Knee replacement is intended for use in individuals with joint disease
resulting from degenerative and rheumatoid arthritis, or avascular necrosis.
Knee joint replacement is intended for use in individuals with joint disease
resulting from degenerative, rheumatoid and post- traumatic arthritis,
and for moderate deformity of the knee.
Joint replacement surgery is not appropriate for patients with certain
types of infections, any mental or neuromuscular disorder which would
create an unacceptable risk of prosthesis instability, prosthesis fixation
failure or complications in postoperative care, compromised bone stock,
skeletal immaturity, severe instability of the joint, or excessive body weight.
Like any surgery, joint replacement surgery has serious risks which include,
but are not limited to, pain, infection, bone fracture, change in the
treated leg length (hip), joint stiffness, hip joint fusion, amputation,
peripheral neuropathies (nerve damage), circulatory compromise (including
deep vein thrombosis (blood clots in the legs)), genitourinary disorders
(including kidney failure), gastrointestinal disorders (including paralytic
ileus (loss of intestinal digestive movement)), vascular disorders (including
thrombus (blood clots), blood loss, or changes in blood pressure or heart
rhythm), bronchopulmonary disorders (including emboli, stroke or pneumonia),
heart attack, and death.
Implant related risks which may lead to a revision of the implant include
dislocation, loosening, fracture, nerve damage, heterotopic bone formation
(abnormal bone growth in tissue), wear of the implant, metal and/or foreign
body sensitivity, soft tissue imbalance, osteolysis (localized progressive
bone loss), audible sounds during motion, reaction to particle debris
, and reaction to metal ions (ALTR). Hip and knee implants may not provide
the same feel or performance characteristics experienced with a normal
healthy joint.
The information presented is for educational purposes only. Speak to your
doctor to decide if joint replacement surgery is appropriate for you.
Individual results vary and not all patients will return to the same activity
level. The lifetime of any joint replacement is limited and depends on
several factors like patient weight and activity level. Your doctor will
counsel you about strategies to potentially prolong the lifetime of the
device, including avoiding high-impact activities, such as running, as
well as maintaining a healthy weight. It is important to closely follow
your doctor’s instructions regarding post-surgery activity, treatment
and follow-up care. Ask your doctor if a joint replacement is right for you.
Stryker Corporation or its other divisions or other corporate affiliated
entities own, use or have applied for the following trademarks or service
marks: AccuStop, Mako, SmartRobotics, Stryker, Triathlon. All other trademarks
are trademarks of their respective owners.
References
Mistry JB, Elmallah RK, Chughtai M, Oktem M, Harwin SF, Mont MA. Long-term
survivorship and clinical outcomes of a single radius total knee arthroplasty.
Surg Technol Int. 2016;28:247-251.
Piazza S. Designed to maintain collateral ligament stability throughout
the range of motion. Stryker-Initiated Dynamic Computer Simulations of
Passive ROM and Oxford Rig Test. 2003.
Wang H, Simpson KJ, Ferrara MS, Chamnongkich S, Kinsey T, Mahoney OM. Biomechanical
differences exhibited during sit-to-stand between total knee arthroplasty
designs of varying radii. J Arthroplasty. 2006;21(8):1193-1199. doi:10.1016/j.arth.2006.02.172
Gómez-Barrena E, Fernandez-García C, Fernandez-Bravo A, Cutillas-Ruiz
R, Bermejo-Fernandez G. Functional performance with a single-radius femoral
design total knee arthroplasty. Clin Orthop Relat Res. 2010;468(5):1214-1220.
doi:10.1007/s11999-009-1190-2
Mahoney O, Kinsey T, Mont M, Hozack W, Orozco F, Chen A. Can computer generated
3D bone models improve the accuracy of total knee component placement
compared to manual instrumentation? A prospective multi-center evaluation.
Poster presented at: 32nd Annual Congress of the International Society
for Technology in Arthroplasty; October 2-5, 2019; Toronto, Canada.
Kayani B, Konan S, Pietrzak JRT, Haddad FS. Iatrogenic bone and soft tissue
trauma in robotic-arm assisted total knee arthroplasty compared with conventional
jig-based total knee arthroplasty: a prospective cohort study and validation
of a new classification system. J Arthroplasty. 2018;33(8):2496-2501.
doi:10.1016/j.arth.2018.03.042
Hozack WJ. Multicentre analysis of outcomes after robotic-arm assisted
total knee arthroplasty. Bone Joint J:Orthop Proc. 2018;100-B(Supp_12):38.
Hip replacements
Hip replacement is intended for use in individuals with joint disease resulting
from degenerative and rheumatoid arthritis, avascular necrosis, fracture
of the neck of the femur or functional deformity of the hip.
Hip replacement surgery is not appropriate for patients with certain types
of infections, any mental or neuromuscular disorder which would create
an unacceptable risk of prosthesis instability, prosthesis fixation failure
or complications in postoperative care, compromised bone stock, skeletal
immaturity, severe instability of the joint, or excessive body weight.
Like any surgery, joint replacement surgery has serious risks which include,
but are not limited to, pain, infection, bone fracture, change in the
treated leg length (hip), joint stiffness, hip joint fusion, amputation,
peripheral neuropathies (nerve damage), circulatory compromise (including
deep vein thrombosis (blood clots in the legs)), genitourinary disorders
(including kidney failure), gastrointestinal disorders (including paralytic
ileus (loss of intestinal digestive movement)), vascular disorders (including
thrombus (blood clots), blood loss, or changes in blood pressure or heart
rhythm), bronchopulmonary disorders (including emboli, stroke or pneumonia),
heart attack, and death.
Implant related risks which may lead to a revision of the implant include
dislocation, loosening, fracture, nerve damage, heterotopic bone formation
(abnormal bone growth in tissue), wear of the implant, metal and/or foreign
body sensitivity, soft tissue imbalance, osteolysis (localized progressive
bone loss), audible sounds during motion, reaction to particle debris
, and reaction to metal ions (ALTR). Hip and knee implants may not provide
the same feel or performance characteristics experienced with a normal
healthy joint.
The information presented is for educational purposes only. Speak to your
doctor to decide if joint replacement surgery is appropriate for you.
Individual results vary and not all patients will return to the same activity
level. The lifetime of any joint replacement is limited and depends on
several factors like patient weight and activity level. Your doctor will
counsel you about strategies to potentially prolong the lifetime of the
device, including avoiding high-impact activities, such as running, as
well as maintaining a healthy weight. It is important to closely follow
your doctor’s instructions regarding post-surgery activity, treatment
and follow-up care. Ask your doctor if a joint replacement is right for you.
Stryker Corporation or its other divisions or other corporate affiliated
entities own, use or have applied for the following trademarks or service
marks: AccuStop, Mako, SmartRobotics, Stryker. All other trademarks are
trademarks of their respective owners.
References
Illgen RL, Bukowski BR, Abiola R, et al. Robotic-assisted total hip arthroplasty:
outcomes at minimum two year follow up. Surg Technol Int. 2017;30:365-372.
Suarez-Ahedo C, Gui C, Martin TJ, Chandrasekaran S, Lodhia P, Domb BG.
Robotic-arm assisted total hip arthroplasty results in smaller acetabular
cup size in relation to the femoral head size: a matched-pair controlled
study. Hip Int. 2017;27(2):147-152. doi:10.5301/hipint.5000418
Nawabi DH, Conditt MA, Ranawat AS, et al. Haptically guided robotic technology
in total hip arthroplasty: a cadaveric investigation. Proc Inst Mech Eng
H. 227(3):302-309. doi:10.1177/0954411912468540