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Sulis Hospital Celebrates Milestone Achievement with 1,000th MAKO Knee Replacement Surgery

Consultant Orthopaedic Surgeon and Knee Specialist, Mr Neil Bradbury, has successfully completed his 1,000th Mako robotic-assisted knee replacement surgery. This remarkable achievement highlights the transformative impact of the Mako robot in joint replacement surgery, significantly enhancing patient outcomes and recovery times.

Revolutionising Joint Replacement Surgery

The state-of-the-art Mako robot is revolutionising joint replacement surgery. By offering unparalleled precision and bespoke implant positioning, the Mako robot ensures that patients can return to their normal activities more quickly and with greater confidence.

Expert Insights from Neil Bradbury
Mr Neil Bradbury, Consultant Knee Specialist, shares his insights on the revolutionary Mako robot: "Knee replacements are among the most successful surgical procedures, as evidenced by patient-reported outcomes. However, as knee surgeons, we continually strive for even better results. Traditional knee replacement surgery provides patients with a knee that is still functioning between 90% and 95% of the time at 10 years from surgery, with 82% - 89% of patients satisfied with their replacement. With MAKO robotic surgery, we are aiming to improve patient satisfaction and some studies are reporting patient satisfaction rates of 94% - 95%. This is a huge step forward.

Robotics, particularly the Mako robot, represents a significant innovation in this field. For partial knee replacements, robotic assistance has been available for over a decade, and for total knee replacements, it has become mainstream in the past three to four years. Early results are extremely encouraging with less pain, less bleeding, earlier recovery and faster return to normal function, lower readmission rates.

At Sulis Hospital, we are fortunate to have access to the Mako robot, the market leader in joint replacement robotics. The robot dramatically increases the accuracy of knee replacement implantation and allows for bespoke positioning of the implant to suit each individual patient. This fine-tuning can have a dramatic effect on the eventual outcome. Moreover, the robot enhances surgical safety, preventing damage to soft tissues in the knee joint, around the knee, such as blood vessels or nerves. This leads to a faster recovery and reduced pain and swelling."
 

Advantages of the Mako Robot
•    Increased Accuracy: The Mako robot ensures precise implant positioning.
•    Bespoke Implant Positioning: Tailored to each patient's unique anatomy.
•    Faster recovery and reduced pain.
•    Lower rates of repeat surgery.
•    Better patient satisfaction.

How It Works
Before surgery, patients undergo a CT scan, which allows for accurate planning of the knee replacement. The CT scan data is integrated into the robot’s system, enabling precise mapping of the patient’s knee anatomy. 

The surgeon then virtually plans the knee replacement on screen, fine-tuning the implant position for optimal results. The robot’s accuracy ensures confident implantation of the joint replacement.

The Centre of Excellence for Knee Surgery at Sulis Hospital is recognised nationally for it's expertise in Mako Robotic Knee surgery.

A Surgeon's Perspective

Mr Neil Bradbury reflects on his experience with the Mako robot: "Initially, I was sceptical about the potential improvements offered by the Mako robot. However, after using it for over 6 years, I can confidently say it delivers even more than promised. If I were to have my knee replaced, I would insist on the use of the Mako robot. It truly is a game changer."

Patient Experience

Elizabeth, aged 70, a patient who underwent Mako knee replacement surgery with Mr Bradbury this week, shared her experience: "I just couldn't continue anymore. I had been struggling with severe arthritis in both knees for years. Fourteen years ago, I had my left knee replaced, and it was inevitable that my right knee would need surgery too. 

"I put it off and put it off. It got to the point where I was struggling with simple day-to-day things like walking, and I’m an active person. Having robotic-assisted surgery with Mr Bradbury will be life-changing. 

"Regaining more mobility and being able to do more physical activities than before is important to me. I’m actively involved in the parish council, library services and café for the local community in Bishop Sutton, and I love gardening."

Mr Neil Bradbury, consultant orthopaedic surgeon, said: "We're able to put in the same excellent implant that we've been using for many years. We're just able to put them in now with a lot more precision and detail. Using motion sensors during the operation, you can further fine-tune the position of your implants to make them optimal for which has an ODEP (Orthopaedic Data Evaluation Panel) rating of 15A*, which is the best in the business. 

"This is a nationally recognised rating scale of how well the implant performs and how long it lasts. The robot arm helps us to be able to make precise cuts with safe boundaries.

"Elizabeth had her operation at Sulis Hospital, one of the first hospitals in the South West to offer Mako robot technology for knee replacements.