June 23, 2014
MAKOplasty partial knee replacement surgery offers greater precision and faster recovery
If you have knee pain caused by osteoarthritis, you might be a candidate for a MAKOplasty Partial Knee Resurfacing procedure. Less extensive surgery than a total knee replacement, MAKOplasty relieves pain and restores range of motion in your knee.
Vishal Ganesh, MD, and Steven Kassman, MD, are two orthopedic surgeons who perform MAKOplasty at John C. Lincoln Deer Valley Hospital.
Vishal Ganesh, MD
Q - What is MAKOplasty? Could it help me?
A - MAKOplasty personalizes your partial knee replacement. Your knee has three compartments, and when osteoarthritis affects only one, or even two, compartments, you may be a candidate for MAKOplasty.
MAKOplasty features a robotic arm and three-dimensional imaging of your knee. The system helps the surgeon resurface the diseased part of the bone and place and align the implant very precisely. The robotic arm has a burr – similar to a dental instrument – that I use for the sculpting.
Q - How new is this type of surgery?
A - It came into common use about four years ago.
Q - How long is the incision?
A - Four to five inches. I also make small incisions in the femur and tibia.
Q - How long does the surgery take? Is it outpatient surgery?
A - One to two hours. The surgery can be inpatient or outpatient, depending on the time of day your surgery is scheduled, the type of anesthesia used and other factors. Inpatients typically stay in the hospital one day.
Q - What percentage of your knee replacement patients could benefit from MAKOplasty?
A - Ten to 20 percent.
Steven Kassman, MD
Q - What are the advantages of MAKOplasty?
- Precision that leads to faster recovery and potentially less implant wear/loosening.
- Bone sparing.
- Smaller incision.
- Preservation of all knee ligaments and therefore potentially a more normal "feel" and higher-level function.
- Less scarring.
- Reduced blood loss.
- Minimal hospitalization.
- Rapid recovery.
Q - How soon can I walk after MAKOplasty?
A - You're walking with a walker the same day and unassisted usually in two to seven days.
Q - Will I need physical therapy?
A - Only about 5 percent of my patients over the past several years have felt the need for formal therapy.
Learn More – Attend a Free MAKOplasty seminar:
- Tuesday, Aug. 5, from 6-7 p.m., in the Conference Room of John C. Lincoln Sonoran Health and Emergency Center, 33423 N. 32nd Ave., Phoenix.
- Tuesday, Aug. 19, from 6-7 p.m., at Medical Office Building 1, 19841 N. 27th Ave., Room 400, Phoenix, on the campus of John C. Lincoln Deer Valley Hospital.
To register, please call 623-879-5249. To learn more visit JCL.com/events.
Q - How long will the implant last? Will I need a total knee replacement down the road?
A - That data is still being compiled. A lot of different factors come into play: your weight, activity level, quality of your bone, and how well you comply with doctor's orders. Ninety percent of total knee replacements last 15 years. With robotic precision, the goal is longevity equivalent to a total knee replacement. If osteoarthritis progresses or other circumstances require it, you might need a total knee replacement in the future. For more information, please visit JCL.com/mako.
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