My brother is a knee surgeon and has used the Mako product. He tells me that it is no better than freehand shaping. It is useful for very new surgeons but that universe is pretty small. The real market is much smaller than you think and nowhere near the potential of Intuitive which I still own. I think it will be a big yawn when used for hips as that market is dominated by totals not partials. Any stooge can cut off a bone and stick in a ball joint.
Your brother's experience is vastly different than the consensus of surgeons i have spoken with,,,It is greatly different than "free shaping" since everything is exact and balanced and successful..
As for hips being so easy, that is in direct opposition to the studies showing better than 33% failure since they are not being placed exactly where they need be for them to last....The robot allows the surgeon to ream out the acetabulum exactly so forces are balanced and less chance for dislocation....
Mako's market is partials not total knees. 90% of procedures are totals. Hospital for Special Surgery in New York does 95% totals and they are the largest in the country. They are much cheaper in the long run and much easier.
Well he better expand his horizons beyond just knees - LOL - who talks that way? My wife is an ear surgeon, specializing in eardrums. You are a buffoon and a liar. So far, I've seen plenty of REAL ortho docs tout Makoplasty's superiority over antiquated freehand, but I have not seen your BROTHER anywhere.