Mako Robotic Assisted Knee Replacement

Mako Robotic Assisted Knee Replacement

 

 

We are proud to announce that Professor Jari is now undertaking Mako

robotic arm assisted knee replacements

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.

Advantages

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.

FAQ’s

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

References

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 https://doi.org/10.1016/j.arth.2018.02.050)