Mako Total Hip
Elevating total hip procedures
For over 15 years, Mako Total Hip has been elevated total hip procedures for patients and surgeons. With the introduction of Mako Total Hip with Advanced Primary and Revision, we’re truly revolutionizing robotic hip replacements.
Imagine using the knowledge that comes from a CT-based plan that allows you to capture each patient’s unique anatomy for primary and revision hip procedures. Pair this with Mako’s AccuStop™ haptic technology, which has been shown to help surgeons precisely and accurately single-stage ream what they’ve planned during Mako primary total hip procedures.1
Mako Total Hip
Elevating total hip procedures
For over 15 years, Mako Total Hip has been elevated total hip procedures for patients and surgeons. With the introduction of Mako Total Hip with Advanced Primary and Revision, we’re truly revolutionizing robotic hip replacements.
Imagine using the knowledge that comes from a CT-based plan that allows you to capture each patient’s unique anatomy for primary and revision hip procedures. Pair this with Mako’s AccuStop™ haptic technology, which has been shown to help surgeons precisely and accurately single-stage ream what they’ve planned during Mako primary total hip procedures.1
Introducing Mako Total Hip with Advanced Primary and Revision
With more planning features, more intraoperative capabilities and more implant options, Mako Total Hip with Advanced Primary and Revision is designed for you to know even more with confidence from primary to revision.
Built on Mako’s trusted9 3D CT-based planning and AccuStop™ haptic technology, Mako Total Hip with expanded capabilities is revolutionizing robotic hip replacements.
Mako Total Hip with Advanced Primary and Revision is the first-to-market robotically-enabled revision hip solution. In a single application, Mako Total Hip now serves primary, complex primary and revision indications with advanced planning features like screw and augment planning, plus stem planning, which is now compatible with Restoration® Modular. Additional intraoperative features include bone mapping, cup clocking and more.
A simplified hip experience is here.
Only on Mako 4
Mako Total Hip with Advanced Primary and Revision is only available on the Mako 4 System.
More to Mako Total Hip
From primary to revision
Simplify your hip procedures with Mako Total Hip with Advanced Primary and Revision.
Know more with 3D CT-based planning in some of your most challenging cases.
Restoration® Modular femoral hip stem planning
Plan for Restoration Modular, including showing/ hiding cone body in stem mode, hiding primary implants in 2D or 3D views and view outline cross section.
Acetabular cup planning now featuring RAS
Plan for Restoration Anatomic Shell (RAS) or Trident® II multihole acetabular shells. Additional features include hiding primary implants in 2D or 3D views, view outline cross section and show planned bone resection in 3D views.
Augment planning
Users have the ability to plan the size, thickness, position and orientation of the augment. The software’s “Lock To Cup” feature is an optional planning feature that can be used to help ensure that the surgeon’s desired distance between the planned cup and planned augment remains constant during implant planning.
Screw planning
Screw planning is designed to help optimize screw hole location and maximize screw length. When calculated, the screw length value given is an estimated value from the screw head to where the screw exits the bone in the central direction of the screw hole.
Know more intraoperatively with capabilities like bone mapping, augment reaming and screw trajectory.
Execute your plan for primary and revision hip replacement using Mako’s proprietary AccuStop™ haptic technology.
Bone mapping
After removal of the primary cup, it is recommended to map the bone’s surface in the acetabulum for review within implant planning.
Screw trajectory and depth guidance
Screw trajectory and depth guidance provide the estimated screw length calculated based on the orientation of the screw hole or probe.
Robotic-arm assisted augment and cup reaming
Enabled by AccuStop™ haptic technology, robotic-arm assisted reaming is available for both augment and cup.
An extended reaming angle can be used to ream in an orientation with a 30-degree cone in primary and revision cases.
Mako Total Hip
For primary hip replacement
The unique features of Mako Total Hip SmartRobotics™ are designed to help you optimize component positioning,1 enhance functional outcomes6 and elevate surgical experience.4,5
Know more.1
It all starts with a CT scan that creates a 3D image of your patient’s unique anatomy. Plan the sizing and positioning of implants, as well as incorporate Functional Hip Positioning™ to help you optimize component positioning.
