Robotic Knee Replacement
is a key part of Jonathan’s practice, with the Mako Robotic Arm System being a highly accurate tool for knee joint surgery. One of the main factors contributing to the success of knee replacement is the proper balance of the new knee joint with the surrounding soft tissues and ligaments. The Mako system ensures that the joint replacement is aligned precisely within the natural tissue tension, leaving soft tissues and ligaments intact as much as possible, which minimises damage. This process significantly reduces the pain associated with surgery and increases patient satisfaction. With robotic precision, Jonathan is able to create a personalised, accurate surgical plan that allows for a more tailored knee replacement, resulting in a higher rate of success compared to standard knee replacement procedures.
The process begins with a CT scan of your knee which records your individualised anatomy and alignment. During surgery, a virtual knee replacement is matched to your real anatomy with bone registration. The virtual implant is then balanced according to your own real-time ligament tension. This allows the knee replacement to be placed with minimal soft tissue release.
Once the final plan has been accepted, the Mako robot is brought into the operating field and Jonathan guides the robotic arm to fashion the bone to accept the knee replacement according to the plan. There are tight boundaries that protect the soft tissues and once again minimise soft tissue trauma.
A trial is performed with trial components which mimic the real implants. Due to the robotic accuracy it is unusual to change the plan at this stage and the definitive knee replacement components are implanted.
