Total Hip Replacement using Mako Technology

Your joints are involved in almost all movement. When your hip becomes diseased or injured, and the pain limits your ability to move, you might consider a total hip replacement. Mako Total Hip application is performed using advanced imaging techniques and a cutting-edge, surgeon-controlled robotic-arm system. Each patient has a personalized surgical plan based on your unique anatomy. This procedure is intended for patients who suffer from degenerative joint disease, which includes osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, avascular necrosis, and hip dysplasia.

Hip Anatomy

The hip is a ball and socket joint. The socket is formed by part of the pelvic bone (acetabulum), and the ball is formed by the femoral head at the top of the thighbone (femur). The surfaces of the ball and socket are covered by a slippery tissue called articular cartilage. Normally, the cartilage coating over the bones makes the joint move smoothly and provides an additional shock-absorbent cushion. When you have a degenerative joint disease like osteoarthritis, the cartilage surface wears out and you begin rubbing bone on bone. This can cause pain, stiffness, and decreased motion to the hip joint.

Evaluation

Your doctor may recommend joint replacement surgery if conservative treatment methods have not relieved your pain or allowed you to continue with daily activities. An orthopedic surgeon will give you a thorough evaluation that includes your medical history, a physical exam to test range of motion, ligament and muscle strength, and identify the source of the pain. He or she will order imaging tests such as x-ray or MRI to see where the degeneration is and to evaluate the cartilage. 

Mako Robotic-Arm Assisted Technology

Mako robotic-arm assisted technology provides patients with a personalized surgical plan based on your unique anatomy. By accurately targeting the damaged part of your hip and leaving the healthy, unaffected parts intact, your hip is able to move smoothly and without pain again.

How Mako Robotic-Arm Assisted Surgery works:

1. Personalized Plan A CT scan is used to generate a three dimensional virtual model of your hip anatomy. This virtual model is loaded into the Mako robotic-arm software for your orthopedic surgeon to create your personal pre-operative plan.

2. Operating Room

Using your personalized pre-operative plan, the surgeon guides the robotic-arm to reconstruct the anatomy that most closely reproduces the normal functional anatomy of the joint. This allows your surgeon to align, position, and secure the implant with extreme accuracy.

3. After Surgery

After surgery you will be taken to the recovery room, where you will remain until you have recovered from the anesthesia, are breathing well, and your blood pressure and pulse are stable. You will begin putting weight on your hip immediately after surgery. A walker, cane, or crutches will be necessary at first until you gain strength. Your care team will give you exercises to help maintain range of motion and restore strength. You will continue to see your orthopedic surgeon for follow-up visits to guide and support you in your return to normal activities.

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