Skip to main content
SpringerLink
Log in

Total Hip Arthroplasty Technique: Mako

  • Chapter
  • First Online:
Robotics in Knee and Hip Arthroplasty

  • 1132 Accesses

Abstract

Total hip arthroplasty (THA) remains one of the most predictable interventions in the treatment of end-stage arthritis as measured by pain relief and improvement in function. The long-term outcomes of THA can be influenced by many factors including implant position. Suboptimal implant position has been associated with instability as well as accelerated bearing wear. Unfortunately, many manual aligning tools have not predictably improved alignment. Alternative strategies to improve implant alignment have evolved to include navigation as well as robotics. The initial experience was with active robotic systems with highly accurate and reproducible results. The past decade has seen the emergence of haptically guided systems that allow the surgeon to retain some control of component insertion. This chapter will describe the current state of haptics in total hip replacement including the results of initial validation and the clinical outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Charnley J. A biomechanical analysis of the use of cement to anchor the femoral head prosthesis. J Bone Joint Surg Br. 1965;47:354–63.

    Article  CAS  Google Scholar 

  2. Charnley J. An artificial bearing in the hip joint: implications in biological lubrication. Fed Proc. 1966;25(3):1079–81.

    CAS  PubMed  Google Scholar 

  3. Schulte KR, Callaghan JJ, Kelley SS, Johnston RC. The outcome of Charnley total hip arthroplasty with cement after a minimum twenty-year follow-up. The results of one surgeon. J Bone Joint Surg Am. 1993;75(7):961–75.

    Article  CAS  Google Scholar 

  4. Warth LC, Callaghan JJ, Liu SS, Klaassen AL, Goetz DD, Johnston RC. Thirty-five-year results after Charnley total hip arthroplasty in patients less than fifty years old. A concise follow-up of previous reports. J Bone Joint Surg Am. 2014;96(21):1814–9.

    Article  Google Scholar 

  5. McLaughlin JR, Lee KR. Total hip arthroplasty with an uncemented tapered femoral component in patients younger than 50 years of age: a minimum 20-year follow-up study. J Arthroplast. 2016;31(6):1275–8.

    Article  Google Scholar 

  6. Bozic KJ, Kurtz SM, Lau E, Ong K, Vail TP, Berry DJ. The epidemiology of revision total hip arthroplasty in the United States. J Bone Joint Surg Am. 2009;91(1):128–33. https://doi.org/10.2106/JBJS.H.00155.

    Article  PubMed  Google Scholar 

  7. Padgett DE, Warashina H. The unstable total hip replacement. Clin Orthop Relat Res. 2004;420:72–9. Review

    Article  Google Scholar 

  8. Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR. Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am. 1978;60(2):217–20.

    Article  CAS  Google Scholar 

  9. Esposito CI, Gladnick BP, Lee YY, Lyman S, Wright TM, Mayman DJ, Padgett DE. Cup position alone does not predict risk of dislocation after hip arthroplasty. J Arthroplast. 2015;30(1):109–13.

    Article  Google Scholar 

  10. Kligman M, Michael H, Roffman M. The effect of abduction differences between cup and contralateral acetabular angle on polyethylene component wear. Orthopedics. 2002;25(1):65–7.

    CAS  PubMed  Google Scholar 

  11. Kligman M, Furman BD, Padgett DE, Wright TM. Impingement contributes to backside wear and screw-metallic shell fretting in modular acetabular cups. J Arthroplast. 2007;22(2):258–64.

    Article  Google Scholar 

  12. Shon WY, Baldini T, Peterson MG, Wright TM, Salvati EA. Impingement in total hip arthroplasty a study of retrieved acetabular components. J Arthroplasty. 2005;20(4):427–35.

    Article  Google Scholar 

  13. Callanan MC, Jarrett B, Bragdon CR, Zurakowski D, Rubash HE, Freiberg AA, Malchau H. The John Charnley Award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital. Clin Orthop Relat Res. 2011;469(2):319–29. https://doi.org/10.1007/s11999-010-1487-1.

