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MAKO Robotic-Assisted Total Hip Replacement

robotic hip replacement

MAKO Robotic-Assisted Total Hip Arthroplasty

Mako Robotic-Assisted Total Hip Arthroplasty represents a significant leap forward in precision orthopedic care for patients suffering from chronic hip pain and advanced arthritis. Unlike traditional surgery, the Mako SmartRobotics™ system utilizes a patient-specific 3D virtual model created from a preoperative CT scan, allowing Dr. Cory Calendine to plan the exact size and orientation of the hip implant before entering the operating room. During the procedure, AccuStop™ haptic technology guides the surgeon’s hand to ensure bone preparation stays within pre-planned boundaries, protecting healthy tissue and optimizing joint alignment. This data-driven approach is designed to reduce the risk of dislocation, minimize blood loss, and replicate the natural feel of a healthy hip joint for enhanced postoperative recovery.

If you’re one of the millions of Americans suffering with hip pain from arthritis or injury, and you have not experienced relief with conservative treatment options, MAKO Robotic-Assisted joint replacement may be right for you.

Prior to surgery, a CT scan of your hip joint is completed so the MAKO system can generate a 3D virtual model of your unique, individual anatomy. The 3D model allows your doctor see anatomical details that may not be sees with traditional 2D x-ray alone. This additional information helps your surgeon determine the optimal size, placement and positioning of your new joint implant.

MAKO Preoperative 3D Planning – robotic hip replacement

https://www.youtube.com/embed/L3eqGNnIRrs

In the operating room, your surgeon will follow your personalized preoperative surgical plan to prepare the bone for the new implant. Your surgeon guides MAKO’s robotic arm within a predefined area. MAKO’s AccuStop™ technology assists the surgeon to stay within the pre-planned boundaries defined within your personalized preoperative plan. By guiding your surgeon, MAKO’s AccuStop™ technology allows your surgeon to cut more precisely and limit damage to surrounding soft tissues.

Anatomical illustration of an arthritic hip showing the pelvic bone, diseased cartilage at the joint surface, and femur (thigh bone) with bone-on-bone contact typical of hip arthritis
An arthritic hip joint where damaged cartilage allows painful bone-on-bone contact between the pelvic socket and femoral head — the condition that hip replacement surgery is designed to correct.
Anatomical illustration of a replaced hip showing the pelvic bone with acetabular cup, metal and ceramic hip implant components, and femoral stem inserted into the thigh bone after total hip replacement surgery
A total hip replacement restores smooth, pain-free movement by replacing the damaged joint surfaces with a metal acetabular cup and femoral stem connected by a ceramic or metal ball head.

It’s important to understand that the surgery is performed by an orthopedic surgeon, who guides MAKO’s robotic arm during the surgery to position the implant in the hip joint. MAKO SmartRobotics™ does not perform surgery, make decisions on its own or move autonomously without the surgeon guiding it. MAKO SmartRobotics™ also provides intraoperative data to allow your surgeon to make adjustments to your plan  as needed and optimize joint replacement outcomes.

MAKO Robotic-Assisted Total Hip Replacement Advantages

  • More accurate placement and alignment of hip implants based on the surgical plan.
  • Less likelihood of hip dislocation.
  • Reduced blood loss.
  • Replication of the feeling of a natural hip.
  • Preservation of healthy bone.

Dr. Cory Calendine is an experienced, board-certified orthopedic surgeon with specific expertise robotic-assisted hip and knee replacement. Please contact our office or schedule an appointment today to discuss your individualized joint pain treatment program.

References:
  1. Domb BG, El Bitar YF, Sadik BS, Stake CE, Botser IB. Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA: A Matched-Pair Controlled Study., Clin Orthop Relat Res. 2014 Jan;472(1):329-36
  2. Illgen R. Robotic Arm Assisted THA Improved Accuracy, Reproducibility, and Outcomes Compared to Conventional Technique. 43rd Annual Course: Advances in Arthroplasty, October 22-25, 2013, Boston, MA.
  3. Bukowski, B.; Abiola, R; Illgen R. Outcomes after primary total hip arthroplasty: Manual compared with robotic assisted techniques. ; 44th Annual Advances in Arthroplasty; Cambridge, MA. October 7-10 2014.
  4. Bukowski BR, Anderson P, Khlopas A, Chughtai M, Mont MA, Illgen RL Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty. Surg Technol Int. 2016 Oct 26;XXIX:303-308.
  5. Itay Perets, John P. Walsh, Mary R. Close, Brian Mu, Leslie C. Yuen and Benjamin G. Domb. Robotic-Assisted Total Hip Arthroplasty – Clinical Outcomes and Complication Rate. SPEAKER: Itay Perets
  6. Suarez-Ahedo, C; Gui, C; Martin, T; Chandrasekaran, S; Domb, B. Robotic-arm assisted total hip arthoplasty results in smaller acetabular cup size in relation to the femoral head size: A Matched-Pair Controlled Study. Hip Int. 2017; 27 (2): 147-152.
  7. Nawabi DH; Conditt MA; Ranawat AS; Dunbar NJ; Jones, J; Banks S, Padgett DE. Haptically guided robotic technology in total hip arthroplasty – A cadaveric investigation. Journal of Engineering in Medicine. December 2012;227(3):302-309.

FRANKLIN, TN · SERVING ALL OF MIDDLE TENNESSEE

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Dr. Calendine Is Accepting New Patients.

Schedule a consultation at the Bone and Joint Institute of Tennessee, 3000 Edward Curd Lane, Franklin, TN 37067. No referral required.

FREQUENTLY ASKED QUESTIONS

Common Questions From Readers

Does the Mako robot perform the hip surgery by itself?
No, the robot does not perform surgery. Dr. Cory Calendine maintains full control at all times. The Mako system is a “surgeon-interactive” technology that provides haptic feedback and real-time data, ensuring the surgeon’s movements remain precisely within the boundaries of your personalized 3D surgical plan.
The primary difference lies in the level of personalization and precision. Traditional surgery relies on 2D X-rays and manual instruments. Mako use a 3D model of your actual anatomy, allowing for more accurate implant placement and alignment, which can lead to a more natural-feeling joint and decreased wear over time.
Clinical studies suggest several advantages, including more accurate implant positioning, a lower risk of hip dislocation, reduced blood loss during surgery, and the preservation of more healthy bone and soft tissue compared to manual techniques.
A CT scan provides the detailed anatomical data necessary to build your 3D virtual model. This allows your surgeon to see the unique contours of your hip joint and “virtually” perform the surgery before the actual procedure, ensuring the chosen implant is the perfect fit for your body.
While every patient’s recovery is unique, the precision of robotic-assisted surgery often results in less trauma to the surrounding soft tissues and muscles. This increased accuracy in joint balancing and alignment is a key factor in helping patients return to their daily activities with a hip that feels stable and natural.
Dr. Cory Calendine, MD, board-certified orthopedic surgeon specializing in hip and knee replacement at the Bone and Joint Institute of Tennessee in Franklin, TN, shown in a gray suit with glasses and a blue tie during a professional portrait session.

BOARD-CERTIFIED · FELLOWSHIP-TRAINED

About Cory Calendine, MD

Dr. Cory Calendine is a board-certified, fellowship-trained orthopedic surgeon specializing in hip and knee replacement at the Bone and Joint Institute of Tennessee in Franklin, TN. He performs more than 700 hip and knee replacement procedures annually and serves as a consultant to Stryker for the Mako® robotic platform.

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