Mako Robotic Joint Replacement

Mako Robotic Total Knee Replacement

Total Knee Replacement, also known as Total Knee Arthroplasty, is one of the most successful and cost effective interventions in modern medicine. Total Knee Replacement is commonly performed in the elderly population to relieve severe pain. The primary reason for 90% of total knee replacement surgeries is Osteoarthritis, followed by Rheumatoid Arthritis.

All forms of arthritis and other joint disease can lead to severe damage to the joints; cartilage is severely damaged, resulting in severe damage to the joints leading to unbearable pain. This is called end-stage joint disease.

Mako Robotic Partial Knee Replacement

Mako Robotic Partial Knee replacement is an option for adults suffering from osteoarthritis (OA) of the knee. If you’ve caught the arthritic damage early, you may be eligible for a partial knee replacement. 

This is where the disease has not progressed to all 3 compartments of the knee, allowing the surgeon to replace fewer parts.

Mako Robotic-Arm Assisted Technology can be used for partial knee replacement, which is a surgical procedure that helps relieve the pain caused by OA of the knee. 

Mako Robotic Total Hip Replacement

Mako Robotic Total Hip Replacement (THR) surgery involves the removal of arthritic bone and damaged cartilage and replacing them with hip implants that are designed to replicate the hip joint. If you haven’t experienced adequate relief with conservative treatment options, like heat or cold therapy, medication, or joint fluid supplements, your doctor may recommend Mako Robotic Total Hip replacement.

Mako Robotic-Arm Assisted Total Hip replacement is a procedure designed for patients who suffer from the non-inflammatory  joint disease of the hip. 

Explained by Dr. Narayan Hulse: What is Mako Robotic Total Knee Replacement?
Explained by Dr. Narayan Hulse: How Does Mako Robotic Knee Replacement Work?

What Our Patients Say

Play Video about 66-Yr. Old Mom From Africa Gets Successful Mako Robotic Knee Replacement Surgery
Play Video
Book an appointment

Fortis Hospital (080-66214444) Hulse Clinic (+919480260001)


Mako is a cutting-edge robotic-arm technology developed by Stryker. It is the only FDA approved Ortho Robotic system available in the world. It assists surgeons with joint replacement surgery and the results are excellent. The Mako system enables your surgeon to create an accurate 3D model of your unique joint anatomy based on a CT scan. This is used to pre-plan your surgery before you reach the operating table. During surgery, your surgeon guides the Mako robotic arm, based on this personalized plan, helping them to focus on removing diseased bone and preserving healthy bone. The system also assists the surgeon with positioning the prosthetic implant with high precision, thereby ensuring the best fit with your unique bone structure.

Dr. Narayan Hulse uses Mako robotic arm assisted surgery for total hip replacements, total knee replacements and partial knee replacements.

No. The surgery is performed by Dr. Narayan Hulse who uses the robotic arm system before surgery to create a plan and during surgery to guide them and position the implant. The robotic arm cannot make decisions on its own or move in any way without the surgeon to guide it.

If you are experiencing severe hip or knee pain (due to a degenerative condition like Osteoarthritis), Dr. Narayan Hulse may suggest Mako Robotic hip or knee replacement surgery. This entails removing the damaged joint (either the whole joint or just the damaged sections) and replacing it with a prosthetic implant. The procedure will be explained to you by Dr. Narayan Hulse. Book an appointment with Dr. Narayan Hulse to know more. 

Hip replacements involve placing components (implants) in a deep-seated hip socket. Achieving correct placement and alignment is important both for function and to prevent dislocations. Robotic hip replacement has shown better accuracy in terms of acetabular component position compared to conventional component position during a hip replacement. 

There is an option for Direct Anterior Approach using Mako Robotics during Hip Replacement. It is known to be quicker in recovery, more natural in terms of movements, fewer dislocations, and fewer chances of leg length discrepancies. Dr. Narayan Hulse is the first surgeon in India to do Robotic Direct Anterior Approach Hip Replacements. 

It is well known in all scientific research about joint replacement now that partial (unicondylar) knee replacements need more accuracy than total knee replacements and total hip replacements. This is why the Mako Robotic Partial (Unicondylar) Knee Replacements are much superior compared to conventional partial knee replacements in terms of recovery, longevity, accuracy, and function. Partial (Unicondylar) Knee Replacements are almost done using Robotics in all major joint replacement centers in the US. 

Mako helps in creating a personalized plan before the surgery and better fit of the implant during the surgery thereby providing higher precision, faster recovery and lesser pain compared to the manual surgery.

Mako Robotic Joint Replacement is the best and the latest available technology for joint replacement in the world. Even though this technology is widely available in the US and some European countries, it is available only in a few centers in India. Mako Robotic technology increases the accuracy of the joint replacement surgery – both during the planning stage and also during the execution (surgery).

Mako Robotic Technology involves making a CT scan which leads to a 3D virtual model of your own knee which will help us get the correct dimensions and different axes required for joint replacement surgeries.  

People who have undergone Mako Robotic Joint Replacement surgeries have reported: 

Less pain 

Early discharge 

Early recovery to their pre-operative (normal) level function 

Less blood loss 

Also, it has been universally shown that the joint replacements done using Mako Robotics are more accurate on the post-operative X-Rays. 

Because the joint replacement is done more accurately, the implant will last longer compared to conventional joint replacement. However, long-term studies are required to further validate the same. 

Mako Robotic Joint Replacements are marginally higher in cost in our center primarily due to the expense involved in the CT scan and usage of the robotic technology. We will discuss the same with you and help figure out the best option depending on your insurance, the type of surgery, and the ward preference before your surgery. 

We use an implant called Stryker Triathlon which is one of the most used implants worldwide with the longest follow-up. Triathlon along with Mako Robotic Technology comes as one of the best knee replacements available in the world. Dr. Narayan Hulse is the first person to complete 1000 Triathlon joint replacements in India.