— Robotic-assisted joint replacement

A surgical plan
built for your
anatomy.

Mako SmartRobotics combines a personalized 3D plan from your CT scan with a surgeon-controlled robotic arm that executes that plan within a fraction of a millimeter. The same platform powers our hip, total knee, and partial knee replacements.

CT-based

3D planning

A surgical plan built from your CT scan — specific to your anatomy.

Sub-mm

Accuracy

Bone cuts and implant placement executed within a fraction of a millimeter.

Surgeon-led

Robotic arm

Not autonomous — every motion is controlled by the surgeon.

Hip · Knee · Partial

All three procedures

The same Mako platform powers all of our joint replacement procedures.

How Mako works.

A combined overview of how the Mako system powers hip, total knee, and partial knee replacement — from CT-based planning through robotic-arm execution to recovery.

— Animation

Mako for Joint Replacement

Video courtesy of Stryker

Three steps.
One system.

Robotic-assisted surgery isn’t a single moment in the operating room — it’s a system that starts with a CT scan weeks before surgery and continues through every cut and implant placement on the day.

— BEFORE

CT scan & 3D model

A pre-operative CT scan is converted into a personalized 3D model of your joint. From that model, we build a surgical plan specific to your anatomy: implant size, position, alignment, and how it interacts with your soft tissues.

— DURING

Real-time adjustment

In the operating room, the plan is updated based on how your knee or hip actually behaves under tension — soft-tissue balance, range of motion, ligament behavior. The plan becomes truly final at this point, not before.

— EXECUTION

Robotic-arm precision

The Mako robotic arm enforces the final plan. Bone cuts are made within a fraction of a millimeter of the planned position. The implant fits because the bone was prepared to fit it — not the other way around.

Why robotic
precision matters.

A joint replacement isn’t a one-day operation — it’s a 20-year implant. The small alignment errors that traditional surgery sometimes accumulates are the same errors that show up as long-term wear, loosening, or revision surgery. Robotic precision is about avoiding those errors before they happen.

01

Personalized, not templated

Most joint replacement is performed using a standardized plan adjusted intra-operatively. Mako inverts that — the plan is built from your CT scan from the start.

02

Better alignment, better wear

Sub-millimeter accuracy in bone cuts and implant positioning. Proper alignment is the foundation of how a joint replacement performs and wears over time.

03

Real-time soft-tissue balance

The plan can be adjusted intra-operatively based on how your ligaments actually behave — something that’s hard to assess accurately without robotic tools.

04

Surgeon-controlled, not autonomous

Every motion of the robotic arm is controlled by the surgeon. Mako enforces the plan and prevents alignment errors — it doesn’t replace surgical judgment.

05

Smaller margin of error

Especially for partial knee replacement, where there’s less room for the small alignment errors that a total knee can absorb.

06

Fewer outliers, more consistency

The strongest finding in the robotic-assisted literature: dramatically fewer alignment outliers than conventional technique. The cases that go just slightly wrong, don’t.