In Adana, Mako robotic knee and hip replacement surgeries offer personalized surgical planning opportunities for suitable patients with advanced osteoarthritis. At the Private Adana Middle East Hospital, the Mako SmartRobotics system allows for a three-dimensional assessment of the patient’s bone structure; the size of the prosthesis, bone cuts, and the placement angle of the prosthesis can be planned in detail before surgery.
What does Mako Robotic Surgery bring to Adana?
Knee and hip osteoarthritis can significantly impact patients’ daily lives. Pain while walking, difficulty climbing stairs, night pain, and limited mobility can reduce quality of life in later stages.
Robotic surgical systems can be used in suitable patients for whom treatment options are insufficient and prosthetic surgery is deemed necessary.
The introduction of the Mako robotic surgical system in Adana is significant because it allows patients to access personalized prosthesis planning based on three-dimensional tomography without having to travel outside the city.
Private Adana Middle East Hospital offers robotic surgery services among its technological healthcare applications. The hospital is located in Seyhan, Adana.
What is Mako Robotic Surgery?
Mako is a robotic arm-assisted surgical system that provides planning and execution support to surgeons in knee and hip replacement surgeries.
The system does not perform the surgery on its own. The entire operation is performed by an orthopedic surgeon. The Mako robotic arm helps to execute the surgeon’s personalized plan in a more controlled manner.
Therefore, the most accurate description for Mako is not “surgery performed by a robot,” but rather “robotic arm-assisted prosthetic surgery performed by a surgeon.”
Pre-operative planning is done using 3D CT scans.
The Mako robotic surgery process begins with a computed tomography (CT) scan. CT images taken from the patient’s knee or hip area are converted into a three-dimensional bone model using specialized software.
The model created is not a ready-made or standard joint image. It shows the patient’s own bone structure and anatomical features.
The surgeon is working on this three-dimensional model;
- The appropriate size of the prosthesis,
- The location where the prosthesis will be placed in the bone,
- The level of bone cuts,
- The angle of the incisions,
- Deformity in the joint,
- Knee and hip balance
They can evaluate it before the surgery.
This approach allows the surgery to be planned not only according to general anatomical measurements, but also according to the patient’s own bone structure.
What are millimeter-precise calculations used for?
In knee or hip replacement surgery, the angle and level at which the prosthesis is placed in the bone are as important as the size of the prosthesis itself.
With the Mako system, the surgeon can make minor adjustments to the prosthesis’s position and observe the effect of these changes on joint stability. The amount of bone to be removed and the angle of prosthesis placement can be evaluated in detail on the digital plane.
The phrase “millimeter-precise calculation” here does not mean the robot makes the decision alone. The system provides measurement and planning data; the orthopedic surgeon is the one who makes the surgical decision and approves the plan.
How does Mako’s haptic technology work?
One of the standout features of the Mako robotic system is its haptic technology.
Before the operation, the surgeon determines the area of bone to be worked on using a three-dimensional model. This plan is then transferred to the robotic arm during the surgery.
If the surgical instrument approaches outside the planned area, the system helps to physically restrict the movement of the robotic arm. This structure can be thought of as an invisible safety boundary created around the bone.
Haptic technology does not replace the surgeon’s hand. It helps the surgeon keep the instrument within its predetermined working area.
What surgeries can be performed with Mako in Adana?
The Mako SmartRobotics system can be used in various prosthetic surgeries depending on the patient’s needs and surgical assessment.
Robotic Total Knee Replacement
In advanced osteoarthritis affecting multiple sections of the knee joint, total knee replacement may be considered.
With the Mako system, the size of the prosthesis, bone cuts, prosthesis angle, and knee balance can be evaluated on a three-dimensional model before surgery.
Robotic Partial Knee Replacement
Partial knee replacement can be performed in suitable patients where osteoarthritis affects only a specific part of the knee.
This method aims to preserve healthy bone and tissue as much as possible. Whether a patient is suitable for a partial prosthesis is determined based on examination and imaging results.
Robotic Hip Replacement
Robotic hip replacement surgery may be considered for suitable patients with advanced osteoarthritis, pain, and limited range of motion in the hip joint.
