Services

Orthopedics

Our orthopedic team is comprised of the area's most respected doctors and medical staff, who specialize in all types of orthopedic surgery. Our physicians are joined by a professional team of specially trained nurses, physical therapists, case managers and dietitians to provide a comprehensive, multidisciplinary approach to treating patients. North Florida Regional has a dedicated unit for pre-operative education which includes Ortho Camp, where patients meet with staff for an educational session on their surgery and have the ability to ask questions.

The orthopedic surgeons' spectrum includes diseases of the neck and goes all the way down to the toes.  Orthopedic surgeons on staff at NFRMC are highly talented and trained specialists who utilize the most advanced diagnostic and treatment techniques to improve the quality of life of patients. To learn more about our orthopedic surgeons, click here.

Orthopedic surgeons at NFRMC continue to take advantage of advanced technology to raise even further the level of quality for patients having joint replacement surgery.  BlueCross and BlueShield of Florida, Inc. (BCBSF) has designated NFRMC as a Blue Distinction Center for both Spine Surgery and Knee and Hip Replacement. The Blue Distinction® designation is a symbol of high value on research and evidence-based health and medical information. Blue Distinction Centers are identified as leading institutions that meet clinically validated quality standards and deliver better overall outcomes in patient care.

MAKOplasty®

Don’t Let Hip or Knee Pain Slow You Down.

The Power of MAKOplasty® This surgeon-controlled RIO® robotic arm system delivers more accurate hip and knee implant placement.

MAKOplasty® Total Hip Replacement and Partial Knee Replacement are innovative solutions. North Florida Regional Medical Center is the only hospital in the Gainesville area to offer this advanced technology. Orthopedic surgeons use it to deliver a new level of precision that can restore your mobility and active lifestyle.

The following orthopedic surgeons are trained to perform MAKOplasty® surgeries:


MAKOplasty® Total Hip Replacement

MAKOplasty® Total Hip Arthroplasty (THA), is a procedure known as total hip replacement that is supported by the RIO® Robotic Arm Interactive Orthopedic System. This innovative solution was designed for patients who suffer from non-inflammatory or inflammatory degenerative joint disease. RIO enables surgeons to achieve a new level of precision using the latest techniques in total hip replacement and is designed to restore patient mobility and active lifestyle.

RIO robotic arm technology provides your surgeon a patient-specific 3-D model to pre-plan your hip replacement. During the procedure, tactile, visual, auditory feedback and real-time data assist your surgeon in preparing the hip joint and placing the implants in the desired orientation with more accuracy.

If your surgeon determines that you are a good candidate for the MAKOplasty procedure, he or she will schedule a computed tomography (CT) scan of your hip one or two weeks prior to your surgery date. This is used to create your unique surgical plan for optimal implant placement.

MAKOplasty Total Hip Replacement may:

  • Facilitate optimal implant placement
  • Enhance stability and mobility
  • Restore an active lifestyle

FAQs about MAKOplasty® Total Hip Surgery

What is MAKOplasty® Total Hip Arthroplasty?
MAKOplasty® Total Hip Arthroplasty (THA), is a procedure known as total hip replacement that is supported by the RIO® Robotic Arm Interactive Orthopedic System. It is indicated for patients who suffer from non-inflammatory or inflammatory degenerative joint disease. RIO® Robotic Arm Interactive Orthopedic System, allows surgeons to achieve a new level of precision with the newest techniques in hip replacement surgery.

How does MAKOplasty® THA work?
If your surgeon determines that you are a good candidate for the MAKOplasty®procedure, he or she will schedule a computed tomography (CT) scan of your hip one or two weeks prior to your surgery date. Then, a patient-specific 3-D model of your pelvis and femur from the CT scan is created pre-operatively to plan optimal implant placement.

During surgery, the RIO®guides the surgeon in preparing the hip anatomy and positioning the implants. Real-time data and images allow surgeons to know and control accurate implant placement, which can be difficult to achieve using traditional manual techniques.  

