Demystifying Medicine Video



A couple of years ago, the thought of using a robot and related 3D software to aid in total knee arthroplasty (a surgical procedure pervasively used to treat severe osteoarthritis), may have seemed like something out of a science fiction novel. Well, not anymore! Meet the MAKO Rio Robotic Arm! MAKO robotic-arm assisted surgery uses 3D imaging technology and miniaturized surgical instruments, placed throughout the area of operation, to resurface the knee for placement of the implants. This video gives a brief introduction to the MAKO robot while exploring evidence from literature related to its efficacy & feasibility for TKA.

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References
  • An Inside Look at Knee Replacement Surgery. (2019). WebMD. Retrieved October 17, 2020, from https://www.webmd.com/osteoarthritis/...
  • replacement-inside-look 2. Arthritis Alliance of Canada. (2011). The impact of arthritis in Canada: Today and over the next 30 years. Arthritis Alliance of Canada. Retrieved September 26, 2020, from https://www.arthritisalliance.ca/imag... rthritis.pdf
  • Blyth MJG, Anthony I, Rowe P, et al. Robotic arm-assisted versus conventional unicompartmental knee arthroplasty: Exploratory secondary analysis of a randomised controlled trial. Bone Joint Res. 2017;6(11):631-639. doi:10.1302/2046-3758.611.BJR- 2017-0060.R1
  • Blyth, M., Anthony, I., Rowe, P., et al. (2017). Robotic arm-assisted versus conventional unicompartmental knee arthroplasty: Exploratory secondary analysis of a randomised controlled trial. Bone & joint research, 6(11), 631–639.
  • Carter, A. (2019, February 22). Knee replacement surgery performed with a robot for the first time in Canada. CBC. https://www.cbc.ca/news/canada/hamilt... replacement-1.5029788
  • Grau, L., Lingamfelter, M., Ponzio, D., et al. (2019). Robotic arm assisted total knee arthroplasty workflow optimization, operative times and learning curve. Arthroplasty today, 5(4), 465–470. https://doi.org/10.1016/j.artd.2019.0...
  • Jones, D. (2018, December 4). First Mako Rio surgery robot comes to Hamilton, Ontario. St.Joseph’s Healthcare. https://www.stjoes.ca/our-stories/new... surgery-robot-comes-to-Ha milton-Ontario
  • Kalavrytinos, D., Koutserimpas, C., Kalavrytinos, I., et al. (2020). Expanding Robotic Arm-Assisted Knee Surgery: The First Attempt to Use the System for Knee Revision Arthroplasty. Case reports in orthopedics, 2020, 4806987. https://doi.org/10.1155/2020/4806987
  • Kayani, B., Konan, S., Pietrzak, J., et al. (2018). Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee Arthroplasty: A Prospective Cohort Study and Validation of a New Classification System. The Journal of arthroplasty, 33(8), 2496–2501. https://doi.org/10.1016/j.arth.2018.0...
  • MAKO Total Knee. (n.d.). Stryker. Retrieved September 26, 2020, from https://patients.stryker.com/knee-rep... knee
  • Marchand, R. C., Sodhi, N., Khlopas, A., et al. (2017). Patient Satisfaction Outcomes after Robotic Arm-Assisted Total Knee Arthroplasty: A Short-Term Evaluation. The journal of knee surgery, 30(9), 849–853. https://doi.org/10.1055/s-0037-1607450
  • Netravali, N. A., Shen, F., Park, Y., et al. (2013). A perspective on robotic assistance for knee arthroplasty. Advances in orthopedics, 2013, 970703. https://doi.org/10.1155/2013/970703
  • Sousa, P. L., Sculco, P. K., Mayman, D. J., et al. (2020). Robots in the Operating Room During Hip and Knee Arthroplasty. Current reviews in musculoskeletal medicine, 13(3), 309–317. https://doi.org/10.1007/s12178-020-09...

Credits:

  • The MAKO system robot animations were adapted from the Stryker website.
  • The TKA animation was adapted from WebMD.