Three-dimensional planning allows for the assessment of the hip replacement socket’s position, angle, and the size of the prosthesis to be used before surgery.
Is Mako Robotic Surgery Suitable for Every Patient?
Not every knee or hip pain requires replacement surgery. Similarly, robotic surgery is not mandatory for every patient needing a replacement.
First, the patient’s complaints, physical examination findings, and imaging results should be evaluated together.
When determining suitability for robotic prosthetic surgery;
- The level of calcification,
- Restrictions in the patient’s daily life,
- The duration and intensity of the pain,
- Bone structure,
- Deformity in the joint,
- The patient’s age and general health condition,
- Previously applied treatments
is taken into consideration.
In patients who do not benefit sufficiently from medication, exercise, physical therapy, or intra-articular injections, prosthetic surgery may be considered.
Personalized Robotic Prosthesis Planning with Op. Dr. Muhsin Dursun
Op. Dr. Muhsin Dursun sees patients in the field of orthopedics and traumatology at the Private Adana Middle East Hospital in Adana. His clinical practices include robotic knee and hip replacement planning, arthroscopic surgery, hand surgery, and trauma surgery.
In robotic prosthetic surgery, simply having the device is not enough. A proper patient assessment, surgical planning, and the operation of the robotic system by an experienced surgeon are essential.
Dr. Muhsin Dursun, in planning Mako robot-assisted prosthesis surgery, evaluates the patient’s age, lifestyle, joint deformity, pain level, and expected range of motion. The goal is not only to implant the prosthesis but also to create a planned and personalized treatment process, from pre-operative to post-operative follow-up.
What is the surgeon’s role in Mako Robotic Surgery?
The Mako robot does not perform the surgery on its own.
Surgeon;
- He examines the patient’s three-dimensional model,
- Choose the size of the prosthesis.
- It determines the position of the prosthesis.
- He plans the bone cuts,
- It assesses the balance of joints and ligaments.
- It controls the robotic arm.
- It places the prosthesis into the bone.
The Mako system provides the surgeon with measurement, planning, and haptic motion restriction support during this process.
No matter how advanced the robotic system may be, surgical decisions and control of the operation always remain with the orthopedic surgeon.
Robotic Prosthetic Surgery for Adana and Surrounding Provinces
The presence of the Mako system at Adana Middle East Private Hospital is an important option not only for patients living in Adana city center, but also for patients coming from surrounding cities.
Patients with knee or hip osteoarthritis living in Mersin, Hatay, Osmaniye, Gaziantep, Kahramanmaraş and surrounding regions can apply for an orthopedic examination in Adana for suitability assessment.
However, the decision for robotic surgery is not made solely based on the patient’s request. First, the need for a prosthesis is assessed, and then it is determined whether the patient is a suitable candidate for Mako robotic surgery.
How is a Mako Robotic Knee Replacement Surgery Examination Performed in Adana?
During the initial assessment, the patient’s pain history is recorded, including how long it has been present, which movements worsen it, and how much it affects their daily life.
Next, knee or hip movements, joint deformity, gait, and muscle strength are assessed. X-rays and other imaging methods deemed necessary are reviewed.
If a prosthetic surgery is decided upon, a computed tomography (CT) scan may be performed for Mako robotic surgical planning. A personalized surgical plan is then prepared based on a three-dimensional model created from the CT images.
Private Adana Middle East Hospital is located in Seyhan; Op. Dr. Muhsin Dursun evaluates robotic prosthesis patients within the scope of the hospital’s orthopedics and traumatology clinical practices.
Do Robotic Systems Guarantee Success?
The Mako system helps in more detailed surgical planning and the controlled execution of the prepared plan. However, no robotic system or surgical method guarantees absolute success.
The outcome of the surgery;
- Based on the patient’s general health condition,
- Bone quality,
- Depending on the level of calcification,
- Depending on the surgeon’s experience,
- Choosing the right prosthesis,
- Post-operative physical therapy,
- Patient compliance with recommendations
It depends.
The main advantage offered by Mako is that it allows surgery to be evaluated and performed not according to a standard plan, but according to the patient’s three-dimensional bone anatomy.
