Mako® robotic-arm assisted hip surgery: Your questions answered

If you need a new hip, robotic-arm assisted surgery might just be the choice for you. We consider the key benefits compared with traditional methods.

What is robotic-arm assisted hip replacement surgery?

‘Robot surgery’ may sound futuristic, but it’s an established practice. Surgeons have been using robotic assistance in orthopaedic procedures for more than 25 years.1

Operations are still carried out by surgeons. Robots are simply there to help.

In the case of hip replacement surgery using Mako®, a robotic arm tool is used during the operation to allow for greater accuracy.

There are various surgical robots available. At BMI Healthcare, several our consultants use Mako® to perform hip replacements.

The Consultant's View

Mr Rakesh Kucheria from BMI The Princess Margaret Hospital offers advice on robotics-assisted surgery

How does robotic-arm assisted surgery differ from conventional methods?

Mr Kucheria is fully certified to perform both hip and knee replacements using the Mako® system. More information on robotic-arm assisted knee surgery can be found here.

Total hip replacement surgery involves removing arthritic bone and damaged cartilage and replacing them with an implant (also known as a ‘prosthesis’) that is designed to replicate the hip joint.

Robotic-arm assisted surgery individualises this surgery to each patient.

The patient has a CT scan done pre-operatively, which is used to create a personalised surgery plan.

In the operating room, the surgeon uses the robotic arm to help prepare the hip socket and then to position the implant according to the pre-operative plan.

The Mako® system also allows us to assess the plan during surgery and make any necessary adjustments.

Use of the robotic technology improves the accuracy of this positioning, encouraging greater alignment. This can lead to reduced issues with leg length and dislocation7 and will hopefully increase the longevity of the implant.2



How does the Mako® system work?

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The Mako® system aids our surgeons both before and during the procedure, encouraging more precise hip replacements.2

1. A personalised plan for surgery

You’ll have a CT scan taken of your knee before the operation and Mako® uses this to create a virtual model of your joint.

Your surgeon then uses this model to design a highly personalised plan for surgery.

2. Assessment throughout

Mako® provides your surgeon with real-time information throughout the operation, meaning they can constantly assess your hip and make changes to the plan if needed.

3. Accurate bone removal

The Mako® system creates a virtual boundary for the procedure. While the surgeon is removing damaged bone and cartilage, this can stop them from removing healthy areas.

4. Precise implant placement

Mako® helps the surgeon when placing the implant (prosthesis). This offers greater accuracy than conventional surgery.3

The Consultant's View

Mr Martin Mitchell, Consultant Orthopaedic Surgeon at BMI Albyn Hospital, shares his advice on robotic-arm assisted surgery.

What advantages does the Mako® technology bring?

Mr Mitchell is fully certified to perform both hip and knee replacements using the Mako® system. More information on robotic-arm assisted knee surgery can be found here.

Would I recommend this technology to my patients or family members? Absolutely.

Mako® allows us to perform joint replacements with more accuracy than with conventional techniques. This should reduce complication rates, and I believe it will help to improve the lifespan of the joint replacement.

Patients undergoing Mako®-assisted joint replacements have reported less pain and better early function post-operatively.

What are the benefits of Mako® robotic-arm assisted hip surgery?

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There are various benefits to robotic-arm assisted hip replacement surgery with Mako®. These can include:

Less time in the hospital

You could be back in your own home faster with Mako®.4

Reduced damage to healthy tissue and ligaments

Mako® creates a virtual boundary for your surgeon to use during the procedure.

By following this, they can be more precise in their removal of bone and cartilage, avoiding damage to the healthy parts of your hip.5



A better-feeling, better-functioning knee

Studies show that robotic-arm assisted hip replacement surgery leads to better functional outcomes.

People who have had robotic-arm assisted hip replacements have found their new joints more natural-feeling and have been more satisfied overall.6

Reduced risk of complications

Choosing Mako® could reduce your risk of post-surgical complications including dislocation and misalignment.7

What will recovery be like?

Recovery from hip surgery will vary depending on factors such as your personal circumstances and the kind of operation you have.8

Although hip replacements are common and carry a low risk of complications, it’s still a significant operation. Be sure to speak to your consultant about a realistic timescale for your individual recovery.

To find out more call us on 0808 101 0337 or make an online enquiry.

Source
1https://www.ncbi.nlm.nih.gov/pubmed/1446455
2https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3889439/
3https://www.ncbi.nlm.nih.gov/pubmed/23662346
4https://journalhss.com/wp-content/uploads/jhss31_37-48.pdf
5https://www.ncbi.nlm.nih.gov/pubmed/28362049
6https://www.ncbi.nlm.nih.gov/pubmed/27728953
7https://www.ncbi.nlm.nih.gov/pubmed/29776983
8https://www.nhs.uk/conditions/hip-replacement/recovery/

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