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Total Hip Arthroscopy with MAKOplasty®

LRGHealthcare is the first and only hospital in New Hampshire to offer this innovative, robotic arm-guided total hip replacement surgery.

MAKOplasty® Total Hip Arthroplasty (Replacement) is an innovative, breakthrough solution for those suffering with painful degenerative joint disease. It is powered by the RIO® Robotic Arm Interactive Orthopaedic System, which allows for a new level of precision in hip replacement and is designed to enhance stability and to increase range of motion.

During the surgery, the robotic arm guides the surgeon in preparing the pelvis socket and positioning the implants. Real time information and images allow the surgeon to know and control accurate implant placement. MAKOplasty® Total Hip Replacement benefits may include:

  • Enhance stability and mobility
  • Restore an active lifestyle
  • Provide better implant placement, which may improve the lifetime of the implant

As a total hip replacement procedure, MAKOplasty® is typically covered by most Medicare-approved and private health insurers.

What is degenerative joint disease?

Degenerative joint disease (DJD) is a common cause of hip pain. DJD is a chronic condition affecting millions of Americans, often resulting in loss of an active lifestyle and quality of life. There are different types of DJD that may cause hip pain. These include but are not limited to:

  • Osteoarthritis (OA), also called 'wear-and-tear arthritis,' in which cartilage wears down over time
     
  • Post-traumatic arthritis, which results from a severe fracture or dislocation of the hip
     
  • Rheumatoid arthritis (RA), an inflammatory arthritis of the joints
     
  • Avascular necrosis (AVN), a condition where the ‘ball’ or femoral head has lost a healthy supply of blood flow causing the bone to die and the femoral head to become misshapen
     
  • The risk of developing symptomatic DJD is influenced by multiple factors such as age, gender and inherited traits that can affect the shape and stability of your joints
     
  • Hip dysplasia, a condition where bones around the hip did not form properly, which may cause misalignment of the hip joint

Other factors can include:

  • A previous hip injury
  • Repetitive strain on the hip
  • Improper joint alignment
  • Being overweight
  • Exercise or sports-generated stress placed on the hip joint

The most common symptom of degenerative Joint disease of the hip is pain, which may occur in four places:

  • Groin
  • Outside the hip
  • Lower area of the back
  • Thigh to the knee (or below)

Pain from the hip is commonly mistaken for back pain, and may be treated as such until the diagnosis of DJD is made. Degenerative joint disease of the hip is a loss of cartilage, or lining, of the hip joint. The cartilage serves as a cushion and allows for smooth movement of the hip. When cartilage wears away, and the ball-and-socket bones touch it creates bone-on-bone contact. This contact creates pain from rubbing together, swelling, and stiffness.

Non-surgical treatment options are often the first line of defense. This can include resting the hip from overuse, gentle exercise (such as swimming), or over the counter medicines to manage the pain. If your symptoms are not responding to non-surgical solutions, you may be a candidate for total hip replacement.

Am I a candidate?

If your symptoms aren’t responding to non-surgical solutions, or your pain can no longer be controlled by medication, you may be a candidate for MAKOplasty® Total Hip Arthroplasty, a procedure also known as total hip replacement. Only your surgeon can determine if MAKOplasty® Total Hip Replacement is right for you.

A MAKOplasty® Total Hip Replacement candidate may experience the following:

  • Pain while putting weight on the affected hip
     
  • Limping to lessen the weight-bearing pressure on the affected hip
     
  • Pain that may radiate to the groin, lower back, or down the thigh to the knee
     
  • Hip pain or stiffness during walking or other impact activities
     
  • Failure to respond to non-surgical treatments or non-steroidal anti-inflammatory medication

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