Mako Robotic-Arm Assisted Surgery

Mako Robotic-Arm Assisted Surgery Enables a New Level of Accuracy for Joint Replacement Surgery.

If you have ever been told you need joint replacement surgery, there is a new option for you at Connecticut Orthopaedic Institute – Mako Robotic-Arm Assisted Surgery. Mako is a technique used by surgeons for partial knee resurfacing, total knee replacements, and total hip replacements. Hartford HealthCare was the first healthcare system in the state to offer patients this new, less invasive tool in orthopaedic surgery.

What makes Mako surgery different? The difference is in the procedure’s high level of accuracy and precision. Mako surgery involves using a Robotic Arm Interactive Orthopaedic System, known as RIO. This surgeon-controlled robotic arm helps surgeons get a patient-specific image and more precisely place and align the implants used in joint replacement surgery.

  • Before Surgery: It all begins with a CT scan of your knee or hip joint, which is used to generate a 3D virtual model of your unique anatomy. This virtual model is loaded into the Mako System software and used by your surgeon to create a personalized pre-operative plan.
  • In the Operating Room: Your surgeon will use the Mako System to assist in performing your surgery based on your personalized pre-operative plan. When the surgeon prepares the bone for the implant, the surgeon guides the robotic-arm within the pre-defined area, and the Mako System helps the surgeon stay within the planned boundaries that were defined when the personalized pre-operative plan was created. The Mako System also allows your surgeon to make adjustments to your plan during surgery as needed. In a laboratory study, Mako demonstrated accurate placement of implants to a personalized surgical plan. It also showed that MAKO Total Knee replacement demonstrated soft tissue protection to the ligaments around the knee.
  • After Surgery: Your surgeon, nurses, and physical therapists will set goals with you to get you back on the move. They will closely monitor your condition and progress. Your surgeon may review a post-operative x-ray of your new joint with you.

Here is some additional information regarding the application of the Mako system in regards to partial knee resurfacing, total knee replacements, and total hip replacements:

  • Mako Partial Knee Resurfacing is an innovative treatment option for adults living with early to mid-stage osteoarthritis that has not progressed to all three compartments of the knee. During the procedure, the diseased portion of the knee is resurfaced, sparing the patient’s healthy bone and surrounding tissue. An implant is then secured in the joint to allow the knee to move smoothly again. During the procedure, your surgeon uses a Robotic Arm Interactive Orthopaedic System, known as RIO, which allows for greater precision and accuracy in placing the implant.
  • Mako for Total Knee Replacement is a treatment option designed to relieve the pain caused by joint degeneration due to osteoarthritis. Through CT-based 3D modeling of bone anatomy, surgeons can use the Mako System to create a personalized surgical plan and identify the implant size, orientation, and alignment based on each patient’s unique anatomy. The Mako System also enables surgeons to virtually modify the surgical plan intra-operatively and assists the surgeon in executing bone resections, transforming the way total knee replacements are performed.
  • Mako Total Hip Replacement Surgery can help those suffering from degenerative hip joint disease. After first preparing the femur, the surgeon uses the robotic arm to accurately shape the acetabulum, and then implant the cup at the correct depth and orientation. The surgeon then implants the femoral implant. Mako offers the confidence of more accurate cup placement and accurate leg length restoration. During the procedure, your surgeon uses a Robotic Arm Interactive Orthopaedic System, known as RIO, which allows for greater precision and accuracy in placing the implant surgery.

Conditions Treated

Mako Robotic-Arm Assisted Surgery is an option if you or a loved one suffer from the following conditions:

Degenerative Joint Disease


Meet our Mako Specialists:

Name Specialties Location
Brandon Shulman, MD Brandon Shulman, MD 203.845.2200
  • Hand Surgery
  • Wilton
  • Westport
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Julianne M. Forlizzi, MD Julianne M. Forlizzi, MD 203.845.2200
  • Orthopedic Surgery
  • Wilton
  • Westport
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Curtis Campbell, MD Curtis Campbell, MD 203.268.2882
  • Joint Replacement Surgery
  • Trumbull
  • Fairfield
  • Westport
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Alim F. Ramji, MD Alim F. Ramji, MD 203.601.5243
  • Orthopedic Surgery
  • Trumbull
Pedro De Oliveira Coutinho, MD Pedro De Oliveira Coutinho, MD
4.7 /5
112 surveys
203.332.4125
  • Neurosurgery
  • Bridgeport
  • Westport
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Kenoma Anighoro, MD Kenoma Anighoro, MD 203.865.6784
  • Joint Replacement Surgery
  • Hamden
  • Milford
  • Branford
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William Probasco, MD William Probasco, MD 203.576.6000
  • Foot & Ankle Surgery
  • Bridgeport
Kelms Amoo-Achampong, MD Kelms Amoo-Achampong, MD 888.676.3627
  • Sports Medicine
  • Fairfield
  • Westport
  • Shelton
  • Trumbull
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Adam Driesman, MD Adam Driesman, MD 203.337.2600
  • Joint Replacement Surgery
  • Shelton
  • Fairfield
  • Milford
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David Martin, MD David Martin, MD 203.601.5236
  • Sports Medicine
  • Trumbull
Gerard Girasole, MD Gerard Girasole, MD 203.268.2882
  • Spine Surgery
  • Trumbull
Michael Grant Soojian, MD Michael Grant Soojian, MD 203.845.2200
  • Hand and Upper Extremity Surgery
  • Westport
Paul Protomastro, MD Paul Protomastro, MD 203.845.2200
  • Hand and Upper Extremity Surgery
  • Westport
  • Wilton
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Ross Richer, MD Ross Richer, MD 475.223.4159
  • Hand Surgery
  • Shelton
  • Fairfield
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James FitzGibbons, MD, FAAOS James FitzGibbons, MD, FAAOS 203.337.2600
  • Sports Medicine
  • Fairfield
  • Shelton
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Robert Brady, MD Robert Brady, MD 203.845.2200
  • Spine Surgery
  • Wilton
  • Westport
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Michael Redler, MD Michael Redler, MD 203.268.2882
  • Hand and Upper Extremity Surgery
  • Trumbull
  • Fairfield
  • Westport
Show Less
Joshua Frank, MD Joshua Frank, MD 203.845.2200
  • Sports Medicine
  • Wilton
  • Westport
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John Awad, MD John Awad, MD 203.337.2600
  • Spine Surgery
  • Fairfield
  • Milford
  • Shelton
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Patrick Wing-Hing Kwok, MD, FAAOS Patrick Wing-Hing Kwok, MD, FAAOS 203.337.2600
  • Sports Medicine
  • Fairfield
  • Shelton
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Abraham Mintz, MD Abraham Mintz, MD
4.8 /5
160 surveys
203.372.6460
  • Spine Surgery
  • Shelton
James Spak, MD James Spak, MD 203.268.2882
  • Sports Medicine
  • Trumbull
  • Fairfield
  • Westport
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William Cimino, MD William Cimino, MD 203.255.7000
  • Foot & Ankle Surgery
  • Fairfield
Michael Lynch, MD Michael Lynch, MD 203.845.2200
  • Joint Replacement Surgery
  • Wilton
  • Westport
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Daniel E. Weiland, MD Daniel E. Weiland, MD 203.337.2600
  • Sports Medicine
  • Fairfield
  • Shelton
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Aaron Schachter, MD Aaron Schachter, MD 203.877.5522
  • Sports Medicine
  • Milford
  • Orange
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Joel Malin, MD Joel Malin, MD 203.337.2600
  • Joint Replacement Surgery
  • Fairfield
  • Milford
  • Shelton
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Henry Backe, MD Henry Backe, MD 203.337.2600
  • Joint Replacement Surgery
  • Fairfield
  • Stratford
  • Shelton
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Dante Brittis, MD Dante Brittis, MD 203.337.2600
  • Sports Medicine
  • Fairfield
  • Milford
  • Shelton
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Cullen Griffith, MD Cullen Griffith, MD 203.337.2600
  • Orthopedic Surgery
  • Fairfield
  • Shelton
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Kristin Sandrowski, MD Kristin Sandrowski, MD 203.268.2882
  • Hand Surgery
  • Trumbull
Vijay Yanamadala, MD, FAANS Vijay Yanamadala, MD, FAANS
4.9 /5
111 surveys
203.332.3272
  • Neurosurgery
  • Westport
  • Milford
  • Bridgeport
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Mark Fletcher, MD Mark Fletcher, MD 203.845.2200
  • Joint Replacement Surgery
  • Wilton
  • Westport
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Glenn Russo, MD Glenn Russo, MD 203.407.3508
  • Spine Surgery
  • Hamden
  • Hamden
  • Milford
  • Shelton
  • Wallingford
  • Branford
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Lauren Fabian, MD Lauren Fabian, MD 203.337.2600
  • Sports Medicine
  • Fairfield
  • Shelton
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Anthony Viola III, DO Anthony Viola III, DO 203.955.1202
  • Spine Surgery
  • Fairfield
  • Shelton
  • Oxford
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William Conaway, MD William Conaway, MD 203.538.0020
  • Spine Surgery
  • Shelton
  • Trumbull
  • Fairfield
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John Dankert, MD, PhD John Dankert, MD, PhD 888.676.3627
  • Foot & Ankle Surgery
  • Fairfield
  • Westport
  • Shelton
  • Trumbull
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Ryan Thacher, MD Ryan Thacher, MD 203.845.2200
  • Joint Replacement Surgery
  • Westport

Connecticut Orthopaedic Institute at St. Vincent's Medical Center