Robotics in Knee and Hip Arthroplasty pp 157-166 | Cite as
Total Knee Arthroplasty Technique: MAKO
Abstract
The MAKO robotic arm-assisted total knee replacement is a semi-active system. Haptic guidance is used to precisely and safely position and align components. Component position and alignment is pre-planned after creating a 3-D virtual model from CT imaging and can be modified as needed throughout the procedure. The computer will show compartment gaps and overall alignment during the procedure to assist with soft tissue balancing and facilitate bone recuts.
Keywords
MAKO total knee replacement Robotic knee replacement Robotic arm-assisted surgery Total knee replacement Constitutional knee alignmentNotes
Conflict of Interest
The author certifies that there is a conflict of interest in connection with the submitted article. He is a consultant and designer for Stryker/MAKO and does receive consulting fees and royalties for the device discussed in this article.
References
- 1.Urish KL, Conditt M, Roche M, Rubash HE. Robotic total knee arthroplasty: surgical assistant for a customized normal kinematic knee. Orthopedics. 2016;39:e822–7.CrossRefGoogle Scholar
- 2.Sinha RK. Outcomes of robotic arm-assisted unicompartmental knee arthroplasty. Am J Orthop. 2009;38(2 Suppl):20–2.PubMedGoogle Scholar
- 3.Bell SW, Anthony I, Jones B, MacLean A, Rowe R, Blyth M. Improved accuracy of component positioning with robotic-assisted unicompartmental knee arthroplasty: data from a prospective, randomized controlled study. J Bone Joint Surg Am. 2016;98(8):627–35.CrossRefGoogle Scholar
- 4.Citak M, Suero EM, Citak M, Dunbar NJ, Branch SH, Conditt MA, Banks SA, Pearle AD. Unicompartmental knee arthroplasty: is robotic technology more accurate than conventional technique? Knee. 2013;20(4):268–71.CrossRefGoogle Scholar
- 5.Lonner JH, John TK, Conditt M. Robotic arm-assisted UKA improves tibial component alignment: a pilot study. Clin Orthop Relat Res. 2010;468:141–6.CrossRefGoogle Scholar
- 6.Liow MH, Xia Z, Wong MK, Tay KJ, Yeo SJ, Chin PL. Robot-assisted total knee arthroplasty accurately restores the joint line and mechanical axis. A prospective randomized study. J Arthroplast. 2014;29:2373–7.CrossRefGoogle Scholar
- 7.Noble PC, Conditt MA, Cook KF, Mathis KB. The John Insall Award: patient expectations affect satisfaction with total knee arthroplasty. Clin Orthop Relat Res. 2006;452:35–43.CrossRefGoogle Scholar
- 8.Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Kory DJ, Charron KDJ. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clin Orthop Relat Res. 2010;468:57–63.CrossRefGoogle Scholar
- 9.Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM. Insall Award paper. Why are total knee arthroplasties failing today? Clin Orthop Relat Res. 2002;404:7–13.CrossRefGoogle Scholar
- 10.Gustke KA, Golladay GJ, Roche MW, Elson LC, Anderson CR. A new method for defining balance: promising short-term clinical outcomes of sensor-guided TKR. J Arthroplast. 2014;29(5):955–60.CrossRefGoogle Scholar
- 11.Hampp EL, Chughtai M, Scholl LY, Sodhi N, Bhowmik-Stoker M, Jacofsky DJ, Mont MA. Robotic-arm assisted total knee arthroplasty demonstrated greater accuracy and precision to plan compared with manual techniques. J Knee Surg. 2018. https://doi.org/10.1055/s-0038-1641729.CrossRefGoogle Scholar
- 12.Roche M, Law T, Vakharia R, Wang K, Nevelos J. Does Intraoperative robotic arm assisted total knee arthroplasty alignment correlate with standing long leg postoperative alignment? Unpublished data. Presented at the Florida Orthopaedic Society Annual Meeting, June 2018.Google Scholar