facebook link iconInstagram link iconyoutube channel link iconlinkedin link icon
email and contact iconicon for location
KNEE

Robotic Joint Replacement

On May 8, 2021 bonesmart.org hosted the 4th Annual Joint Replacement Awareness Day (JRAD). Dr. Cory Calendine, Orthopaedic Surgeon joined the international online event to discuss the role of robotics in joint replacement surgery.

JRAD is the largest online educational event held on the topic of joint replacement with up to 50,000 people tuning-in nationwide. The online event features presentations and panel discussions with the top experts in the orthopedic profession including surgeons, nurses, and physical therapists, as well as patients who have gone through the joint replacement process and can speak to its benefits and challenges.

Introduction to Robotic Joint Replacement

Cory Calendine, MD, Orthopaedic Surgeon, Hip and Knee Specialist

What is Mako Robotic-arm Assisted Surgery?

Mako robotic-arm assisted surgery is a technology developed for knee and hip replacement surgeries. It allows your orthopedic surgeon to pre-plan joint replacement surgery using Mako’s software and then perform the operation by guiding the robotic arm to precisely remove bone and cartilage.

Why is robotic technology used as a tool in joint replacement?

This technology allows your surgeon to use a CT scan to create a 3D virtual model of your unique knee or hip anatomy. The uniquely detailed and personalized view enables the surgeon to create a surgical plan that can be adjusted as necessary before and during the joint replacement procedure.

In addition, when your surgeon prepares the bone for the implant, the robotic arm helps guide the surgeon within a predefined area based on the 3D model of your unique anatomy, designed to allow for a more accurate and better-aligned implant.

What does the procedure involve?

Your surgeon will use Mako to make a 3-D virtual model of your knee or hip. The preoperative model is used to virtually plan implant placement and will implemented during surgery. The surgeon will be able to see the pre-surgical plan overlaid on the real-time anatomy to use as a guide during surgery. The robotic arm and instruments remain under the surgeon's complete control throughout the surgery.

The robotic arm has tracking eyes and can adjust for very small movements of the joint as they occur. It precisely prepares the bone according to visual boundaries that protect the essential structures of the knee and removes only the bone surface that’s been affected. The implant is placed, the joint is properly balanced, and if necessary, your surgeon can make fine adjustments.

What are the benefits of Mako Robotic-arm Assisted Aurgery?

This type of technology provides the following benefits:

  • Can be used for partial/total knee and hip replacements
  • Helps create a personalized surgical plan
  • Gives your surgeon real-time sensory feedback
  • Makes your surgeon in complete control
  • Helps ensure proper preparation of the bone
  • Allows for precise placement of the implant
  • Produces minimal blood loss and a smaller scar
  • Helps preserve healthy bone and soft tissue
  • Results in less post-operative pain than manual techniques
  • Provides a quicker recovery and shorter hospital stay

Who makes a good candidate for Mako Robotic-Assisted Joint Replacement?

If the following apply to you, you may want to talk to your doctor about this technology:

  • Severe or progressive Osteoarthritis
  • Knee/Hip pain or stiffness with activity or when getting up from a sitting/lying position
  • Inadequate improvement with conservative treatments such as anti-inflammatory medication

What is recovery like?

Robotics can be instrumental in optimizing your recovery course. Most patients are able to walk just hours after surgery, and often return to daily activities within 2-4 weeks. The exact amount of time depends on many factors including comorbid health conditions, preoperative condition and complications.

If you are suffering with pain and stiffness of the knee or hip  and want to learn more about Mako, make an appointment today with the Cory Calendine, MD, at the Bone and Joint Institute of Tennessee. We’ll customize an effective treatment plan based on your unique circumstances and provide the relief needed to get you moving again.

Thank You for Subscribing to Bone Health & Harmony Blog!
Oops! Something Went Wrong, Please Enter Your Email Again.
Cory Calendine, MD is an Orthopaedic Surgeon and founding partner of the Bone and Joint Institute of Tennessee at Williamson County Hospital in Franklin, TN. Dr. Calendine is an expert in Joint Replacement, specializing in Hip and Knee Surgery. From diagnosis through treatment, the Orthopaedic Surgical experts at the Bone and Joint Institute use the latest techniques and technology to improve care for people with musculoskeletal problems. For more information, please contact our office or schedule your appointment today.  
HIP

How Is Direct Anterior Approach Hip Replacement Done?

Direct Anterior Approach (DAA) hip replacement is a revolutionary minimally invasive surgical technique that accesses the hip joint through a precise 3-4 inch incision extending from the Anterior Superior Iliac Spine toward the lateral epicondyle. Unlike traditional hip replacement methods, DAA utilizes the natural intermuscular interval between the tensor fasciae latae and sartorius muscles, preserving muscle integrity without cutting through major muscle groups. The procedure involves positioning the patient supine on a specialized fracture table, carefully dissecting through anatomical layers, and using specialized retractors to access the hip joint while maintaining tissue preservation. This muscle-sparing approach enables same-day discharge, immediate weight-bearing, and significantly faster recovery times, with patients achieving independent mobility up to six days earlier than traditional hip replacement surgery. The technique combines intraoperative fluoroscopy for optimal implant placement with reduced post-operative pain, lower dislocation rates, and improved patient satisfaction, making it the preferred choice for modern total hip arthroplasty procedures.

Read More

What Are Indicator Gloves and How Do They Work?

Indicator gloves for surgeons represent a revolutionary advancement in surgical safety technology, utilizing a sophisticated two-layer colored detection system that increases glove perforation detection rates from 34% to an impressive 83% during medical procedures. These specialized surgical gloves feature a bright-colored inner layer that becomes immediately visible when surgical fluids penetrate through outer glove breaches, enabling instant visual alerts for healthcare professionals. With glove perforations occurring in approximately 43% of all surgeries, indicator gloves provide critical protection against surgical site infections, cross-contamination, and bloodborne pathogen transmission, particularly in high-risk specialties including orthopedic surgery, oral/maxillofacial procedures, and obstetrics/gynecology. Clinical studies consistently demonstrate that indicator glove systems enable surgical teams to change gloves 69% more frequently than standard double-gloving methods, significantly reducing infection risks while maintaining sterile field integrity throughout complex surgical procedures. Healthcare facilities implementing indicator glove protocols benefit from enhanced patient safety outcomes, reduced healthcare-associated infection costs, and improved surgical team confidence, making these innovative medical devices an essential component of evidence-based infection prevention strategies in modern surgical practice.

Read More

How Are Meniscus Root Tears Repaired?

Meniscus root tear arthroscopic repair utilizes advanced surgical techniques including transtibial pullout repair and multiple simple stitch methods to restore crucial knee biomechanics and prevent arthritis progression. These minimally invasive procedures, performed through specialized arthroscopic portals, reattach torn meniscus roots using high-strength sutures and precise tibial tunnels, offering superior outcomes compared to traditional meniscectomy. With proper patient selection and adherence to structured rehabilitation protocols, arthroscopic meniscus root repair provides excellent long-term functional results and significantly reduces the need for future total knee replacement surgery.

Read More