The Mako Total Hip surgical experience

  • Mako Total Hip enables surgeons to more accurately plan and place components8, potentially reducing variability within the THA procedure and allowing for enhanced functional and clinical outcomes.8-15
  • First robotic-arm assisted total hip procedure performed in October 2010
  • Over 20,000 total hip procedures performed
  • Facilitates surgical approach of choice:
    • Direct Anterior
    • Posterolateral
    • Anterolateral
Mako systems

Enhanced planning

  • Patient-specific pre-operative plan enables accurate implant sizing and positioning.14, 98-101
  • A virtual 3-D model of the patient’s joint is created from a pre-operative CT scan.
  • The virtual model allows a surgeon to virtually plan and place the acetabular and femoral components in the transverse, coronal and sagittal planes of the patient, accounting for his or her specific pelvic tilt.
  • The surgeon can plan the initial implant size, orientation and alignment to create a patient specific 3-D pre-operative surgical plan.

Dynamic joint balancing

  • Surgeon-controlled intra-operative adjustments can be made to optimize implant placement.18
  • Enhanced pre-operative planning allows a surgeon to assess and plan leg length and offset restoration using a CT based 3-D model of the operative and non-operative hip joints.
  • Dynamic joint balancing allows a surgeon to restore leg length and offset based on an intra-operative assessment of the joint. The Mako System offers the capability of capturing leg length and offset measurements prior to dislocating the hip and during trial reduction. This capability allows the surgeon to accurately position implants to restore leg length and offset, as well as compare the final reduction results to the pre-operative plan.

Guided single stage reaming

  • Auditory and visual feedback, as well as tactile perception control are designed to aid surgeons in achieving accurate and reproducible surgical results.8-15
  • Pre-operative 3-D planning aids in more accurate preparation of the acetabulum.8,15
  • Mako Total Hip has the potential for bone conservation8 and decreased blood loss.13
  • Guided single stage reaming allows for controlled translation, orientation, and depth
Mako systems

Guided cup placement

  • Auditory and visual feedback, as well as tactile perception control provide guidance to surgeons during cup placement.8-15
  • Mako Total Hip has been shown to enable surgeons to place the acetabular cup within +/- 5 degrees of inclination and version compared to the pre-operative plan.8,9,13,14
  • In cadaveric studies, Mako Total Hip acetabular cup placement has been shown to be four times more accurate and reproducible than manual THA.8
Mako systems

Mako Total Hip workflow options

Mako Total Hip provides surgeons the choice between the express and enhanced femoral workflows. Both workflows provide a surgeon with patient specific planning, functional positioning, guided single stage reaming and cup placement, as well as reduced leg length and offset values. The enhanced workflow requires additional steps, but provides added features that are not available with the express workflow. These features include:

  • Guided neck resection
  • Intra-operative broach/stem version and position tracking
  • Combined anteversion display and the capability to make intra-operative adjustments
Mako systems