Bethesda Orthopaedic Institute

Bethesda Orthopaedic Institute

MAKOplasty™ Robotic Surgery Technology

Enables a New Level of Accuracy and Reproducibility for Partial Knee and Total Hip Replacement.


Bethesda Orthopedic Institute, part of Bethesda Health is proud to MAKOplasty®  Partial Knee Resurfacing and MAKOplasty® Total Hip Replacement procedures, performed using the RIO®  Robotic Arm Interactive Orthopedic System marketed by MAKO Surgical Corp. RIO is a surgeon-controlled robotic arm system that enables accurate alignment and placement of implants.

The RIO System features a patient-specific visualization system and proprietary tactile robotic arm technology that is integrated with intelligent surgical instruments. It assists surgeons in pre-planning and in treating each patient uniquely and with consistently reproducible procedure.

MAKOplasty Partial Knee Resurfacing is a treatment option for adults living with early to mid-stage osteoarthritis that has not yet progressed to all three compartments of the knee. It is less invasive than traditional total knee surgery. A pre-surgical plan is created based on a CT scan of the patient’s own knee, and the surgeon uses the robotic arm during surgery to resurface the diseased portion of the knee, sparing healthy bone and surrounding tissue for a more natural feeling knee. An implant is then secured in the joint to allow the knee to move smoothly again.

During MAKOplasty Total Hip Replacement surgery, RIO provides visualization of the joint and biomechanical data to guide the bone preparation and implant positioning to match the pre-surgical plan. After first preparing the femur or thighbone, the surgeon uses the robotic arm to accurately ream and shape the acetabulum socket in the hip, and then implant the cup at the correct depth and orientation. The surgeon then implants the femoral implant.  MAKOplasty offers the confidence of more accurate cup placement and accurate leg length restoration.

One of Bethesda’s early adopters of the MAKO technique is one of Palm Beach County’s most experienced orthopaedic surgeons, Elvis Grandic, M.D., who has performed more than 40 MAKO procedures for knees and hips combined.

Benefits of MAKOplasty include:

  • Shorter recovery times
  • No activity limitations
  • Less pain
  • Decreased dislocation
  • Less scarring
  • More natural feeling hip

At the Bethesda Orthopaedic Institute, our team of experienced orthopaedic surgeons are here to help you get back to living! Visit our Find a Physician page to locate an orthopaedic surgeon on our Medical Staff.