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Upstate performs first Mako Total Knee replacement in region

Upstate performs first Mako Total Knee replacement in region

The patient was a 52-year-old Central New York woman. The surgery was performed on Wednesday and she was discharged to home rehabilitation on Friday.

Mako Robotic-Arm Assisted Surgery System for total knee replacement is being phased in throughout the country and only about 50 or so medical facilities nationwide have the ability to do total knee replacement using Mako technology, including Upstate.

Upstate has used the MAKO system for partial knee and hip replacements since late 2014, but FDA only recently approved the system for total knee replacements.

The surgery took place on Upstate’s Community Campus, where Upstate’s orthopedic inpatient and surgical services are centered.

“Upstate is pleased to mark this milestone and to offer robotic surgical services for total knee replacement for patients throughout upstate New York,” said Nancy Daoust, chief administrative officer for Upstate’s Community Campus. “We have made a commitment to bring new medical technologies to the patients of this region, especially technology that enhances both patient safety and surgical outcomes.”

The surgeon-controlled robotic-arm system allows for more precise alignment and positioning of implants to achieve greater accuracy that previously was not available with conventional surgery, according to orthopedic surgeon Robert Sherman, MD, who performed the first robotic total knee last week.

A major benefit with a robotic system, Sherman notes, is the patient-specific visualization system that assists surgeons in pre-planning and in treating each patient uniquely and with consistent precision.

“More precise alignment of the implant means less wear and tear, less initial pain and greater lifespan of the implant,” he said.

Sherman said anyone facing total knee replacement would be a candidate for the robotic system at Upstate.

Individuals with weakened knee joints or advanced arthritis in the knee will likely be candidates for a total knee replacement.

Sherman said pain is a good predictor that surgery may be needed. “Individuals who are in pain when they walk, climb stairs, get up from sitting, might want to talk to their physician about whether knee replacement surgery is the option.”

In addition to Sherman, total knee replacements using the RIO robotic arm system are performed currently by Emil Azer, MD; and Timothy Damron, MD.  Sherman, Azer and Damron are all board-certified orthopedic surgeons.

Knee replacements are popular surgeries performed today, and are expected to be in demand even more in coming years, according to the American Academy of Orthopaedic Surgeons.

Total knee replacement procedures in 2014 numbered 680,886, up 7.5 percent since 2010.

Upstate has been recognized for the quality of its joint replacement program.  Late last year, Upstate University Hospital became the first hospital in New York to receive designation as a Center of Excellence for Hip & Knee Replacement by DNV GL-Healthcare, a national hospital-accrediting agency.

The Hip & Knee Replacement Certification program recognizes excellence in orthopedic surgery within the scope of hip and knee replacement and related procedures.

In addition to hip and knee replacement surgery, physicians with Community Campus Orthopedics provide a full range of orthopedic services including surgeries of the spine, shoulder, foot, ankle and hand. More information is available at Community Campus Orthopedics.

For information on robotic total knee replacement surgery at Upstate, call 315-464-4472.

Caption: Upstate orthopedic surgeon Robert Sherman, MD, above, performed the first robotic total knee with the Mako technology in Upstate New York Feb. 9.