Joint Replacement Surgery | What is the Stryker Mako System, Part I?


Doctors Chris Gorczynski and Louis A. DiGiovanni, Columbia Memorial Health in Hudson, NY, explain the Stryker Mako robotic surgical system.

In this video, Orthopedic Surgeons Chris Gorczynski and Louis A. DiGiovann discuss how the Mako robotic total joint replacement system works and how the preparation, planning, and the preoperative CT scan all work together to ensure an accurate and successful joint replacement procedure.

Video transcription (partial):
7. Joint Replacement Surgery | What is the Stryker Mako System, Part I?
Dr. DiGiovanni: The Mako system is a computerized joint-replacement system that currently
we’re using on hip and knee replacements, and hopefully in the near future shoulder replacements as well.
The Mako system allows us to use a cat scan which creates a three-dimensional image of the
patient and binds this with an optical system in the operating room that allows
us to, in a three-dimensional fashion, precisely implant a joint replacement product in a person that is very much geared to their very specific in particular anatomy.
Dr. Gorczinski: Using the Mako system we do not need to instrument the bone.
We do not need to use alignment guides, and the sense of a feel is taken away, but
then in addition to this planning process we demonstrate to the optical
navigation system during surgery the patient’s soft tissue balance, and then
we can progressively release the soft tissues to balance that joint.
Most of the time when we’re doing this we find that the arbitrary cuts that we would
have made don’t allow us to balance the joint, and so then using this system we
can subtly adjust the position of these implants to allow very precise soft
tissue balance.
That means during surgery the knee feels more normal as we take it
through a range of motion, and that means after surgery patients feel better
They have an easier time rehabilitating, and so it’s satisfying for the patient and for the surgeon both.
Dr. DiGiovanni: The beauty of the Mako system through all the balancing and the registration
process, and all the …….

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See the other FAQ videos in this series at these YouTube links:
1. Why should I get surgery if I can live with the pain?

2. What is the Stryker Mako System, Part II?

3. What advice can you offer patients who are fearful of surgery?

4. How long has Makoplasty been available?

5. How does Mako Robotic Surgery help to achieve a better outcome?

6. What is your goal with hip and knee replacement surgery?

8. How long does a joint replacement last?

9. What happens after Makoplasty surgery?

10. Please explain the basic operation of the Mako system?

11. What is soft tissue balance and why is it so important?

12. What options are typically offered to joint replacement candidates?

13. I’m ready for a consultation. What should I expect?

14. What is the first thing I need to do if I am considering joint replacement?

15. How is Mako Robotic Surgery different from standard hip and knee replacement surgery?

16. What steps are taken to ensure the safest joint replacement procedure?

See all Joint Replacement Surgery FAQs on this web page:

Columbia Memorial Health
Bone & Joint Center and Advanced Orthopedics – The Hudson Valley’s MOST PRECISE knee, hip, and joint replacement surgery.
CMH surgeons are now the only orthopedic specialists in the region who perform hip and knee replacements using a state-of-the-art robotic surgical system that is far more precise than conventional surgery. Using computer modeling, a robotic instrument, and the patient’s CT images, CMH surgeons plan and perform surgeries with a degree of accuracy that’s unavailable anywhere else in the region.

Locations in:
Region – Hudson Valley
Counties – Greene, Columbia, Delaware, Dutchess
Towns (care centers) – Cairo, Catskill, Chatham, Copake, Coxsackie, Ghent, Hudson, Kinderhook, Red Hook, Valatie, Windham

Bone & Joint Center – Hudson
23 Fish and Game Road
Hudson, NY 12534

Bone & Joint Center – Catskill
159 Jefferson Heights, Suite D108
Catskill, NY 12414

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