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Robotic-Arm Assisted Unicompartmental Knee Arthroplasty (MAKO)

  • Frederick BuechelJrEmail author
  • Frederick BuechelSr
  • Michael Conditt
Reference work entry
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Abstract

Robotic-arm assisted partial knee arthroplasty (RA-PKA) is the designation for the unicompartmental knee arthroplasty (UKA) procedures performed using the MAKO robotic orthopedic system currently available for use in the USA and internationally. Arthroplasty procedures performed using this system have been commonly referred to as “Makoplasty®” procedures. The first procedures for the knee were performed on the medial compartment in June of 2006 [1]. Over the last 9 years, the procedures being offered using this platform have expanded to include the lateral compartment [2–5], patellofemoral compartment, and total hip replacement.

Keywords

Makoplasty® procedures Robotic-arm assisted partial knee arthroplasty (RA-PKA) Balancing graph Bone preparation Cartilage mapping Checkpoint Clinical summary CT imaging preoperative planning Features Femoral planning screens Goals Implantation Incisions and exposures Indications Intraoperative planning Kinematic analysis Kinematic tracking Minimally invasive approaches Osteophytes Patellofemoral planning screens Patellofemoral replacement Patient setup Pose captures Preoperative planning Registration Robot setup Surgical process Tibial planning screens Tracking arrays X-ray indications 

