MAKOplasty FAQs

 

What is the MAKOplasty® procedure?

The MAKOplasty® procedure is an FDA-cleared treatment option for patients who suffer from osteoarthritis damage to parts of their knee and are considered candidates for partial knee replacement. Using anew Tactile Guidance System™, surgeons are able to simulate the surgery prior to the procedure and optimize your outcome. The technology also helps to minimize soft tissue trauma. During a MAKOplasty® only the diseased portion of your knee is removed, leaving the healthy bone and tissue surrounding it untouched. An implant is then secured in your knee joint that will allow your knee to move smoothly again. Like other knee resurfacing procedures, MAKOplasty® is typically covered by health insurance.

Who would be a good candidate for the MAKOplasty® procedure?

We consider patients candidate for a MAKOplasty ® procedure that fulfill the following criteria:

  • Pain usually on the inside of the knee only
  • Relatively good range of motion
  • No major deformity (bow leg or knocked knee deformity)
  • No rheumatoid arthritis
  • No MRI evidence of arthritis in the adjacent compartments of the knee
  • No ACL tear

If I have these symptoms, could osteoarthritis be to blame?

Yes. Osteoarthritis is the most common type of arthritis. It is a degenerative bone disease that causes the cartilage found on healthy joints to break down removing the buffer between bones. This often causes pain during normal daily activities and can eventually cause loss of motion and malalignment of the knees.

How can you determine if I am a candidate for the MAKOplasty® procedure?

The first step is to get your complete medical history. Dr. Boettner will then perform a thorough examination of your knee joint. He will observe your knee while you are standing and walking, examine your knee, hips and ankle alignment, and evaluate your range of motion, ligament stability and angular deformity. If surgery might be the best option for you, a weight-bearing X-ray will be obtained to determine the extent of damage in your knee. Dr. Boettner will usually order an MRI to make sure that there is no evidence of arthritis in the adjacent compartments.

What are the benefits of this new technology?

Results have shown that the MAKOplasty® procedure allows patients to experience a shorter hospital stay, minimal blood loss, quicker rehabilitation and a smaller scar. In addition, many MAKOplasty® patients are able to return to work and an active lifestyle within weeks of the procedure.

If I decide to undergo a MAKOplasty® procedure, what is the experience like?

First, you will be scheduled to have a CT scan taken of your knee. This provides us with the information we need to plan the procedure. Based on a 3-dimensional model of your knee Dr. Boettner can than exactly plan the position of the components and simulate your function with the new knee. The actual surgery will last approximately one hour and the average hospital stay is 1-2 days. You will be permitted to walk soon after surgery, and most patients are back to return to work within 2-4 weeks.

How long can I expect the implant used in a MAKOplasty® procedure to last?

All implants have a limited life expectancy that depends on several factors including a patient’s weight, activity level, quality of bone stock and compliance with the doctor’s orders. However, alignment and positioning are also very important factors affecting the life expectancy of a partial knee replacement. By using the MAKO Tactile Guidance System™, we aim to achieve the optimal alignment and positioning for your implant to help it last as long as possible. In addition, because very little bone is actually removed during a MAKOplasty® procedure, the implant can be replaced with another procedure such as a total knee replacement in the future, if necessary.

Please send Dr. Boettner an email or request and online appointment if you have questions about a MAKOplasty ®.