MAKOplasty® Partial Knee Resurfacing Offered in Baltimore

MAKOplasty partial knee resurfacing is an advanced partial knee replacement surgery performed with the RIO Robotic Arm Interactive Orthopedic System.

Dr. Marc Hungerford, Dr. Joseph Ciotola and Dr. Kamala Littleton at Orthopedics and Joint Replacement at Mercy are proud to be the first orthopedic team in Maryland to perform MAKOplasty® partial knee resurfacing, an alternative to total knee replacement. Patients from across the Baltimore region seek the expertise of our orthopedic surgeons for their leadership in providing an innovative option for performing a partial knee replacement. 

What is MAKOplasty Partial Knee Resurfacing?

MAKOplasty partial knee resurfacing is a new minimally invasive treatment option for early to mid-stage osteoarthritis of the knee. MAKO’s RIO® Robotic Arm Interactive Orthopedic System enables precision in removing only the diseased portion of the knee, sparing the patient’s healthy bone and surrounding tissue. 

By integrating robotic arm technology into the operating room, patients often are experiencing lower levels of soft tissue trauma during surgery that result in reduced post-surgical pain, as well as better accuracy in implant placement, accelerated recovery and improved outcomes.  

NEXT: How is MAKOplasty Partial Knee Resurfacing performed? ›
How is MAKOplasty Partial Knee Resurfacing performed?

MAKOplasty partial knee resurfacing is an advanced partial knee replacement surgery performed with the RIO Robotic Arm Interactive Orthopedic System. There are two options for performing MAKOplasty depending on where the osteoarthritis is located in the knee.

  • Unicompartmental:  any one of the three compartments of the knee, the inner, top, or outer compartments, can be replaced
  • Bicompartmental: only two compartments, specifically the inner and top compartments, can be replaced

Prior to surgery, the following steps are taken:

  • CT scan of the knee is taken
  • 3D model is created using the RIO system’s software
  • Pre-surgical plan is developed for positioning the knee implants based on the patient’s anatomy
  • The plan is tested and fine tuned by the orthopedic surgeon who moves the leg through different ranges of motion to ensure the implants will be optimally positioned and the soft tissues of the knee are balanced for a good surgical outcome. The RIO system provides measurements and visualization.
  • The final surgical plan is programmed into the RIO system

During surgery, the orthopedic surgeon guides the robotic arm and is in control of it at all times. The RIO system ensures that bone removal stays with the safety zone of the surgical plan. The system provides auditory, visual and tactile feedback, stopping the robotic arm if necessary before bone can be removed outside the planned area. Once the bone preparation is complete, the orthopedic surgeon places the implants in the knee.

NEXT: Who should receive a MAKOplasty Partial Knee Resurfacing? ›
Who should receive a MAKOplasty Partial Knee Resurfacing?

The best candidates for MAKOplasty partial knee resurfacing typically have the following characteristics:

  • Knee pain with activity, on the inner knee, under the knee cap, or the outer knee
  • Start up knee pain or stiffness when activities are initiated from a sitting position
  • Failure to respond to non-surgical treatment such as rest, weight loss, physical therapy, and non-steroidal anti-inflammatory medication
NEXT: What are the benefits of MAKOplasty Partial Knee Resurfacing? ›
What are the benefits of MAKOplasty Partial Knee Resurfacing?

An alternative to total knee replacement, MAKOplasty partial knee resurfacing allows patients to typically experience:

  • Preservation of the healthy bone and tissue
  • A shorter hospital stay
  • Minimal blood loss
  • Quicker rehabilitation
  • Smaller incision
  • Return to active lifestyle within weeks of the procedure
NEXT: When is MAKOplasty Partial Knee Resurfacing the best option? ›
When is MAKOplasty Partial Knee Resurfacing the best option?

Patients with early to mid-stage osteoarthritis of the knee may find MAKOplasty partial knee resurfacing is the best treatment option to relieve their knee pain and return them to normal activities.

Meet Our Doctors: Orthopedics and Joint Replacement
Orthopedics and Joint Replacement at Mercy - Baltimore, MD
John-Paul Rue, M.D.

John-Paul Rue, M.D., is a Board Certified orthopedic sports medicine surgeon specializing in the prevention and treatment of injuries related to sports and exercise, including complex knee and shoulder reconstructions.

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Patient Story:
Orthopedics and Joint Replacement at Mercy - Baltimore
Glenn

An avid golfer seeks out Mercy doctors twice to get a hip replacement and now he is healthy and back on the greens.

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