- CT-based platform designed to help optimize implant size and placement1
- Plan implant center of rotation
- Incorporate pelvic tilt analysis to understand the hip/spine relationship
- Visualize and address potential impingement pre-operatively
- Guided neck-resection tool
- Hip length and offset feedback
Ream less.2
With the use of AccuStop™ haptic technology, studies have demonstrated greater bone preservation,2 reduced blood loss6 and greater ability to reproduce hip biomechanics3,7-10 versus manual technique.
- Ability to single stage ream
- Ream constrained to planned center of rotation
- Audible, visual and tactile feedback while guided reaming
- Accurate bone preparation to plan18
- Use of AccuStop™ haptic technology to help impact cup at the desired inclination and version3,6,8,11,12
Mako Total Hip with Direct Anterior
For primary hip replacement
When it comes to the Direct Anterior (DA) Approach, where the field of view may be obscured and the use of fluoroscopy may be misleading, knowing more about a patient’s unique anatomy can make a difference.13,14
Accurate and reproducible implant placement18
Enhanced surgeon experience4
Reduce, if not eliminate, fluoroscopy
Learn how to reduce, if not eliminate, fluoroscopy in your OR with Mako Total Hip and Direct Anterior Reconstructive technology (DART™).
Clinical success of Mako Total Hip
Based on 15 years of clinical data in primary total hip replacements
Improved patient
outcomes
Studies have shown that Mako Total Hip patients are significantly less likely to be aware of their hip in daily circumstances compared to manual patients.6,9
Less surgeon mental
and physical fatigue
Mako Total Hip may reduce physical and mental demand for a surgeon that may lead to an improved surgical experience, especially while reaming, when compared to manual total hip arthroplasty.4,5
Reduced
dislocation rate
Studies have shown dislocation rates in Mako Total Hip are significantly reduced compared to manual patients.7,8
Accurate restoration
of center of rotation
Center of rotation of the hip is more consistently replicated using Mako Total Hip compared to manual surgery.11
Decreased length
of stay
Mako Total Hip demonstrated a decreased length of stay compared to manual surgery.15
Reduced
costs
Mako Total Hip showed a reduced utilization of post index rehabilitation services such as skilled nursing home, health aid and impatient rehab.16
Mako Total Hip showed a reduced 90-day EOC costs compared to manual THA.16 Mako Total Hip showed reduced cumulative cost compared to manual THA for Medicare and private payer over 5 years.17
Trident II
Trident Hemispherical PSL
Trident Tritanium
Pictured from left to right:
Insignia, Accolade II, Secur-Fit Advanced, Exeter
Modular Dual Mobility (MDM)
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Restoration Anatomic Shell (RAS)
Restoration Modular
Restoration Acetabular Wedge Augments
“Mako Total Hip with Advanced Primary and Revision has been transformative in my approach for revision hip arthroplasty. Planning Restoration Modular and acetabular augments has improved my efficiency in these difficult cases. This is the future of hip revisions; it has made my complex revisions much simpler!”
Andrew Wassef, M.D.
Long Beach, CA
Dr. Wassef is a paid consultant of Stryker Orthopaedics. The opinions expressed by Dr. Wassef are those of Dr. Wassef and not necessarily those of Stryker. Individual experiences may vary.
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- Available to U.S. healthcare professionals with an NPI
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References
- Illgen RL Nd, Bukowski BR, Abiola R, et al. Robotic-assisted total hip arthroplasty: outcomes at minimum two-year follow-up. Surg Technol Int. 2017;30:365-372
- Suarez-Ahedo C, Gui C, Martin TJ, Chandrasekaran S, Lodhia P, Domb BG. Robotic-arm assisted total hip arthroplasty results in smaller acetabular cup size in relation to the femoral head size: a matched-pair controlled study. Hip Int. 2017;27(2):147-152. doi:10.5301/hipint.5000418
- Nawabi DH, Conditt MA, Ranawat AS, et al. Haptically guided robotic technology in total hip arthroplasty: a cadaveric investigation. Proc Inst Mech Eng H. 2013;227(3):302-309. doi:10.1177/0954411912468540
- Caba M, Gains C, Nessler J, Frye B, Scholl L, Sequeira SB, Mont M. Physical and mental demand during direct anterior total hip arthroplasty: Comparison of robotic-assisted and conventional techniques. J Orthop. 2024 Jul 14;62:126-132. doi: 10.1016/j.jor.2024.07.001. PMID: 39620166; PMCID: PMC11602540.
