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee Arthroplasty: A Prospective Cohort Study and Validation of a New Classification System The Journal of Arthroplasty2018.03.042

2. KayaniB., Konan S., PietrziekJ., Haddad F. S. Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reducedtime to hospital discharge compared with conventional jig-based total knee arthroplasty A PROSPECTIVE COHORT STUDY Bone Joint J 2018;100-B:930–7

Mako Partial Knee Replacement

Mako Robotic Arm assisted surgery has the potential for more accurate component placement1, less pain2 and better patient outcomes2 when compared to manual surgery

1.Improved accuracy of component positioning with robotic-assisted unicompartmental knee arthroplasty: data from a prospective, randomized controlled study. Bell SW; Anthony I; Jones B; MacLean A; Rowe P; Blyth M. J Bone and Joint Surg. 2016;98: 627-35.

2.Robotic-Arm Assisted Versus Conventional Unicompartmental Knee Arthroplasty. The 2 year Clinical outcomes of a Randomised Controlled Trial Alisdair Gilmour, Angus MacLean, Philip Rowe, Matthew Banger, Iona Donnelly, Bryn Jones, Mark Blyth
Journal of Arthroplasty 2018 (ePub, ahead of print