    Article  PubMed  Google Scholar 

  14. Padgett DE, Hendrix SL, Mologne TS, Peterson DA, Holley KA. Effectiveness of an acetabular positioning device in primary total hip arthroplasty. HSS J. 2005;1(1):64–7.

    Article  Google Scholar 

  15. Sendtner E, Schuster T, Wörner M, Kalteis T, Grifka J, Renkawitz T. Accuracy of acetabular cup placement in computer-assisted, minimally-invasive THR in a lateral decubitus position. Int Orthop. 2011;35(6):809–15.

    Article  Google Scholar 

  16. Paul HA, Bargar WL, Mittlestadt B, Musits B, Taylor RH, Kazanzides P, Zuhars J, Williamson B, Hanson W. Development of a surgical robot for cementless total hip arthroplasty. Clin Orthop Relat Res. 1992;285:57–66.

    Google Scholar 

  17. Dorr LD, Malik A, Dastane M, Wan Z. Combined Anteversion technique for total hip arthroplasty. Clin Orthop Relat Res. 2009;467(1):119–27.

    Article  Google Scholar 

  18. Nawabi DH, Conditt MA, Ranawat AS, Dunbar NJ, Jones J, Banks S, Padgett DE. Haptically guided robotic technology in total hip arthroplasty: a cadaveric investigation. Proc Inst Mech Eng H. 2013;227(3):302–9.

    Article  Google Scholar 

  19. Elson L, Dounchis J, Illgen R, Marchand RC, Padgett DE, Bragdon CR, Malchau H. Precision of acetabular cup placement in robotic integrated total hip arthroplasty. Hip Int. 2015;25(6):531–6.

    Article  Google Scholar 

  20. Kanawade V, Dorr LD, Banks SA, Zhang Z, Wan Z. Precision of robotic guided instrumentation for acetabular component positioning. J Arthroplast. 2015;30(3):392–7.

    Article  Google Scholar 

  21. 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):329–36.

    Article  Google Scholar 

  22. Gupta A, Redmond JM, Hammarstedt JE, Petrakos AE, Vemula SP, Domb BG. Does robotic-assisted computer navigation affect acetabular cup positioning in total hip arthroplasty in the obese patient? A comparison study. J Arthroplast. 2015;30(12):2204–7.

    Article  Google Scholar 

  23. Kamara E, Robinson J, Bas MA, Rodriguez JA, Hepinstall MS. Adoption of robotic vs fluoroscopic guidance in total hip arthroplasty: is acetabular positioning improved in the learning curve? J Arthroplast. 2017;32(1):125–30.

    Article  Google Scholar 

  24. Nd IRL, Bukowski BR, Abiola R, Anderson P, Chughtai M, Khlopas A, Mont MA. Robotic-assisted total hip arthroplasty: outcomes at minimum two-year follow-up. Surg Technol Int. 2017;25(30):365–72.

    Google Scholar 

  25. Bukowski BR, Anderson P, Khlopas A, Chughtai M, Mont MA, Illgen RL. Improved functional outcomes with robotic compared with manual total hip arthroplasty. Surg Technol Int. 2016;XXIX:303–8.

    Google Scholar 

  26. Newman J, Carroll K, Cross MB. Robotic-assisted total hip arthroplasty: a critical appraisal. Dovepress. 2014;2014(1):37–42. https://doi.org/10.2147/RSRR.S54420.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA

    Douglas E. Padgett, David J. Mayman & Seth A. Jerabek

Authors
  1. Douglas E. Padgett
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. David J. Mayman
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Seth A. Jerabek
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Douglas E. Padgett .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA

    Jess H. Lonner

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Padgett, D.E., Mayman, D.J., Jerabek, S.A. (2019). Total Hip Arthroplasty Technique: Mako. In: Lonner, J. (eds) Robotics in Knee and Hip Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-16593-2_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-16593-2_20

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16592-5

  • Online ISBN: 978-3-030-16593-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation