Mako Robotic-Arm Assisted Surgery is the Next Generation in Joint Replacement 

Bone & Joint’s Surgical Center is the first orthopedic center in North Central Wisconsin to offer Stryker’s Mako Robotic-Arm Assisted Technology for total knee and total hip joint replacement procedures.

What’s better about robotics?

Click here to watch a 30-second video.

Better results, faster recovery, and less pain are just a few of the benefits robotic-arm-assisted joint replacement surgery provides.

Robotic technology combines computer-generated precision with the skill and expertise and talent of Bone & Joint’s orthopedic surgeons to create the best results for total knee and total hip joint replacements. When undergoing a robotics-arm assisted joint replacement at Bone & Joint's Surgery Center, patients can expect:

• Faster recovery times
• Shorter medical stays
• Less inpatient physical therapy
• Less pain after surgery, reducing the need for pain medications
• Better movement, flexion, and long-term function

These benefits result from the minimally invasive surgical characteristic of robotics accuracy. Smaller incisions reduce scarring and blood loss. There is less soft tissue damage near the surgical site and accurate and individualized placement and positioning of the implants.

What happens during a traditional joint replacement procedure?

Joint replacement surgery can relieve pain and restore movement lost due to rheumatoid, post-traumatic, or osteoarthritis, avascular necrosis, or moderate joint deformities. The procedure alleviates painful bone-on-bone friction and helps people return to active lives.

During traditional joint replacement surgery, the orthopedic surgeon removes the diseased joint and replaces it with a medical-grade plastic and metal implant. Using X-rays, physical measurements, and a steady hand, a skilled orthopedic surgeon manually fits the implants to the prepared bone, aligning the joint using measurements from the patient’s body, X-rays, and visual assessment.

Most joint replacement surgeries performed in the United States use the traditional method.

Mako Robotic-arm Assisted Surgery for Total Knee and Total Hip.Robotic-arm-assisted surgery is more accurate.

In the hands of a skilled, certified orthopedic surgeon, robotic-arm assisted surgery enhances the joint replacement procedure for more refined, more precise results.

Before a robotic-joint replacement procedure, the surgeon orders a computed tomography (CT) scan to generate a virtual, three-dimensional model of the patient's knee or hip joint. Using the 3-D technology, the surgeon can rotate the joint and view it from all angles, to identify the correct implant size and create a personalized surgical plan.

The enhanced visualizations allow the orthopedic surgeons to virtually align the slopes, planes, and angles of the patient’s bones for customized placement of the implant based on each person's unique joint structure.

The surgeon uses robotics to guide the surgery.

The robotic system does not perform the surgery, make decisions, or move on its own.

The certified orthopedic surgeon is still the hands-on expert and decisionmaker in the surgical suite. The robotic arm guides the incision position but is under the surgeon’s control during the entire procedure.

Robotic-arm assisted technology is a powerful tool in the hands of a skilled surgeon.

Mako SmartRobotics System 3-D PlanningMako SmartRobotics System combines three unique components: haptic technology, 3-D visualization, and insightful data analytics for better results.

The surgeon guides the robotic-arm to target only the damaged part of the joint. Mako’s AccuStop™ haptic technology gives the surgeon real-time visual, auditory, and tactile vibration feedback to help the surgeon “feel” the surgery and minimize ligament and soft-tissue damage typical during surgical procedures. The haptic technology allows the surgeon to guide the robotic-arm targeted only the damaged part of the joint.

In addition, the technology allows the surgeon to overlay the surgical plan on the joint during the operation, allowing modifications to properly balance the implant within the preplanned boundaries.

Mako’s SmartRobotics™ with 3-D video technology helps the surgeon navigate hard to see areas. The pre-programmed robotic-assisted system makes it possible to remove diseased bone and tissue to within .2 millimeters of accuracy, which preserves more of the patient’s healthy bone.

This level of personalized precision provides the best joint replacement fit, and ultimately, the best range of motion for the patient.

Not all patients are the same. Not all surgeries are the same.

Most patients are pleased to report a faster and less painful recovery. But post-operative recovery and individual range of motion will vary.

Whether you have traditional or robotic-arm assisted joint replacement surgery, it is essential to follow your doctor’s orders for the best results.

For most people, the absence of pain makes it harder to take things slow. They feel so much better than they did before the surgery they want to return to normal quickly.

Most patients will walk a few hours after their surgery but need to pace themselves as they return to regular activity. It takes time for the body to heal. Recovery could take two to four weeks, depending on each person’s health and condition before surgery. Engaging in too much activity too soon can create problems.

Are you a good candidate for a Mako SmartRobotics Joint Replacement Surgery?

If you suffer from joint pain that limits your ability to move or perform daily living functions, ask your surgeon if you are a candidate for robotic-assisted joint replacement surgery. You may qualify for a Mako Smart Robotic System joint replacement, if:

• Degenerative osteoarthritis, rheumatoid or post-traumatic arthritis, avascular necrosis, or moderate joint deformities cause joint pain and damage.

• You experience pain and stiffness that interferes with everyday activities like getting up from a sitting position.

• You’ve tried conservative, nonsurgical treatments, and they no longer relieve your pain or discomfort.

• You are in good health.

• You don’t have a pre-existing condition that requires a traditional hospital stay.

When medication and other conservative treatments no longer work, it may be time to look for a surgical solution.

Contact Bone & Joint and make an appointment with one of our certified orthopedic surgeons to see if you are a candidate for robotic-arm assisted joint replacement surgery.

Douglas Keele, DO

Douglas Keele, DO
Orthopedic Surgeon


Jeffrey Martin, DO, orthopedic surgeon

Jeffrey Martin, DO
Orthopedic Surgeon

Daniel Priebe, DO

Daniel Priebe, DO
Orthopedic Surgeon

Eric Thiel, MD, Orthopedic Surgeon

Eric Thiel, MD
Orthopedic Surgeon

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