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The goal of joint replacement surgery is to relieve pain and restore the alignment and function of your joint. Robotic-assisted joint replacement utilizes X-rays and CT scans to determine the damaged areas of the joint that need to be removed for the precise placement of the implants. The procedure is performed using robotic-arm technology that allows your surgeon to precisely perform the surgery through smaller incisions as compared to traditional surgery.

Dr. Paul Jacob is a renowned orthopedic hip and knee replacement surgeon and an expert in the field of Robotic-Arm Assisted Hip and Knee Joint Replacement. He has performed several robotic procedures in the USA and specializes in the use of the Mako® Robotic System. His experience allows him to successfully perform this revolutionary procedure on highly advanced difficult cases as well as relatively less complicated ones with a high degree of precision and patient satisfaction.

We understand that making sure you know what to expect from the hip replacement experience is important to you. If you have additional questions as you are reading through this material, please reach out to us to discuss.

Diagnosis and Treatment of Hip Pain

Arthritic Hip
Each patient is unique, and can experience hip pain for different reasons. It’s important to talk to us about the cause of your hip pain so you can understand the treatment options available to you. One common cause of hip pain is arthritis, a degenerative condition that involves the breakdown of cartilage and bones in the hip joint. Pain from arthritis and joint degeneration can be constant or come and go, occur with movement or after a period of rest, or be located in one spot or many parts of the body. If you haven’t experienced adequate relief with medication and other conservative treatments, hip replacement may provide you with relief from your arthritis.

Total Hip Replacement

Total hip replacement involves removing arthritic bone and damaged cartilage in the hip joint, and replacing them with an implant. The hip joint is generally described as a ball-and-socket joint. Take a look at how the end of the thigh bone (femoral head) is replaced with a metal stem and an artificial ball that is secured to the top of the stem. The hip socket (acetabulum) is reconstructed, typically using a metal cup lined with a durable plastic (polyethylene). The femoral and acetabular components work together to form the artificial hip implant.

Direct Superior Approach

Your surgery may be performed using the Direct Superior Approach, a minimally invasive surgical technique used in total hip replacement. This technique may be associated with:

  • reduced muscle damage1
  • smaller incision size1
  • enhanced post-operative recovery1,2,3

What are the differences between the Direct Superior Approach and a traditional hip replacement? One difference is the location of the incision. During a traditional hip replacement, the surgeon will make an incision through the IT band, which is a muscle that extends down the outside of your leg from the pelvis to the knee. In a Direct Superior procedure, the surgeon avoids cutting the IT band.1 Another difference is the length of the incision. Traditional hip replacement may require an 10-12 inch incision4 while the incision used in the Direct Superior Approach may be 3-6 inches in length.1

Direct Superior Approach
IMPORTANT INFORMATION

Hip Replacements

Hip joint replacement is intended for use in individuals with joint disease resulting from degenerative and rheumatoid arthritis, avascular necrosis, fracture of the neck of the femur or functional deformity of the hip.

Joint replacement surgery is not appropriate for patients with certain types of infections, any mental or neuromuscular disorder which would create an unacceptable risk of prosthesis instability, prosthesis fixation failure or complications in postoperative care, compromised bone stock, skeletal immaturity, severe instability of the joint, or excessive body weight.

Like any surgery, joint replacement surgery has serious risks which include, but are not limited to, pain, bone fracture, change in the treated leg length (hip), joint stiffness, hip joint fusion, amputation, peripheral neuropathies (nerve damage), circulatory compromise (including deep vein thrombosis (blood clots in the legs)), genitourinary disorders (including kidney failure), gastrointestinal disorders (including paralytic ileus (loss of intestinal digestive movement)), vascular disorders (including thrombus (blood clots), blood loss, or changes in blood pressure or heart rhythm), bronchopulmonary disorders (including emboli, stroke or pneumonia), heart attack, and death.

Implant related risks which may lead to a revision of the implant include dislocation, loosening, fracture, nerve damage, heterotopic bone formation (abnormal bone growth in tissue), wear of the implant, metal sensitivity, soft tissue imbalance, osteolysis (localized progressive bone loss), audible sounds during motion, and reaction to particle debris.