References

  1. 1.
    Conditt M, Roche M. Minimally invasive robotic-arm-guided unicompartmental knee arthroplasty. J Bone Joint Surg Am. 2009;91 Suppl 1:63–8.CrossRefPubMedGoogle Scholar
  2. 2.
    Augart M, Plate J, Seyler T, Akbar M, Ewerbeck V, Bracey D, Von Thaer S, Poehling G, Jinnah R. Two year outcomes of robotically guided lateral MCK onlay UKA. 26th Annual Congress of ISTA, October 16–19, 2013, Palm Beach, 2.Google Scholar
  3. 3.
    Buechel FF Jr. Robotic arm assisted lateral unicompartmental knee arthroplasty. Bone Joint J. 2013;95-B Suppl 34:251.Google Scholar
  4. 4.
    Buechel FF Jr. Robotic arm assisted lateral unicompartmental knee arthroplasty. ICJR Pan Pacific Meeting, 2014, Kona.Google Scholar
  5. 5.
    Thein R, Khamaisy S, Zuiderbaan HA, Nawabi DH, Pearle AD. Lateral robotic unicompartmental knee arthroplasty. Sports Med Arthrosc. 2014;22(4):223–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Blyth MJ, Jones B, MacLean A, Anthony I, Rowe P. Accuracy of UKA implant positioning and early clinical outcomes in a RCT comparing robotic assisted and manual surgery. 13th Annual CAOS Meeting, June 12–15, 2013, Orlando.Google Scholar
  7. 7.
    Buechel FF Jr. 500 consecutive robotic arm assisted medial UKA: an outpatient procedure that consistently increases ROM. Bone Joint J. 2013;95-B Suppl 34:20.Google Scholar
  8. 8.
    Coon, T, Driscoll, MD, Conditt, M. Robotic arm guided UKA is more accurate than manually instrumented UKA. 21st Annual Congress of ISTA, October 1–4, 2008, Seoul.Google Scholar
  9. 9.
    Citak M, Suero EM, Dunbar NJ, Branch SH, Conditt MA, Banks SA, Pearle AD. Unicompartmental knee arthroplasty: is robotic technology more accurate than conventional technique? Knee. 2013;20(4):268–71.CrossRefPubMedGoogle Scholar
  10. 10.
    Coon T, Buechel F Jr., Roche M, Dounchis J, Borus T, Pearle A. Two year survivorship of robotically guided medical MCK onlay UKA. 27th Annual Congress of ISTA, September 15–27, 2014, Kyoto.Google Scholar
  11. 11.
    Dunbar N, Roche M, Park B, Branch S, Conditt M, Banks S. Accuracy of dynamic tactile-guided unicompartmental knee arthroplasty. J Arthroplasty. 2012;27(5):803–8.e1.CrossRefPubMedGoogle Scholar
  12. 12.
    Kreuzer SW, Dalal S, Christopher J, Conditt MA. Functional recovery after bicompartmental arthroplasty, navigated TKA and traditional TKA. 13th Annual Insall Scott Kelly Institute Sports Medicine, Total Knee and Hip Course, October 19–21, 2012, New York.Google Scholar
  13. 13.
    Lonner J, John T, Conditt M. Robotic arm-assisted UKA improved tibial component alignment: a pilot study. Clin Orthop Relat Res. 2010;468(1):141–6.CrossRefPubMedGoogle Scholar
  14. 14.
    Pearle A. Unicondylar knee arthroplasty vs total knee arthroplasty: are we able to create the forgotten joint. 14th Annual CAOS Meeting, June 18–21, 2014, Milan.Google Scholar
  15. 15.
    Plate J, Mofidi A, Mannava S, Smith B, Lang J, Poehling G, Conditt M, Jinnah R. Achieving accurate ligament balancing using robotic-assisted unicompartmental knee arthroplasty. Adv Orthop. 2013; 2013 (ID 837167).Google Scholar
  16. 16.
    Sinha RK. Outcomes of robotically assisted unicompartmental arthroplasty. Am J Orthop. 2009;38(2S):20–2.PubMedGoogle Scholar
  17. 17.
    Yildirim G, Madrid IF, Schwarzkopf R, Walker PS, Karia R. Comparison of robot surgery modular and total knee arthroplasty kinematics. J Knee Surg. 2014;27(2):157–64.CrossRefPubMedGoogle Scholar
  18. 18.
    Kooijman HJ, Driessen AP, van Horn JR. Long-term results of patellofemoral arthroplasty. A report of 56 arthroplasties with 17 years of follow-up. J Bone Joint Surg Br. 2003;85(6):836–40.PubMedGoogle Scholar
  19. 19.
    Leadbetter WB, Ragland PS, Mont MA. The appropriate use of patellofemoral arthroplasty: an analysis of reported indications, contraindications, and failures. Clin Orthop Relat Res. 2005;436:91–9.CrossRefPubMedGoogle Scholar
  20. 20.
    Lonner J. Patellofemoral arthroplasty: pros, cons, and design considerations. Clin Orthop Relat Res. 2004;428:158–65.CrossRefPubMedGoogle Scholar
  21. 21.
    Kozinn S, Scott R. Unicondylar knee arthroplasty. J Bone Joint Surg Am. 1989;71(1):145–50.PubMedGoogle Scholar
  22. 22.
    Argenson J, Parratte S, Bertani A, Aubaniac J, Lombardi A, Berend K, Adams J, Lonner J, Mahoney O, Kinsey T, John T, Conditt M. The new arthritic patient and arthroplasty treatment options. J Bone Joint Surg. 2009;91A:43–8.CrossRefGoogle Scholar
  23. 23.
    Roche M, Augustin, D, Conditt, M. One year outcomes of robotic guided UKA. 21st Annual Congress of ISTA, October 1–4, 2008, Seoul.Google Scholar
