The Use of the Robotic Arm-Assisted System (MAKO) for Hip Revision Surgery

Document Type : CASE REPORT

Authors

1 2nd Department of Orthopaedics, “Hygeia” General Hospital of Athens, Athens, Greece

2 2nd Department of Orthopaedics, “Hygeia” General Hospital of Athens, Athens, Greece -Department of Orthopaedics and Traumatology, “251” Hellenic Air Force General Hospital of Athens, Athens, Greece

3 Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece

Abstract

The robotic arm-assisted system (MAKO) has pioneered a transformative approach to hip joint restoration, excelling in reinstating innate hip joint anatomy and biomechanics. This case represents the initial application of the system in revision surgery following a cut-out complication. A 69-year-old female, previously independent and mobile, presented with left hip pain. X-rays revealed a cut-out complication of the proximal nail, necessitating revision to total hip arthroplasty due to the patient''s prior activity level and implant prominence. Utilizing the robotic system, preoperative planning accurately identified limb length discrepancy and guided implant sizing. The system facilitated precise acetabular reaming and optimal component placement. The patient regained functional independence. This report also underscores the system''s potential for accurate acetabulum component placement and restoration of hip joint anatomy and biomechanics in revision cases. Future advancements in this technology may expand its role in complex reconstructions and revisions, further enhancing patient outcomes in hip arthroplasty.
        Level of evidence: V

Keywords

Main Subjects

References

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The Archives of Bone and Joint Surgery
Volume 12, Issue 8
August 2024
Pages 608-611

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History

  • Receive Date: 16 January 2024
  • Revise Date: 18 May 2024
  • Accept Date: 15 April 2024

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