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Minimally Invasive Hip and Knee Surgery

MAKO equipment

First in the world to offer MAKOplasty

Holy Cross Hospital was the first in the world to offer MAKOplasty, a minimally invasive partial knee resurfacing procedure used to treat early to mid-stage osteoarthritis of the knee. Now doctors at Holy Cross are utilizing the next generation of the robotic arm system by MAKO Surgical Corp.

First in Florida to offer multicompartmental knee resurfacing

We are the first hospital in Florida to offer patients multicompartmental knee resurfacing. We can now provide minimally invasive knee surgery to even more patients. The new MAKO RIOTM robotic arm system allows our expert surgeons to keep as much of the original knee as possible, while the MAKO Restoris system restores natural knee function. So our patients can enjoy a faster recovery and get back to being their best. Previously, MAKOplasty was only available to treat just the inside portion of the knee. The RIO System now makes possible resurfacing of the medial, patellofemoral, or both components of the knee.

"Precision is key in planning and performing partial knee surgeries," says Dr. Martin Roche, Orthopedic Surgeon at the Holy Cross Orthopedic Institute. "For a good outcome, you need to align and position the implants just right. Precision in surgery, and in the pre-operative planning process, is what the RIO System delivers. We are very excited to use the new RIO and to be able to offer MAKOplasty to a greater number of patients."

RIO enables specific pre-operative surgical planning and modeling based on each patient's unique anatomy. During the MAKOplasty procedure, the surgeon uses the robotic arm, which provides tactile, acoustic and visual feedback, to limit the bone preparation to the diseased areas and provide for optimal implant placement. The goal of this minimally invasive procedure is to restore the patient's natural knee motion with as little bone cutting and tissue trauma as possible, for a more natural feeling knee post operatively and a rapid recovery.

The opportunity for early intervention is important as osteoarthritis (OA) is the most common form of arthritis and a leading cause of disability worldwide, according to the American Academy of Orthopaedic Surgeons (AAOS).

First in Broward County to offer MAKOplasty® Total Hip Replacement

Holy Cross Hospital was the first hospital in Broward County offering MAKOplasty® Total Hip Replacement using the RIO robotic arm system. The use of robotic arm technology has never before been used in total hip replacement.

Here's how MAKOplasty Hip works: The RIO system provides a patient-specific 3-D image of the patient's hip based on a pre-operative CT scan. Using the 3-D model, the surgeon can then plan the optimal size and position of hip implant components. An implant consists of a cup and liner placed in the acetabulum or the socket of the pelvis, and a femoral component with a femoral head and stem. The position of these components is critical for proper biomechanical reconstruction of the hip.

During surgery, RIO provides visualization of the joint and biomechanical data to guide the bone preparation and implant positioning to match the pre-surgical plan. First the surgeon prepares the femoral bone for the implant, and subsequently measures the femoral component's position with the RIO. Next the surgeon uses the robotic arm to accurately ream and shape the acetabulum, and then implant the cup at the correct depth and orientation. Finally the surgeon implants the femoral implant and RIO provides summary data to confirm the hip implants are aligned according to plan. MAKOplasty Hip is designed to assist surgeons in attaining a new level of reproducible precision in surgery, to restore patients' confidence in their mobility and help them return to active lifestyles.

MAKOplasty Hip may be a treatment option for people who suffer from either non-inflammatory or inflammatory degenerative joint disease.

Everyone's anatomy is unique and ensuring that implants are correctly positioned can improve both surgical outcomes and implant lifespans. The robotic arm allows greater precision. 

First in the World to Perform a Total Knee Replacement Using the MAKO RIO® Robotic Arm System  

In September 2016Dr. Martin Roche performed the world’s first robotic total knee replacement using the MAKO RIO® Robotic Arm System at Holy Cross Hospital.

“Our surgeons at the Holy Cross Orthopedic Institute are focused on developing and providing the most advanced technologies for our patients,” said Dr. Roche. “We performed the first MAKOplasty partial knee replacement almost 10 years ago, and I am excited we can now offer a full range of robotic surgeries for both knee and hip arthritis. The accuracy and precision of the robotic arm (RIO) with integrated sensors (Verasense) helps guide the surgeon to achieve the surgical plan consistently and safely.”

Coral Springs, Fla. resident Sandra Goldberg, 70, is the first to have the procedure.

“Wherever I have gone, no one can believe how I have bounced back so quickly,” said Goldberg just nine weeks after the surgery. “I am going back to work and I thought it was going to take four to five months.”

Total knee replacements offer pain relief and improved function to millions of patients with arthritic knees. Goldberg, a home health nurse who conducts health assessments, plans to have her other knee replaced next year, ideally using the same technology.

“It has been exciting to work collaboratively with our surgeons to combine compassionate care with leading-edge technology,” said Holy Cross Hospital President and Chief Executive Officer Patrick A. Taylor, MD, MBA. “This latest development is yet another step in our dedication as an Orthopedic Center of Excellence to bring our patients the best orthopedic care available today.”


Mako Robot
The award-winning Holy Cross Orthopedic Institute is committed to providing the highest quality of patient care to you and your loved ones. The compassionate and cutting-edge care we offer has been consistently recognized on the national level. Click to watch videos of our patients and surgeons discuss their procedures and what to expect from the Holy Cross Orthopedic Team.

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