  24. 24.
    Buechel FF. Tibial slope reproduction in medial UKA: individualizing anatomic slope provides optimal ligament balance. ICJR Pan Pacific Meeting, 2014, Kona.Google Scholar
  25. 25.
    Jinnah R, Branch S, Erdos T, Conditt M. The learning curve of robotically assisted UKA. 13th EFORT Congress, May 23–25, 2012, Berlin.Google Scholar
  26. 26.
    Arno S, Maffei D, Walker P, Schwarzkopf R, Desai P, Steiner G. Could unicompartmental knee replacements be used more frequently? J Bone Joint Surg Am. 2010.Google Scholar
  27. 27.
    Banks S, Abbasi A, Van Vorhis R, Chan R, Otto J, Conditt M. Morphology of the distal femur for bicompartmental arthroplasty. In: American Academy of Orthopedic Surgeons. Edited, New Orleans; 2010.Google Scholar
  28. 28.
    Berger R, Meneghini R, Jacobs J. Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up. J Bone Joint Surg Am. 2005;87(5):999–1006.CrossRefPubMedGoogle Scholar
  29. 29.
    Bergeson A, Berend K, Lombardi A, Hurst J, Morris M, Sneller M. Medial mobile bearing unicompartmental knee arthroplasty: early survivorship and analysis of failures in 1000 consecutive cases. J Arthroplasty. 2013;28 Suppl 9:172–5.CrossRefPubMedGoogle Scholar
  30. 30.
    Borus T, Roberts D, Fairchild P, Christopher J, Conditt M, Matthews J. UKA patients return to function earlier than TKA patients. 27th Annual Congress of ISTA, September 15–27, 2014. Kyoto.Google Scholar
  31. 31.
    Borus T, Thornhill T. Unicompartmental knee arthroplasty. J Am Acad Orthop Surg. 2008;16(1):9–18.CrossRefPubMedGoogle Scholar
  32. 32.
    Buechel FF. The use of robotics for medial UKA in patients with spontaneous osteonecrosis of the medial femoral condyle. Bone Joint J. 2013;95-B Suppl 34:252.Google Scholar
  33. 33.
    Buechel FF. Robotic-assisted bi-unicompartmental knee arthroplasty. Bone Joint J. 2013;95-B Suppl 34:250.Google Scholar
  34. 34.
    Buechel Sr FF, Buechel Jr FF, Pappas M, D’Alessio J. Twenty-year evaluation of meniscal bearing and rotating platform knee replacements. Clin Orthop Relat Res. 2001;388:41–50.CrossRefPubMedGoogle Scholar
  35. 35.
    Hamilton WG, Ammeen D, Engh C, Engh G. Learning curve with minimally invasive unicompartmental knee arthroplasty. J Arthroplasty. 2010;25(5):735–40.CrossRefPubMedGoogle Scholar
  36. 36.
    Liddle A, Pandit H, Judge A, Murray D. Patient-reported outcomes after total and unicompartmental knee arthroplasty: a study of 14,076 matched patients from the National Joint Registry for England and Wales. Bone Joint J. 2015;97-B(6):793–801.CrossRefPubMedGoogle Scholar
  37. 37.
    Lonner J, John T, Conditt M. Early clinical outcomes of modular bicompartmental arthroplasty. In: International Society for Technology in Arthroplasty. Edited, Hawaii; 2009.Google Scholar
  38. 38.
    Ong K, Lau E, Kurtz S, Hansen E, Lonner J. Short-term complications and revision following unicondylar knee arthroplasty. AAHKS Meeting, 2014, Dallas.Google Scholar
  39. 39.
    Pearle A, O’Loughlin P, Kendoff D. Robot-assisted unicompartmental knee arthroplasty. J Arthroplasty. 2010;25(2):230–7.CrossRefPubMedGoogle Scholar
  40. 40.
    Plaskos C, Hodgson A, Inkpen K, McGraw R. Bone cutting errors in total knee arthroplasty. J Arthroplasty. 2002;17(6):698–705.CrossRefPubMedGoogle Scholar
  41. 41.
    Rajasekhar C, Das S, Smith A. Unicompartmental knee arthroplasty: 2- to 12-year results in a community hospital. J Bone Joint Surg B. 2004;86(7):983–5.CrossRefGoogle Scholar
  42. 42.
    Riddle DL, Jiranek WA, McGlynn FJ. Yearly incidence of unicompartmental knee arthroplasty in the United States. J Arthroplasty. 2008;23(3):408–12.CrossRefPubMedGoogle Scholar
  43. 43.
    Swank ML, Alkire M, Conditt M, Lonner JH. Technology and cost-effectiveness in knee arthroplasty: computer navigation and robotics. Am J Orthop. 2009;38(2S):32–6.PubMedGoogle Scholar
  44. 44.
    Lunn T, Andersen L, Kristensen B, Husted H, Gaarn-Larsen L, Bandholm T, Ladelund S, Kehlet H. Effect of high-dose preoperative methylprednisolone on recovery after total hip arthroplasty: a randomized, double-blind, placebo-controlled trial. Br J Anaesth. 2013;110(1):66–73.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Frederick BuechelJr
    • 1
    Email author
  • Frederick BuechelSr
    • 3
  • Michael Conditt
    • 2
  1. 1.Robotic Joint Center at The Stone ClinicSan FranciscoUSA
  2. 2.Holy Cross HospitalFort LauderdaleUSA
  3. 3.South Mountain OrthopaedicsSouth OrangeUSA

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