Hip Surgery

Steward Orthopedics offers the latest in surgical options for hip replacements, including minimally invasive, muscle sparing, surgical hip replacement, including the Direct Anterior Approach and the Direct Superior Approach. In addition, Steward surgeons can also use Robotic-Assisted Total Hip Replacement with Mako.

Our orthopedic surgeons perform the following types of hip surgeries:

• Total hip replacement
• Total hip revision
• Hip resurfacing

The direct anterior and direct superior approaches to the hip for total joint arthroplasty have several advantages to more traditional methods. These methods are considered minimally invasive as it spares more of the muscle and tissue surrounding the joint. With less impact to the muscles and tissues has shown significantly less pain, improved recovery times, improved patient experience, and increased accuracy of the joint placement.

Mako SmartRobotics is an innovative solution for many suffering from painful arthritis of the hip. Mako uses 3D CT-based planning software so your surgeon can know more about your anatomy to create a personalized joint replacement surgical plan. This 3D model is used to preplan and assist your surgeon in performing your total hip replacement. Learn more about the Mako System.

The iovera system is a new technology that changes treatment of pain both pre and post-surgery. It has shown to reduce chronic pain in patients not eligible for surgery and dramatically decrease opioid use post-surgery. Use of the iovera system has shown to lessen pain during recovery and physical therapy. Application of the iovera system pre-surgery has revolutionized the entire pain management program for total hip replacement patients.

According to their website “The iovera° system is used to destroy tissue during surgical procedures by applying freezing cold. It can also be used to produce lesions in peripheral nervous tissue by the application of cold to the selected site for the blocking of pain. It is also indicated for the relief of pain and symptoms associated with osteoarthritis of the knee for up to 90 days.”

The hip joint is one of your body’s largest weight-bearing joints. A ball and socket joint, your hip is held in place by powerful ligaments and muscles, which help your hip remain stable even during twisting and extreme ranges of motion. A healthy hip allows you to walk, squat and turn without pain. When your hip joint is damaged, it is likely to hurt when you move. When a natural hip must be replaced, a prosthesis is used.

David Camarata, MD
Ralph T. Heap, MD
Timothy Kavanaugh, MD
Brian R. McWhorter, DO
Michael J. Sumko, DO

Mako SmartRobotics™ for Total Hip replacement

We understand that knowing what to expect from your joint replacement experience is important to you. As you are reading through this material, please reach out to us to discuss if you have additional questions.

Each patient is unique and can experience joint pain for different reasons. It’s important to talk to us about the reason for your hip pain so you can understand the treatment options available to you. Pain from arthritis and joint degeneration can be constant or come and go, occur with movement or after a period of rest, or be located in one spot or many parts of the body. It is common for patients to try medication and other conservative treatments to treat their hip pain. If you haven’t experienced adequate relief with those treatment options, you may be a candidate for Mako Total Hip replacement, which may provide you with relief from your hip pain.

How Mako SmartRobotics™ works

Mako SmartRobotics™ is an innovative solution for many suffering from painful arthritis of the hip. Mako uses 3D CT-based planning software so your surgeon can know more about your anatomy to create a personalized joint replacement surgical plan. This 3D model is used to preplan and assist your surgeon in performing your total hip replacement.

In the operating room, your surgeon follows your personalized surgical plan while preparing the bone for the implant. The surgeon guides Mako’s robotic arm within the predefined area, and Mako’s AccuStop™ technology helps the surgeon stay within the planned boundaries that were defined when the personalized preoperative plan was created. By guiding your doctor during surgery, Mako’s AccuStop™ technology allows your surgeon to cut less by cutting precisely what’s planned¹ to help protect your healthy bone.²

Mako SmartRobotics™ for Total Hip replacement is a surgical procedure intended for patients who suffer from noninflammatory or inflammatory degenerative joint disease (DJD). Some forms of DJD include osteoarthritis (OA), post-traumatic arthritis, rheumatoid arthritis (RA), avascular necrosis (AVN) and hip dysplasia.

It’s important to understand that the surgery is performed by an orthopaedic surgeon, who guides Mako’s robotic arm during the surgery to position the implant in the hip joint. Mako SmartRobotics™ does not perform surgery, make decisions on its own or move without the surgeon guiding it. Mako SmartRobotics™ also allows your surgeon to make adjustments to your plan during surgery as needed.