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MAKO Surgical AO Message Board

  • brumby22 brumby22 Mar 27, 2013 6:44 PM Flag

    Mako Plasty a lifestyle saver.

    Not too certain about the stock, but I can tell you from personal experience that the procedure for a partial knee replacement is a gift from God. I personally had a partial right knee replacement in September 2012. Had 4 days of home therapy the first week for 15 minutes per day and 3 days the second week and that was it! The surgery was done on a Friday morning and I was walking un-assisted Sunday morning. Never used a cane or walker following the day after the surgery. Didn't actually need it the day after but had been told I should use it so I did expecting some sort of difficulty that never materialized. I can't offer enough great comments about the surgery but I can certainly tell you that I would never endure the pain as long for the next knee. I have watched folks go through knee replacements and seen the agony trying to rehab and get back to some kind of normalcy. Don't put off the procedure, go search for Mako Plasty, you'll be so glad you did.

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    • It is great that you had such a good result.

      I had posted here in January about my (then) upcoming TKR -- I had originally gotten into MAKO while seeking a non-invasive procedure for my knee problems and had sought out and traveled a substantial distance to see a MAKO-experienced surgeon, hoping to have the MAKO procedure. My surgeon, who is has done many Mako procedures ruled out MAKO due to the severe degeneration of my knee and in March, I had a TKR which was done using a minimally invasive procedure. In my case, I was walking the same day, never really needed a walker or cane and had only 2 PT sessions. I was driving in 2 weeks. I did have nerve pain that made sleeping difficult for around 3 weeks, but really had few physical limitations otherwise. After 8 weeks, I do not even think about my knee, it feels totally normal.

      Others who have had TKR are amazed at my rapid recovery. My surgeon is recommending TKR for my other knee vs. a partial.His rationale is "why settle for a partial, when you can have a TKR with minimal pain and recovery?".

      I am substantially invested in MAKO and am concerned that some practitioners are now doing minimally invasive TKR that will begin to displace partial procedures. I believe my surgeon is exceptional and that my recovery was exceptional as well, so my experience may not be typical, but I am seriously considering another TKR vs MAKO my other knee ....... but only if done by my surgeon.


      • 1 Reply to laker9029
      • Hi Laker, glad you had a good result. I remember your post from December when you were leaning towards MAKOL only to find your knee was too far gone. Mako is working on a TKR solution with rumors of ACL sparing but not sure how feasible that is.

        Here's Dr Pearle of the Hospital for Special Surgery (HSS) in NY. They purchased 2 MAKOs in Dec 2011 (after vetting one in trials) and are ranked the #1 ortho program by US Nwws & World Report:

        TKR vs PKR
        Total knee replacement (TKR) is an excellent operation and one of the most successful procedures developed in the 20th century. However, total knee replacement in 2012 often does not meet the expectations of those who currently undergo the procedure. Designed to allow patients to walk but not to run or play sports, the modern day total knee replacement removes the major ligaments in the knee (the ACL and PCL for example). Recent studies have demonstrated no functional limitations during swimming and biking; however, significant limitations were noted during more strenuous activities such as kneeling, squatting, moving laterally, turning and cutting, carrying loads, stretching, leg strengthening, tennis, dancing, gardening, and even sexual activity(1). Increasingly, this operation is performed on younger patients with over 40% of total knee replacements performed in patients under the age of 65 years old (there has been a 3 fold increase in TKR for this group over the last decade)(2)! The demands of this group often include a rapid return to work, participation in sports, and normal or near normal knee function.

        Unfortunately expectations are not always met with TKR. Indeed 15-25% of patients who undergo TKR would not do the operation again(3)!! This is particularly sobering considering that we will spend up to 1% of the GDP on this operation in 2030. An emerging alternative to TKR is partial knee replacement. With this strategy, only the damaged portion..."

        Sentiment: Strong Buy

    • Thanks, brumby for the insights from your personal experience. If you don't mind sharing some more, curious to know how you and your surgeon decided on Makoplasty as best procedure for you? What were the alternatives you considered?