The information presented is for educational purposes only. Speak to your doctor to decide if joint replacement surgery is appropriate for you. Individual results vary and not all patients will return to the same activity level. The lifetime of any joint replacement is limited and depends on several factors like patient weight and activity level. Your doctor will counsel you about strategies to potentially prolong the lifetime of the device, including avoiding high-impact activities, such as running, as well as maintaining a healthy weight. It is important to closely follow your physician’s instructions regarding post-surgery activity, treatment and follow-up care. Ask your doctor if a joint replacement is right for you.

Stryker Corporation or its other divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Stryker. All other trademarks are trademarks of their respected owners or holders.

References

  1. Roger, D. J., & Hill, D. (2012). Minimally Invasive Total Hip Arthroplasty Using a Transpiriformis Approach: A Preliminary Report. Clinical Orthopaedics and Related Research, 470(1).
  2. Penenberg BL, Bolling WS, Riley M. Percutaneously assisted total hip arthroplasty (PATH): a preliminary report. J Bone Joint Surg Am. 2008;90(suppl 4):209–220
  3. Khan RJ, Fick D, Khoo P, Yao F, Nivbrant B, Wood D. Less invasive total hip arthroplasty: description of a new technique. J Arthroplasty. 2006;21:1038–1046.
  4. AAOS website, http://orthoinfo.aaos.org/topic.cfm?topic=a00404, accessed March 2016.

GSNPS-PE-65_10857
Copyright © 2016 Stryker Corporation

Triathlon Knee ReplacementEach patient is unique, and can experience knee pain for different reasons. It's important to talk to us about the reason for your knee pain so you can understand the treatment options available to you.

Pain from arthritis and joint degeneration can be constant or come and go, occur with movement or after a period of rest, or be located in one spot or many parts of the body. If you haven't experienced adequate relief with medication and other conservative treatments, total knee replacement may provide you with relief from your arthritis.

We understand that making sure you know what to expect from your joint replacement experience is important to you. As you are reading through this material, if you have additional questions please reach out to us to discuss.

Each patient is unique, and can experience joint pain for different reasons. It’s important to talk to us about the reason for your knee pain so you can understand the treatment options available to you. Pain from arthritis and joint degeneration can be constant or come and go, occur with movement or after a period of rest, or be located in one spot or many parts of the body. It is common for patients to try medication and other conservative treatments to treat their knee pain. If you haven’t experienced adequate relief with those treatment options, you may be a candidate for Mako Total Knee replacement, which may provide you with relief from your knee pain.

How Mako Technology Works

Personalized Operative Plan
Bone Preparation
Mako Robotic-Arm Assisted Total Knee Replacement is a treatment option for adults living with mid to late-stage osteoarthritis (OA) of the knee. Mako provides you with a personalized surgical plan based on your unique anatomy. First, a CT scan of the diseased knee joint is taken. This CT scan is uploaded into the Mako System software, where a 3D model of your knee is created. This 3D model is used to pre-plan and assist your surgeon in performing your total knee replacement.
 

In the operating room, your surgeon follows your personalized surgical plan while preparing the bone for the Triathlon Total Knee implant. With over a decade of clinical history, Triathlon knee replacements are different than traditional knee replacements because they are designed to work with the body to promote natural-like circular motion.1-4

The surgeon guides the robotic-arm to remove diseased bone and cartilage within the pre-defined area and the Mako System helps the surgeon stay within the planned boundaries that were defined when the personalized pre-operative plan was created. In a laboratory study, Mako Technology demonstrated accurate placement of implants to a personalized surgical plan.5

It’s important to understand that the surgery is performed by an orthopedic surgeon, who guides the robotic-arm during the surgery to position the implant in the knee joint. The robotic-arm does not perform surgery, make decisions on its own, or move without the surgeon guiding the robotic-arm. The Mako System also allows your surgeon to make adjustments to your plan during surgery as needed.

IMPORTANT INFORMATION

Knee replacements

General indications: Total knee replacement is intended for use in individuals with joint disease resulting from degenerative, rheumatoid, and post-traumatic arthritis, and for moderate deformity of the knee.

Contraindications: Knee replacement surgery is not appropriate for patients with certain types of infections, any mental or neuromuscular disorder which would create an unacceptable risk of prosthesis instability, prosthesis fixation failure, or complications in postoperative care, compromised bone stock, skeletal immaturity, or severe instability of the knee.

