Mako Total Hip
Elevating total hip procedures
For over 10 years, Mako Total Hip has been elevating total hip procedures for patients and surgeons.
Imagine using the knowledge that comes from a CT-based plan that allows you to capture each patient’s unique anatomy. Pair this with Mako’s AccuStop™ haptic technology, which helps you use this knowledge to precisely and accurately single-stage ream what you’ve planned.1 All facilitating functional implant positioning.
Know more1, and ream less2 with Mako Total Hip.
Know more. Ream less.1,2
The unique features of Mako Total Hip SmartRobotics™ are designed to help you optimize component positioning,1 enhance functional outcomes3 and elevate surgical experience.4,5
Know more.1
It all starts with a CT scan that creates a 3D image of your patient’s unique anatomy. Plan the sizing and positioning of implants, as well as incorporate Functional Hip Positioning™ to help you optimize component positioning.- CT-based platform to help optimize implant size and placement1
- Plan implant center of rotation
- Incorporate pelvic tilt analysis to understand the hip/spine relationship
- Visualize and address potential impingement pre-operatively
- Guided neck-resection tool
- Hip length and offset feedback
Ream less.2
With the use of AccuStopTM haptic technology, studies have demonstrated greater bone preservation,5 reduced blood loss6 and greater ability to reproduce hip biomechanics3,7-10 versus manual technique.- Ability to single stage ream
- Ream constrained to planned center of rotation
- Audible, visual and tactile feedback while guided reaming
- Accurate bone preparation to plan20
- Use of AccuStop™ haptic technology to help impact cup at the desired inclination and version3,6,8,11-12
Mako Total Hip with Direct Anterior
When it comes to the Direct Anterior Approach (DAA), where the field of view may be obscured and the use of fluoroscopy may be misleading, knowing more about a patient’s unique anatomy can make all the difference.15,16
Accurate and reproducible implant placement20
Enhanced surgeon experience21,22
Reduce/ eliminate fluoroscopy
With Mako Total Hip, unlock planning features to help you know more about the femur-to-pelvis and component relationships.
Cup planning
Surgeons can plan the cup size and position including inclination, version, and center of rotation.
Stem planning
Surgeons can plan the stem position and visualize planned stem version based on the patient’s anatomy. Surgeons have the ability to choose what type of stem fits best from a cementless metaphyseal fit stem, tapered wedge stem or cemented stem.
Pelvic tilt planning
Plan the placement of the cup based on the patient’s pelvic position in the supine, stand and seated pose.
Virtual range-of-motion
Visualize the femur-to-pelvis and component relationship in different patient positions (sitting/standing) to assess impingement preoperatively.
Ream less2,3 with the AccuStop™ haptic technology of Mako Total Hip
AccuStop™ haptic guidance
Guided reaming
Allows surgeons to single-stage ream under haptic guidance to help achieve accurate bone preparation.1-3,7-8,11-14
Guided cup impaction
Allows surgeons to implant the cup at the desired inclination and version.3,7-8,11-12
Clinical success of Mako Total Hip
Based on 14 years of clinical data
Improved patient
outcomes
Studies have shown that Mako Total Hip patients are significantly less likely to be aware of their hip in daily circumstances compared to manual patients.6,9
Less surgeon mental
and physical fatigue
Mako Total Hip may reduce physical and mental demand for a surgeon that may lead to an improved surgical experience, especially while reaming, when compared to manual total hip arthroplasty.4,5
Reduced
dislocation rate
Studies have shown dislocation rates in Mako Total Hip are significantly reduced compared to manual patients.7,8
Accurate restoration
of center of rotation
Center of rotation of the hip is more consistently replicated using Mako Total Hip compared to manual surgery.11
Decreased length
of stay
Mako Total Hip demonstrated a decreased length of stay compared to manual surgery.17
Reduced
costs
Mako Total Hip showed a reduced utilization of post index rehabilitation services such as skilled nursing home, health aid and impatient rehab.18
Mako Total Hip showed a reduced 90-day EOC costs compared to manual THA.18 Mako Total Hip showed reduced cumulative cost compared to manual THA for Medicare and private payer over 5 years.19
Implant compatibility
Trident II
Trident Hemispherical PSL
Tritanium
Pictured from left to right:
Insignia, Accolade II, Secur-Fit Advanced, Exeter
X3 Modular Dual Mobility (MDM)
“Mako Total Hip's 3D planning and execution allows me to be more accurate to plan and reproducible, which has helped me reduce fluoroscopy in my workflow. With Mako Total Hip I am able to improve my efficiency in the operating room while continuing to provide my patients with a surgery that is truly customized for them.”
Christopher Grayson, M.D.
Dr. Grayson is a paid-consultant of Stryker Orthopaedics. The opinions expressed by Dr. Grayson are those of Dr. Grayson and not necessarily those of Stryker. Individual experiences may vary.
Check out the resources below to learn more.
See Mako SmartRobotics™ in action!
This contact form is intended for healthcare professionals. If you’re a patient looking to contact us, please go here.
Thank You!
