WVU Medicine Bone and Joint Hospital’s is the only hospital in West Virginia to offer MAKOplasty® robotic arm assisted surgery for partial knee resurfacing and total hip replacement.

MAKOplasty® potentially offers the following benefits as compared to total knee surgery:

  • Reduced pain
  • Minimal hospitalization
  • More rapid recovery
  • Less implant wear and loosening
  • Smaller scar

The RIO® system features a patient-specific visualization system and proprietary tactile robotic arm technology that is integrated with intelligent surgical instruments. It assists surgeons in pre-planning and in treating each patient uniquely and with consistently reproducible procedure.

MAKOplasty® partial knee resurfacing is a treatment option for adults living with early to mid-stage osteoarthritis that has not yet progressed to all three compartments of the knee. It is less invasive than traditional total knee surgery. A pre-surgical plan is created based on a CT scan of the patient’s own knee, and the surgeon uses the robotic arm during surgery to resurface the diseased portion of the knee, sparing healthy bone and surrounding tissue for a more natural feeling knee. An implant is then secured in the joint to allow the knee to move smoothly again.

During MAKOplasty® total hip replacement surgery, RIO® provides visualization of the joint and biomechanical data to guide the bone preparation and implant positioning to match the pre-surgical plan. After first preparing the femur or thighbone, the surgeon uses the robotic arm to accurately ream and shape the acetabulum socket in the hip, and then implant the cup at the correct depth and orientation. The surgeon then implants the femoral implant. MAKOplasty® offers the confidence of more accurate cup placement and accurate leg length restoration.

What is MAKOplasty® Partial Knee Resurfacing?

MAKOplasty is a robotic arm assisted partial knee resurfacing procedure designed to relieve the pain caused by joint degeneration due to osteoarthritis (OA). By selectively targeting the part of your knee damaged by OA, your surgeon can resurface your knee while sparing the healthy bone and ligaments surrounding it.

MAKOplasty Partial Knee Resurfacing can:

  • Enable surgeons to precisely resurface only the arthritic portion of the knee
  • Preserve healthy tissue and bone
  • Facilitate optimal implant positioning to result in a more natural feeling knee following surgery
  • Result in a more rapid recovery and shorter hospital stay than traditional total knee replacement surgery

partial knee resurfacingUnlike other more invasive procedures, MAKOplasty can often be performed through a four- to six-inch incision over your knee with small incisions in both your femur (thigh bone) and tibia (shin). Additionally, the preservation of your own natural bone and tissue along with more ideal patient specific implant positioning may also result in a more natural feeling knee. And since healthy bone is preserved, patients who undergo MAKOplasty partial knee procedures may still be a candidate for a total knee replacement procedure later in life if necessary.

The MAKOplasty procedure is indicated for patients suffering from unicompartmental or bicompartmental knee disease. A total replacement is sometimes necessary if your surgeon discovers during surgery that your knee has more damage than originally seen in the pre-operative X-rays and CT scan.

Your physician will discuss the specific risks associated with MAKOplasty and other treatment options with you. In addition, you should be informed of any pre-operative and post-operative instructions by your surgeon or his or her staff.

As a knee arthroplasty procedure, MAKOplasty is typically covered by Medicare. Check with your private health insurers. In some cases, it may be performed on an outpatient basis depending on what your surgeon determines is the right course of treatment for you.

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What is MAKOplasty® Total Hip Arthroplasty?

MAKOplasty is a robotic arm assisted total hip replacement procedure designed for those suffering with inflammatory or non-inflammatory degenerative hip joint disease (DJD). Using real-time information and images of your hip, your surgeon knows and controls accurate implant placement, which can be difficult to achieve with traditional total hip replacement techniques without a robotic arm.

What is degenerative joint disease (DJD)?

Degenerative joint diseases (DJDs) are chronic conditions, often resulting in pain and the loss of an active lifestyle and quality of life. There are different types of DJD that can affect the hip, including:

  • Osteoarthritis (OA), in which cartilage wears down over time
  • Post-traumatic arthritis, which results from a severe fracture or dislocation of the hip
  • Rheumatoid arthritis (RA), an inflammatory arthritis of the joints
  • Avascular necrosis (AVN), a condition where the “ball” or femoral head of the hipjoint has lost a healthy supply of blood flow, causing the bone to die and the femoral head to become misshaped
  • Hip dysplasia, a condition where bones around the hip joint did not form properly, which may cause misalignment of the hip joint

What causes degenerative joint disease?

The risk of developing symptomatic degenerative joint disease is influenced by multiple factors such as age, gender, and inherited traits that can affect the shape and stability of your joints. Other factors can include:

  • A previous hip injury
  • Repetitive strain on the hip
  • Improper joint alignment
  • Being overweight
  • Exercise or sports-generated stress placed on the hip joint

MAKOplasty total hip arthroplasty benefits may include:

  • Accurate placement of your hip implant using the surgeon-controlled robotic arm system, which can reduce the likelihood of hip dislocationRIO System
  • More consistency in leg length, potentially decreasing the need for a shoe lift
  • Decreased risk of the implant and bone abnormally rubbing together – this may improve the lifetime of the implant

MAKOplasty total hip arthroplasty is designed to achieve a new level of precision, using the latest techniques in total hip replacement, and is designed to restore mobility and an active lifestyle. If your surgeon determines that you are a good candidate for MAKOplasty total hip arthroplasty, he or she will schedule a computed tomography (CT) scan of your hip one to two weeks prior to your surgery date. This is used to create your unique surgical plan for optimal implant placement.

Your physician will discuss the specific risks associated with MAKOplasty and other treatment options with you. In addition, you will be informed of any pre-operative and post-operative instructions by your surgeon or his or her staff. As a total hip arthroplasty procedure, MAKOplasty is typically covered by insurance.

Patient Resources