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Advanced MAKO robotic surgical system by Stryker used for knee replacements

Written by Barton Harris, MD

State-of-the-Art MAKO Technology

MAKO Robot-Assisted Knee Replacement

MAKO robot-assisted knee replacement is a knee replacement performed with the MAKO robotic surgical system by Stryker. A CT scan creates a 3D model of the knee and a personalized surgical plan before surgery. During the procedure, Dr. Harris guides the robotic arm, which sets haptic boundaries so only the planned bone is removed. The surgery is entirely surgeon-led and robot-assisted; the robot does not move on its own.

Combining expert surgeon skill with the MAKO robotic surgical system by Stryker for a personalized, perfectly balanced knee replacement.

Dr. Barton Harris utilizes the advanced MAKO robotic-arm assisted technology to provide patients with the highest level of precision in knee replacement surgery. By integrating 3D imaging and personalized mapping, MAKO ensures optimal implant positioning, reduced soft tissue trauma, and improved long-term functional outcomes.

Surgeon-Led, Robot-Assisted

A common misconception is that the robot performs the surgery. This is false. Dr. Harris is in control of the MAKO system 100% of the time. The procedure is entirely surgeon-led and robot-assisted.

The MAKO robotic surgical system by Stryker is an advanced tool that functions like a "GPS" for your knee. It combines pre-operative 3D imaging and mapping capabilities with intra-operative, real-time robotic guidance. This provides live data and creates a "virtual boundary" that prevents the surgeon from moving outside the planned area. This ensures that bone cuts are made exactly where intended, protecting surrounding soft tissues and dramatically improving implant positioning and alignment.

Why MAKO Precision Matters

A knee replacement is a mechanical device. Like the tires on a car, perfect alignment is critical for longevity and performance.

Improper alignment can lead to premature wear.
MAKO robotic assistance virtually eliminates outliers in alignment through 3D mapping.
Better balance means the knee feels more stable and natural, yielding better functional outcomes.

MAKO Technology Benefits

Advanced planning and precise execution translate to superior real-world benefits for our patients.

Greater Precision in Implant Placement

MAKO robotic arms assist the surgeon in making bone cuts with unparalleled sub-millimeter accuracy, vastly improving implant positioning and alignment.

Personalized Surgical Approach

Utilizing MAKO's 3D imaging and mapping capabilities, a customized surgical plan is created based on each patient's unique anatomy before surgery even begins.

Reduced Soft Tissue Trauma

MAKO's real-time robotic guidance allows us to remove only the diseased bone, preserving healthy bone stock and minimizing surrounding tissue damage.

Faster Recovery & Better Outcomes

Accurate alignment and reduced trauma lead to faster recovery times, improved long-term implant longevity, and better functional outcomes for a more natural-feeling knee.

The MAKO Robotic Process

3D Imaging & Personalized Mapping

Before surgery, a CT scan creates a highly detailed 3D model of your knee. Dr. Harris uses the MAKO software to virtually size, position, and map your implant based on your exact anatomy.

Intra-operative Guidance

During surgery, the MAKO system provides real-time data on your ligament tension, allowing Dr. Harris to fine-tune the personalized surgical plan for perfect balance and alignment.

Robotic-Assisted Execution

The surgeon guides the MAKO robotic arm to remove bone. The system sets haptic boundaries to ensure only the planned bone is removed, protecting surrounding tissues with absolute precision.

Precision Implant Placement

With the bone prepared flawlessly by the MAKO system, the implant is pressed into place, ensuring optimal positioning, fit, and maximum long-term durability.

MAKO Recovery Expectations

Day 0

Surgery

MAKO Robotic-assisted procedure performed. Patients typically begin walking with assistance the same day.

Week 1-2

Early Recovery

Faster recovery times observed due to reduced soft tissue trauma. Walking aids are quickly weaned.

Week 4-6

Normal Walking

Most MAKO patients walk without a limp and experience better functional outcomes earlier. Driving typically resumes.

Month 3+

Long Term

The precision of the MAKO implant placement ensures improved long-term implant longevity and function.

Frequently Asked Questions

Typically, no. The MAKO robotic procedure is covered by most major insurance plans just like a traditional knee replacement.

A low-dose CT scan is required prior to surgery for MAKO's 3D imaging and mapping. The radiation exposure is minimal and the benefit of a personalized MAKO surgical plan generally outweighs this small risk.

Never. The MAKO robotic arm is locked in place and only moves when guided by Dr. Harris's hand. It is entirely surgeon-led and robot-assisted. It creates a "haptic constraint" (resistance) to prevent the surgeon from cutting bone outside the planned 3D boundary.

Many studies suggest less soft tissue damage and post-operative pain with MAKO robotic assistance, which can facilitate an easier and faster early recovery period and better long-term functional outcomes.

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Location

8200 Meadowbridge Rd #200, Mechanicsville, VA 23116

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