Who may be a candidate for MAKOplasty® Total Hip Replacement Surgery?
Only your surgeon can determine if you are a candidate for MAKOplasty® Total Hip Replacement.

A candidate for MAKOplasty® Total Hip Replacement may currently be experiencing 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 nonsteroidal anti-inflammatory medication.

How does MAKOplasty® Total Hip Replacement enhance traditional total hip surgery?
A This technology offers the potential for a higher level of patient–specific implant alignment and positioning to accurately reproduce the surgical plan, an aspect not consistently achieved in manual techniques.

Accurate alignment and positioning of hip implants are important factors affecting surgical outcomes and the lifespan of implants.

How can MAKOplasty® Total Hip Replacement Surgery benefit patients?
The robotic arm technology enables a new level of accuracy in implant alignment and positioning – that may mean restored mobility and a return to your active lifestyle.

What are the risks with a MAKOplasty® Total Hip Replacement Surgery?
Individual results may vary. There are risks associated with any hip surgical procedure, including MAKOplasty® Total Hip Replacement. Your doctor can explain these risks and help determine if MAKOplasty® Total Hip Replacement is right for you.

What can I expect from my recovery and rehabilitation?
A typical hospital stay for a total hip replacement is determined by your MAKOplasty® surgeon. Your surgeon will also determine what physical therapy may be prescribed for you.

What is the lifespan of MAKOplasty® implants?
All implants have a life expectancy that depends on several factors, including the patient’s weight, activity level, quality of bone, and compliance with his/her physician’s orders. Proper implant alignment and accurate positioning during surgery are also very important factors that can improve the life expectancy of an implant. Through the use of the RIO® robotic arm system, implants may be more optimally aligned and positioned.

What surgeon can perform MAKOplasty® Total Hip Replacement?
To learn more and review the list of surgeons who perform the MAKOplasty® Total Hip Replacement, please call 1-800-611-6913. We are available 24 hours a day, 7 days a week.

MAKOplasty® Partial Knee Replacement

MAKOplasty® Total Hip Arthroplasty (THA), is a procedure known as total hip replacement that is supported by the RIO® Robotic Arm Interactive Orthopedic System. This innovative solution was designed for patients who suffer from non-inflammatory or inflammatory degenerative joint disease. RIO enables surgeons to achieve a new level of precision using the latest techniques in total hip replacement and is designed to restore patient mobility and active lifestyle.

RIO robotic arm technology provides your surgeon a patient-specific 3-D model to pre-plan your hip replacement. During the procedure, tactile, visual, auditory feedback and real-time data assist your surgeon in preparing the hip joint and placing the implants in the desired orientation with more accuracy.

If your surgeon determines that you are a good candidate for the MAKOplasty procedure, he or she will schedule a computed tomography (CT) scan of your hip one or two weeks prior to your surgery date. This is used to create your unique surgical plan for optimal implant placement.

MAKOplasty Total Hip Replacement may:

  • Facilitate optimal implant placement
  • Enhance stability and mobility
  • Restore an active lifestyle

FAQs about MAKOplasty® Partial Knee
Replacement Surgery

What is the MAKOplasty procedure?
MAKOplasty partial knee resurfacing is an innovative treatment option for patients who are living with early to mid-stage knee osteoarthritis disease in the inner, top or outer portion of the knee (unicompartmental knee or uni knee surgery). It can also be performed as a bicompartmental knee surgery.

MAKOplasty is powered by MAKO’s robotic arm system, which allows for consistent reproducible precision in performing partial knee resurfacing, a challenging procedure with manual techniques. Our specially trained surgeons use MAKO’s FDA-cleared RIO Robotic Arm Interactive Orthopedic System to perform MAKOplasty through a smaller incision than what is required for traditional manual knee replacement surgery. During the procedure, only the diseased portion of the knee is resurfaced, sparing the patient’s healthy bone and surrounding tissue. An implant is then secured in the joint to allow the knee to move smoothly again. MAKOplasty is typically covered by health insurance.