References
- Illgen RL Nd, Bukowski BR, Abiola R, et al. Robotic-assisted total hip arthroplasty: outcomes at minimum two-year follow-up. Surg Technol Int. 2017;30:365-372
- Suarez-Ahedo C, Gui C, Martin TJ, Chandrasekaran S, Lodhia P, Domb BG. Robotic-arm assisted total hip arthroplasty 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. doi:10.5301/hipint.5000418
- Nawabi DH, Conditt MA, Ranawat AS, et al. Haptically guided robotic technology in total hip arthroplasty: a cadaveric investigation. Proc Inst Mech Eng H. 2013;227(3):302-309. doi:10.1177/0954411912468540
- Valentino A, Scholl L, Hampp E, Smith R, Byrd Z. Physical and mental demand during total hip arthroplasty. ORS Poster. Phoenix, AZ. February 8-11, 202
- Abbruzzese K, Byrd Z, Smith R, Scholl L, Valentino A, Augustus Harrington M, Brian P. Assessment of surgeon biometrics during manual and robotic THA. ISTA
- Bukowski BR, Anderson P, Khlopas , Chugtai M, Mont MA, Illgen RL. Improved functional outcomes with robotic compared with manual total hip arthroplasty. Surg Technol Int. 2016;29:303-308.
- Elson L, Dounchis J, Illgen R, et al. Precision of acetabular cup placement in robotic integrated total hip arthroplasty. Hip Int. 2015;25(6):531-536. doi:10.5301/hipint.5000289
- Domb BG, El Bitar YF, Sadik AY, 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;472(1):329-336. doi:10.1007/s11999-013-3253-7
- Domb BG, Chen JW, Lall AC, Perets I, Maldonado DR. Minimum 5-year outcomes of robotic-assisted primary total hip arthroplasty with a nested comparison against manual primary total hip arthroplasty: a propensity score-matched study. J Am Acad Orthop Surg. Accepted manuscript. Published online February 25, 2020. doi:10.5435/JAAOS-D-19-00328
- Domb B, Redmond J, Louis S, Alden K, Daley R, LaReau J, et al. Accuracy of component positioning in 1980 total hip arthroplasties: a comparative analysis by surgical technique and mode of guidance. The Journal of Arthoplasty. 30(2015)2208-2218
- Jerabek SA, Carroll K, Maratt JD, Mayman DJ, Padgett DE. Accuracy of cup positioning, COR restoration and achieving desired hip length and offset following robotic THA. Presented at: Computer Assisted Orthopaedic Surgery (CAOS) 14th Annual Meeting; June 18-21, 2014; Milan, Italy.
- Esposito CI, Lipman J, Carroll KM, Jerabek SA, Mayman DJ, Padgett DE. Acetabular component cup placement using a haptically guided robotic technology in total hip arthroplasty. Presented at: 16th EFORT Congress; May 27-2019, 2015; Prague, Czech Republic.
- Redmond JM, Gupta A, Hammarstedt A, Petrakos A, Stake CE, Domb BG. Does robotic-assisted computer-navigation affect acetabular cup positioning in total hip arthroplasty in the obese patient? A comparison study. Presented at: Computer Assisted Orthopaedic Surgery (CAOS) 14th Annual Meeting; June 18-21, 2014; Milan, Italy.
- Bukowski BR, Abiola R, Illgen RL, Christopher JJ, Conditt MA. Outcomes after primary total hip arthroplasty: manual compared with robotic assisted techniques. Presented at: 16th EFORT Congress; May 27-2019, 2015; Prague, Czech Republic
- Brush PL, Santana A, Toci GR, et al. Surgeon Estimations of Acetabular Cup Orientation Using Intraoperative Fluoroscopic Imagining Are Unreliable. Arthroplast Today. 2023;20:101109. Published 2023 Mar 7. doi:10.1016/j.artd.2023.101109
- James CR, Peterson BE, Crim JR, Cook JL, Crist BD. The Use of Fluoroscopy During Direct Anterior Hip Arthroplasty: Powerful or Misleading?. J Arthroplasty. 2018;33(6):1775-1779. doi:10.1016/j.arth.2018.01.040
- Heng YY, Gunaratne R, Ironside C, Taheri A. Conventional vs robotic arm assisted total hip arthroplasty (THA) surgical time, transfusion rates, length of stay, complications and learning curve. J Arthritis. 2018;7(4):1-4. doi:10.4172/2167-7921.1000272
- Pierce J, Needham K, Adams C, Coppolecchia A, Lavernia C. Robotic assisted total hip arthroplasty: a 90-Day episode of care cost analysis. Presented at: The Professional Society for Health Economics and Outcomes Research (ISPOR) Annual Meeting; May 18-20, 2020; Virtua
- Maldonado D, Go C, Kyin C, Rosinsky J, Shapira J, Lall A, Domb B. Robotic arm-assisted total hip arthroplasty is more cost-effective than manual total hip arthroplasty: A Markov Model Analysis. J Am Acad Orthop Surg 2020;00:1-9. DOI: 10.5435/JAAOS-D-20-00498
- Kayani B, Konan S, Thakrar RR, Huq SS, Haddad FS. Assuring the long-term total joint arthroplasty: a triad of variables. Bone Joint J. 2019;101-B(1_Supple_A):11-18. doi:10.1302/0301-620X.101B1.BJJ-2018-0377.R1
- Frye B, Nessler J, Gains C, Caba M, Mont M. Physical And Mental Demand During Direct Anterior Total Hip Arthroplasty: Comparison Of Robotic-assisted Vs Manual Technique.
- Frye B, Nessler J, Gains C, Caba M, Mont M. Physical And Mental Demand During Direct Anterior Total Hip Arthroplasty: Comparison Of Robotic-assisted Vs Manual Technique. ORS 2024 annual conference. Poster 2602. Feb 2-6, 2024 [Ahead of print]
JR-MTHA-SYK-709484