As with any surgery, knee replacement surgery has serious risks which include, but are not limited to, peripheral neuropathies (nerve damage), circulatory compromise (including deep vein thrombosis (blood clots in the legs)), genitourinary disorders (including kidney failure), gastrointestinal disorders (including paralytic ileus (loss of intestinal digestive movement)), vascular disorders (including thrombus (blood clots), blood loss, or changes in blood pressure or heart rhythm), bronchopulmonary disorders (including emboli, stroke or pneumonia), heart attack, and death.

Implant related risks which may lead to a revision include dislocation, loosening, fracture, nerve damage, heterotopic bone formation (abnormal bone growth in tissue), wear of the implant, metal sensitivity, soft tissue imbalance, osteolysis (localized progressive bone loss), and reaction to particle debris. Knee implants may not provide the same feel or performance characteristics experienced with a normal healthy joint.

The information presented is for educational purposes only. Speak to your doctor to decide if joint replacement surgery is right for you. Individual results vary and not all patients will receive the same postoperative activity level. The lifetime of a joint replacement is not infinite and varies with each individual. Your doctor will help counsel you about how to best maintain your activities in order to potentially prolong the lifetime of the device. Such strategies include not engaging in high-impact activities, such as running, as well as maintaining a healthy weight. Ask your doctor if the Triathlon knee is right for you.

Stryker Corporation or its other divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Mako, Stryker, Triathlon. All other trademarks are trademarks of their respected owners or holders.

References

  1. Mistry J, Elmallah R, Chughtai M, Oktem M, Harwin S, Mont M. Long-Term Survivorship and Clinical Outcomes of a Single Radius Total Knee Arthroplasty. International XXVIII.
  2. Designed to maintain collateral ligament stability throughout the range of motion. Stryker-Initiated Dynamic Computer Simulations of Passive ROM and Oxford Rig Test, Stephen Piazza, 2003.
  3. Wang H, Simpson KJ, Ferrara MS, Chamnongkich S, Kinsey T, Mahoney, OM. Biomechanical differences exhibited during sit-to-stand between total knee arthroplasty designs of varying radii. J Arthroplasty. 2006;21(8):1193-1199.
  4. Gómez-Barrena E, Fernandez-García C, Fernandez- Bravo A, Cutillas-Ruiz R, Bermejo-Fernandez G. Functional performance with a single-radius femoral design total knee arthroplasty. Clin Ortho Relates Res. 2010;468(5):1214-1220.
  5. Hampp E. et al. Robotic-Arm Assisted Total Knee Arthroplasty Demonstrated Greater Accuracy to Plan Compared to Manual Technique. Orthopaedic Research Society 2017 Annual Meeting, San Diego, CA. Poster No. 2412. March 20-22, 2017.

MKOHMT-PE-3_Rev-1_13841
Copyright © 2017 Stryker Corporation

We understand that making sure you know what to expect from your joint replacement experience is important to you. As you are reading through this material, if you have additional questions please reach out to us to discuss.

Each patient is unique, and can experience joint pain for different reasons. It’s important to talk to us about the reason for your knee pain so you can understand the treatment options available to you. Pain from arthritis and joint degeneration can be constant or come and go, occur with movement or after a period of rest, or be located in one spot or many parts of the body. It is common for patients to try medication and other conservative treatments to treat their knee pain. If you haven’t experienced adequate relief with those treatment options, you may be a candidate for Mako Partial Knee replacement, which may provide you with relief from your knee pain.

How Mako Technology works

Mako Robotic-Arm Assisted Technology provides you with a personalized surgical plan based on your unique anatomy. First, a CT scan of the diseased knee joint is taken. This CT scan is uploaded into the Mako System software, where a 3D model of your knee is created. This 3D model is used to pre-plan and assist your surgeon in performing your partial knee replacement.

In the operating room, your surgeon follows your personalized surgical plan while preparing the bone for the implant. The surgeon guides the robotic-arm within the pre-defined area and the Mako System. The surgeon guides the robotic-arm within the pre-defined area and the Mako System helps the surgeon stay within the planned boundaries that were defined when the personalized pre-operative plan was created. This helps to provide more accurate placement and alignment of your implant.1

  • Mako Robotic-Arm Assisted partial knee replacement is a treatment option for adults living with early to mid-stage osteoarthritis (OA) that has not yet progressed to all three compartments of the knee. Depending on where the arthritis affects the knee, patients may have an implant inserted in any of the following areas:Mako Robotic-Arm Assisted partial knee replacement

Step 1. Knee CT Scan
Knee CT Scan

Step 2. Knee Personalized Planning
Knee Personalized Planning

It’s important to understand that the surgery is performed by an orthopaedic surgeon, who guides the robotic-arm during the surgery to position the implant in the knee joint. The Mako Robotic-Arm does not perform surgery, make decisions on its own, or move without the surgeon guiding the robotic-arm. The Mako System also allows your surgeon to make adjustments to your plan during surgery as needed.

