MAKOplasty Total Hip Replacement

Degenerative joint disease (DJD), a common cause of hip pain, is a chronic condition characterised by the wearing of the cushioning tissue – cartilage – that lines the ends of articulating bones. There are different types of DJD and the most common include osteoarthritis (OA), post-traumatic arthritis, rheumatoid arthritis (RA), avascular necrosis (AVN) and hip dysplasia.

MAKOplasty® Total Hip Replacement is a novel surgical alternative for patients with degenerative joint disease. In this procedure, a Robotic Arm Interactive Orthopedic System (RIO®) assists your surgeon in aligning and positioning implants more precisely.

MAKOplasty can be considered to treat pain that occurs while bearing weight on the affected joint, pain or stiffness in the hip while walking or performing other activities, and also when conservative line of management does not help relive the symptoms.


The accurate placement and alignment of the hip implant is crucial in hip replacement surgery. MAKOplasty® Total Hip Replacement utilises a CT scan of your hip to generate a 3-D model of your pelvis and femur. This aids your surgeon in planning your surgery.

During surgery, the RIO® software provides dynamic information to enhance the accuracy of the procedure. Such real-time information assists your surgeon in the precise placement of the implant, which can be difficult to achieve with traditional surgical techniques.

The benefits of MAKOplasty® Total Hip Replacement include:

  • Precise placement of the hip implants using the surgeon-controlled robotic arm system, with a decline in the possible risk of hip dislocation
  • Uniformity in leg length, reducing the requirement of a shoe lift
  • Increased longevity of the implant due to a reduction in abnormal rubbing between implant and bone

Robotic Arm Interactive Orthopaedic System (RIO®)

The RIO® Robotic Arm Interactive Orthopaedic System has three dimensional pre-surgical planning. During surgery, the RIO® provides your surgeon with real-time visual, tactile and auditory feedback to facilitate optimal joint resurfacing and implant positioning. Such optimal placement can result in a more natural hip motion following surgery.

RIO® features

The features of an RIO system include:

  • Accurately plans the implant size, orientation and alignment using CT-derived 3-D modelling
  • Enables the pre-resection capture of patient-specific kinematic tracking through full flexion and extension
  • Real-time intra-operative adjustments for correct hip kinematics and soft-tissue balance
  • Minimally invasive and bone sparing, with minimal tissue trauma for faster recovery
Luton and Dunstable University Hospital
  • Spire Healthcare
  • OSD Healthcare
  • The London Clini
  • One Hatfield Hospital
  • The Royal College of Surgeons of Edinburgh