How does the MAKOplasty procedure work as an alternative to knee replacement surgery?
MAKO’s RIO system features a robotic arm that assists the orthopedic surgeon in several ways. First, it combines patient-specific, three-dimensional modeling for pre-surgical planning. Then, during the procedure, the combination of a robotic arm and computer navigation provide the surgeon with real-time visual, tactile and auditory feedback, enabling reproducible precision and optimal positioning of the implant within the knee.

Who would be a good candidate for MAKOplasty?
Although the best treatment for each patient must be determined individually, typical MAKOplasty patients share the following characteristics:

  • Knee pain with activity, on the inner knee, under the knee cap or the outer knee
  • Start-up knee pain for stiffness when activities are initiated from a sitting position
  • Failure to respond to non-surgical treatments or non-steroidal, anti-inflammatory medication
  • Early- to mid-stage osteoarthritis of the knee and damage is localized to one or two knee compartments
  • Aren’t quite ready for a total-knee replacement and is looking for a less invasive knee surgery
  • Not bow-legged or knock-kneed more than 15 degrees

What are the benefits of MAKOplasty MIS Knee?
The MAKOplasty minimally invasive knee surgery (MIS knee) typically allows patients to experience a shorter hospital stay, minimal blood loss, quicker rehab and a smaller scar. In addition, many MAKOplasty patients are able to return to an active lifestyle within weeks of the procedure.

How long do the implants used in a MAKOplasty procedure last?
All implants have a limited life expectancy that depends on several factors, including a patient’s weight, activity level, quality of bone stock and compliance with doctor’s orders. However, alignment and positioning are also key factors affecting the life expectancy of an implant. The goal of the MAKOplasty procedure is to achieve the absolute best alignment and positioning for your implant to help it last as long as possible.

How do I find out which surgeons perform MAKOplasty at North Florida Regional Medical Center in Gainesville, Florida?
Give us a call at 1-800-611-6913. You can reach us 24 hours a day, 7 days a week.

Knee Replacement Surgery

For patients having knee replacement surgery, robotic navigation increases precision in device placement for better and long-lasting results. For example, the Stryker eNlite Knee Navigation System is designed to improve the surgical performance and clinical outcome of knee replacement surgery. The robotic software navigation package helps facilitate improved decision making for alignment and orientation of instruments, trials and implants. Stryker knee navigation software packages provide surgeons a simplified solution helping make navigated total knee replacements easier procedures to incorporate in the everyday OR environment. Computer assisted surgery may also result in possible shorter hospital stays for patients, decreased complications, improved joint stability and decreased rehabilitation time.

Hip Replacement Surgery

For patients having hip replacement surgery, the Hana Table makes possible the newer anterior approach. It is one of the least invasive surgical options, and many patients undergoing hip replacement surgery are eligible candidates for the anterior hip approach. The procedure requires the Hana Table, an advanced surgical table that makes it possible for surgeons to work in between the muscles, rather than detaching them from the hip or thighbones. This results in minimal tissue disturbance and smaller surgical incisions. The difference between conventional and anterior hip replacement surgeries is significant. Conventional surgery requires strict precautions for the patient, limiting hip motion for six to eight weeks after surgery. Conversely, the anterior approach allows patients to bend their hips freely more quickly and bear full weight when comfortable, ensuring a more rapid return to normal function. Orthopedic surgeons using the anterior approach say it increases precise placement of hip replacement devices, and that translates into better function for patients and surgery that lasts longer.

For More Information

For more information on both Orthopedics and Neurosciences, please contact Consult-a-Nurse at 1-800-611-6913.


Note: Designation as Blue Distinction Centers® means these facilities’ overall experience and aggregate data met objective criteria established in collaboration with expert clinicians’ and leading professional organizations’ recommendations Individual outcomes may vary. To find out which services are covered under you policy at any facilities, please call your local Blue Cross and/or Blue Shield Plan.