IMPORTANT INFORMATION

Partial knee replacement

General indications: Partial knee replacement is intended for use in individuals with joint disease resulting from degenerative and post-traumatic arthritis, and for moderate deformity of the knee.

Contraindications: Partial knee replacement surgery is not appropriate for patients with certain types of infections, any mental or neuromuscular disorder which would create an unacceptable risk of prosthesis instability, prosthesis fixation failure or complications in postoperative care, compromised bone stock, skeletal immaturity, severe instability of the knee, or excessive body weight.

Common side effects of knee replacement surgery: As with any surgery, knee replacement surgery has serious risks which include, but are not limited to, peripheral neuropathies (nerve damage), circulatory compromise (including deep vein thrombosis (blood clots in the legs)), genitourinary disorders (including kidney failure), gastrointestinal disorders (including paralytic ileus (loss of intestinal movement)), vascular disorders (including thrombus (blood clots), blood loss, or changes in blood pressure or heart rhythm), bronchopulmonary disorders (including emboli, stroke or pneumonia), heart attack, and death.

Implant related risks which may lead to a revision of the implant include dislocation, loosening, fracture, nerve damage, wear of the implant, metal sensitivity, osteolysis (localized progressive bone loss), and reaction to particle debris. Partial knee implants may not provide the same feel or performance characteristics experienced with a normal healthy joint.

The information presented is for educational purposes only. Speak to your doctor to decide if joint replacement surgery is right for you. Individual results vary and not all patients will receive the same postoperative activity level. The lifetime of a joint replacement is not infinite and varies with each individual. Your doctor will help counsel you about how to best maintain your activities in order to potentially prolong the lifetime of the device. Such strategies include not engaging in high-impact activities, such as running, as well as maintaining a healthy weight. Ask your doctor if robotic-arm assisted surgery is right for you.

Stryker Corporation or its other divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Mako, Stryker. All other trademarks are trademarks of their respected owners or holders.

References

  1. Bell, Stuart W., Anthony, Iain, Jones, Bryn, MacLean, Angus, Rowe, Philip, and Blyth, Mark. Improved accuracy of component positioning with robotic-assisted unicompartmental knee arthroplasty. The Journal of Bone and Joint Surgery. Volume 98-A: Number 8. April 20, 2016. pp 627-35.

MKOHMT-PE-3_Rev-1_13841
Copyright © 2017 Stryker Corporation

Robotic Patellofemoral ReplacementComing soon

Robotic Total Hip ReplacementWe understand that making sure you know what to expect from the joint replacement experience is important to you. As you are reading through this material, if you have additional questions please reach out to us to discuss.

Each patient is unique, and can experience joint pain for different reasons. It's important to talk to us about the reason for your hip pain so you can understand the treatment options available to you. Pain from arthritis and joint degeneration can be constant or come and go, occur with movement or after a period of rest, or be located in one spot or many parts of the body. It is common for patients to try medication and other conservative treatments to treat their hip pain. If you haven't experienced adequate relief with those treatment options, you may be a candidate for Mako Total Hip replacement, which may provide you with relief from your hip pain.

Robotic-Arm Assisted TechnologyWe understand that making sure you know what to expect from your joint replacement experience is important to you. As you are reading through this material, if you have additional questions please reach out to us to discuss.

Each patient is unique, and can experience joint pain for different reasons. It's important to talk to us about the reason for your joint pain so you can understand the treatment options available to you. Pain from arthritis and joint degeneration can be constant or come and go, occur with movement or after a period of rest, or be located in one spot or many parts of the body. It is common for patients to try medication and other conservative treatments to treat their hip or knee pain. If you haven't experienced adequate relief with those treatment options, you may be a candidate for Mako Total Hip, Total Knee or Partial Knee replacement, which may provide you with relief from your joint pain.