Mako partial knee replacement


Robotic-assisted surgery revolutionizes partial knee replacements

Any kind of joint replacement is a complex medical decision, taking into consideration your pain, health and potential for increased quality of life. As part of our ongoing effort to find the best health solutions for our patients, orthopedic surgeons at ETMC and Azalea Orthopedics are now are able to offer new options to patients who have osteoarthritis in their knee but may not need total knee replacement surgery.

Called Mako partial knee replacement, the system combines the ability of CT scanning to map out the patient’s anatomy with a system that guides the surgeon, allowing for more precise positioning of the prosthetic implant. The minimally invasive robot-assisted system offers better results with quicker recovery to qualified patients, and is available in Tyler only at ETMC.

Click here to view a message from Dee Davis, a Mako knee replacement patient.


Click here to view a message from Julie, a Mako knee replacement patient.

Is Mako partial knee replacement right for you?

Good candidates for the Mako partial knee procedure have these characteristics:

  • knee pain on the inner knee, under the kneecap or on the outer knee when active
  • knee pain or stiffness when initiating activities from a sitting position
  • failure to respond to nonsurgical treatments such as rest, weight loss, physical therapy and nonsteroidal anti-inflammatory medication

contnet-orthopedics-conflitti-headshot“They compared patients who have had the Mako partial knee with the robot versus patients who had the regular partial knee replacement, and those with the robot have had better long-term success.”
Joseph Conflitti, MD, orthopedic surgeon

The new gold standard in partial knee replacement

Traditionally, partial knee replacement surgery is less invasive than total replacement procedures, and the patient can retain healthy cartilage, ligaments and other tissue. However, partial knee procedures can be more challenging for surgeons – even a slight misalignment can mean a prosthesis that is short-lived or “feels wrong” to the patient. Because of this, many patients choose to receive a total knee replacement, which has a high satisfaction rate but could mean replacing a lot of healthy tissue.

With the Mako partial knee replacement system, your surgeon selectively targets the part of your knee damaged by osteoarthritis and can resurface your knee while sparing the healthy bone and ligaments surrounding it – only getting rid of the painful areas with robotic-guided precision that begins with imaging before the surgery.

Dr. Joseph Conflitti, an orthopedic surgeon at the ETMC Orthopedic Institute, explains how the high-tech system helps improve care. “We can map out the person’s anatomy with the CT scanner before surgery, then the CT scanner info is downloaded into the robotic system. During the surgery we can map out the knee as we see it, and those two images are mirrored, giving us a perfect projection of what the patient’s anatomy actually is. Then we can make very precise cuts to align that implant exactly how we had planned it preoperatively.”

Patient benefits available in Tyler only at ETMC

The combination of 3-D scanning and robotically guided cutting helps the physicians create a better joint than was previously possible.

For the patient, surgery with the Mako partial knee replacement system offers many benefits, including

  • smaller incision
  • less scarring
  • reduced blood loss
  • shorter hospital stay
  • quicker recovery
  • a more natural-feeling knee after less-invasive surgery


content-orthopedics-kaminski-headshot“It’s phenomenal. It’ll revolutionize partial joint replacements. Patients who previously were not candidates – who were considered too young to get a total knee replacement – now have other options that are less aggressive and potentially long-lasting.”

Ken Kaminski, MD, surgeon, Azalea Orthopedics

ETMC is the only place in Tyler where patients can receive the benefits of the Mako partial knee replacement system. For more information, call the ETMC Orthopedic Institute at 903-747-4110.