Robotic Knee Replacement- Why and How?

[@victorortiz983]

Doctor, Joel H, successfully repaired my newly injured knee. I greatly appreciate his excellent work. I recommended it!

[@jeffmartinaz]

I'm watching this video two months after I had both knees replaced at the same time with the Mako system. I'm feeling quite good now, and my surgeon contributes a lot of my quick recovery to being able to use the Mako arm and its precision. Thanks for showing the additional details I really wasn't aware of. Great video.

[@lisashore9574]

Very impressive! Dr. Hurt and his staff are over the top in Customer care and kindness. Such a welcoming and professional environment for patients. The precision the robotics provide seems priceless. 🌟

[@ScottLembach-kl2wl]

Incredibly intuitive! Thanks for the explanation.

[@MSSVHart]

Wonderful video Dr Hurt! We had our consult today and being able to watch this video makes me even more comfortable with our plans for my knee replacements!

[@Lyn4817]

Extremely interesting. I've had my bi-lats since 2000. I am extremely wary about the revisions now I am 70.

[@earlpstreetjr3426]

Excellent procedures, Your focused and knowledgeable and I appreciate that you are very selective of tools and systems.

[@RobertEskew]

Fascinating video. Thank you.

[@tureymilla]

Thank you, Dr. I was nervous... I will have my knee replacement on October...excellent info👍👍👍👍

[@philippirrip8761]

Great explanation of the procedure.

[@tedfisk1211]

I had TKR four weeks ago and the surgeon had a robot assisting. In the pre-op meeting, he told me about what the robot would be for. Now I really know.

[@jillyv]

I am having this on Tuesday this week. How has your recovery been? If you don’t mind me asking?

[@edwardmorehouse1424]

Thank you Dr. Hurt. I went through this very surgery 13 days ago with the Mako robotic arm.You explained it very clearly.

[@lucamessa66]

I have to do a tkl in december and Im 56 years old ... 8 years ago, I destroid my tibial plateau... my doctors told me that he uses robotic for the surgery

[@shelbywilmoth839]

So Informative. Thank you very much. I do have to say my heart jumped a little when I seen the red. lol, I was waiting for the word WASTED to be slammed on the screen. 😂😂

[@endran1956]

Thanks Doctor 🙏

[@robertshaw5925]

Extremely informative, Dr. Hurt. But, I’m curious whether the end of the tool truly is as ‘chisel shaped’ as is shown on the OR screen. If so, as you move along the outer and inner aspects of the operative area, wouldn’t a ‘rounded’ instrument or burr prevent the loss of bone tissue outside the colored operative area? And, will that slight bit of bone removal that is ‘outside the lines’ be clinically significant. I ask as a health professional sporting both artificial hips and now undergoing evaluation for pending knee surgery…partial/ total replacement?…traditional or robotic? Thank you for such a revealing explanation of this new technology. RAS

[@joelhurt2910]

It's a saw that reciprocates side to side. The traditional manual total knee is done with the same type of saw. We just use guides (called "cutting blocks") that are manually pinned to the bone. They have slits that we pass the saw blade through. Re your other questions obviously I haven't evaluated you so HUGE grain of salt. Partial vs Total? I think about partial knees in younger patients. BMI MUST be less than 30 and no/minimal arthritis in other compartments and overall limb alignment acceptable (among other factors). Speaking from experience- the ceiling of improvement/outcome is generally higher for parital knee compared to TKA (they feel more normal and have better ROM in general). However, they are more technically demanding and there are more ways for it to fail. The "sweet spot" is much bigger for a TKA than a UKA in my opinion. Robotic vs traditional? There are many excellent joint surgeons who do not use robotic techniques. They absolutlely do not get the same info intraoperatively that a mako provides but many times their extensive experience and innate skill/gifting allows for them to overcome that most of the time. The robot really isn't the secret sauce. It's the 3D modeling and ability to predict the gaps with precision that makes the difference. I predict that the robot will not be the long-term solution (very expensive initial investment as well as upkeep costs) but other platforms are beginning to allow for the same delivering of info (prior to cutting) as well as complete freedom to manipulate implant positioning in all planes.

[@jewel1953]

I had bilateral knee replacement 18 years ago with no follow ups as I was my drs. last patient before he moved. It has been a tough go from scar tissue. When do I need to go in for a review/tune up? I am walking slower now because of my knees aching. I had an epidural and remember the sawing and hammering right down to the music they were listening to which was ZZ Topp. Dr. said I would not remember...I did.

[@kathyabel5338]

Great video. Can you explain what you meant when the red area on the screen indicated you cut a little too deep, but it was "inconsequential "? Thank you.

[@scottfahdt177]

I'm having TKR in a month, unfortunately my insurance(Aetna) won't approve Makoplasty.

[@sbherring3223]

Can the robot be used if you were using the Conformis brand knee?

[@chattyc1]

I had TKR on 5/3/22 couldn’t get into rehab for 2 months but kept my leg in motion. I’m still swelling and have a bakers cyst behind my knee. My straight is -1 but bend is only 108. I struggle to bend it during swelling and the pain is very bad.

[@joelhurtmd-austinorthopedi4131]

I'm sorry to hear that . You are definitely behind. I like to see postop knees reach 0-90 by 2 weeks and 0-120 by 6 weeks. Manipulation under anesthesia is an option to get better flexion but time is running out for that...generally must be done within 3 months of surgery to be effective. Good luck!