- Abbruzzese K, Valentino AL, Scholl L, Hampp EL, Chen Z, Smith R, Byrd ZO, Mont MA. Physical and Mental Demand During Total Hip Arthroplasty. Orthop Clin North Am. 2022 Oct;53(4):413-419. doi: 10.1016/j.ocl.2022.06.005. Epub 2022 Sep 14. PMID: 36208884.
- Bukowski BR, Anderson P, Khlopas , Chugtai M, Mont MA, Illgen RL. Improved functional outcomes with robotic compared with manual total hip arthroplasty. Surg Technol Int. 2016;29:303-308.
- Elson L, Dounchis J, Illgen R, et al. Precision of acetabular cup placement in robotic integrated total hip arthroplasty. Hip Int. 2015;25(6):531-536. doi:10.5301/hipint.5000289
- 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):329-336. doi:10.1007/s11999-013-3253-7
- Domb BG, Chen JW, Lall AC, Perets I, Maldonado DR. Minimum 5-year outcomes of robotic-assisted primary total hip arthroplasty with a nested comparison against manual primary total hip arthroplasty: a propensity score-matched study. J Am Acad Orthop Surg. Accepted manuscript. Published online February 25, 2020. doi:10.5435/JAAOS-D-19-00328
- Domb B, Redmond J, Louis S, Alden K, Daley R, LaReau J, et al. Accuracy of component positioning in 1980 total hip arthroplasties: a comparative analysis by surgical technique and mode of guidance. The Journal of Arthoplasty. 30(2015)2208-2218
- Jerabek SA, Carroll K, Maratt JD, Mayman DJ, Padgett DE. Accuracy of cup positioning, COR restoration and achieving desired hip length and offset following robotic THA. Presented at: Computer Assisted Orthopaedic Surgery (CAOS) 14th Annual Meeting; June 18-21, 2014; Milan, Italy.
- Esposito CI, Lipman J, Carroll KM, Jerabek SA, Mayman DJ, Padgett DE. Acetabular component cup placement using a haptically guided robotic technology in total hip arthroplasty. Presented at: 16th EFORT Congress; May 27-2019, 2015; Prague, Czech Republic.
- Brush PL, Santana A, Toci GR, et al. Surgeon Estimations of Acetabular Cup Orientation Using Intraoperative Fluoroscopic Imagining Are Unreliable. Arthroplast Today. 2023;20:101109. Published 2023 Mar 7. doi:10.1016/j.artd.2023.101109
- James CR, Peterson BE, Crim JR, Cook JL, Crist BD. The Use of Fluoroscopy During Direct Anterior Hip Arthroplasty: Powerful or Misleading?. J Arthroplasty. 2018;33(6):1775-1779. doi:10.1016/j.arth.2018.01.040
- Heng YY, Gunaratne R, Ironside C, Taheri A. Conventional vs robotic arm assisted total hip arthroplasty (THA) surgical time, transfusion rates, length of stay, complications and learning curve. J Arthritis. 2018;7(4):1-4. doi:10.4172/2167-7921.1000272
- Pierce J, Needham K, Adams C, Coppolecchia A, Lavernia C. Robotic assisted total hip arthroplasty: a 90-Day episode of care cost analysis. Presented at: The Professional Society for Health Economics and Outcomes Research (ISPOR) Annual Meeting; May 18-20, 2020; Virtua
- Maldonado D, Go C, Kyin C, Rosinsky J, Shapira J, Lall A, Domb B. Robotic arm-assisted total hip arthroplasty is more cost-effective than manual total hip arthroplasty: A Markov Model Analysis. J Am Acad Orthop Surg 2020;00:1-9. DOI: 10.5435/JAAOS-D-20-00498
- Foissey C, Batailler C, Coulomb R, Giebaly DE, Coulin B, Lustig S, Kouyoumdjian P. Image-based robotic-assisted total hip arthroplasty through direct anterior approach allows a better orientation of the acetabular cup and a better restitution of the centre of rotation than a conventional procedure. Int Orthop. 2023 Mar;47(3):691-699. doi: 10.1007/s00264-022-05624-6. Epub 2022 Nov 9. PMID: 36348089.
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