LOUISVILLE, Ky. – UofL Health physicians at Jewish Hospital’s Total Joint Replacement Program celebrate their 1,000 Mako Robotic Assisted joint replacement procedure for patients seeking treatment with hip and knee arthritis.

Last month, Michael Kirkham became the 1,000th patient at Jewish Hospital to successfully undergo a procedure with the Mako robotic assisted system when he received a total knee replacement. During hip and knee replacements, the Mako system accurately determines the implant size and provides exact placement of the total joint replacement parts based on the individual patient’s bone anatomy.  The robotic arm of the Mako system helps the surgeon performing the procedure to make precise bone cuts and place the total joint hip or knee implants to exactly match the patient’s anatomy based on the preoperative plan.  The use of intraoperative computer technology and robotic assisted surgery for total joint replacement minimizes the risk of human error in implant size, placement and inadvertent soft tissue damage.   This type of smart intraoperative technology also provides the surgeon the ability to make any necessary adjustments during the procedure in real-time to achieve the target surgical goal.  Jewish Hospital, part of UofL Health, is the only facility in the region to perform these cutting-edge procedures.

“The Mako system procedures allow us to better plan for hip and knee replacement surgeries to exactly hit our surgical target which creates a more favorable outcome for the patient,” said Kirkman’s surgeon, Dr. Arthur Malkani, MD, Orthopedic Surgery. Dr. Malkani along, with his colleagues Dr. Logan Mast and Dr. Madhu Yakkanti, have performed the majority of hip and knee replacement surgeries at Jewish Hospital using the Mako Robotic-Arm Assisted Technology.  “This innovative technology allows us to customize the placement and size of hip and knee implants for the individual patient using minimally invasive surgery techniques allowing for a perfect fit in addition to faster recovery, less opioid consumption and improved outcomes”

Kirkham had undergone a prior surgery for a torn meniscus last year but continued experiencing knee pain.  After visiting with Dr. Malkani, he decided to proceed with a Mako Robotic assisted total knee replacement procedure due to the benefits of less pain, soft tissue trauma, and reports of better overall long-term recovery.

“Every day I can see some improvement and getting around is much better,” said Kirkham shortly following his surgery.

The Mako system allowed physicians to replicate Kirkham’s knee alignment prior to his injury, and before the area became arthritic. They were then able to reestablish his knee’s pre-arthritic alignment with extreme accuracy. Using the Mako system’s 3D model imagery specific for that individual patient, physicians can pre-operatively plan the surgical goals on a computer screen to obtain the surgical goals to provide a pain free along with a well-balanced and stable total knee replacement and then execute the plan using the Mako robotic assisted technology in real time.

“The Mako system gives us the ability to develop patient-specific 3D models of the arthritic area,” said Dr. Malkani. “This 3D technology lets us know precisely where to place the new parts and the exact size of the parts needed.”  “The use of computer technology and robotic assisted surgery has been a significant benefit and evolution in the field of total joint replacement in helping surgeons improve surgical accuracy and overall satisfaction in our patients undergoing hip and knee replacement.”

After undergoing Mako Robotic-Arm Assisted Surgery procedures, patients like Kirkham have reported less short-term pain than those who underwent conventional replacement surgery. Those who undergo Mako systems procedures also report faster recovery times and improved patient satisfaction.

“I am very satisfied with my surgery and without all the pain, I am looking forward to getting back to enjoying hiking, gardening, yard work, camping and spending time with our five grandkids.” said Kirkham.


About UofL Health
UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 250 physician practice locations, more than 1,000 providers, the Frazier Rehab Institute and James Graham Brown Cancer Center. With more than 10,000 team members – physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals, UofL Health is focused on one mission—one purpose—delivering patient-centered care to each and every patient—each and every day.

With our vast network of community and academic physicians, we are in communities throughout western Kentucky bringing the expertise, care and compassion that is at the core of our mission to every patient we serve.

About UofL Health – Jewish Hospital

Jewish Hospital, part of UofL Health, is an internationally renowned, high-tech tertiary referral center, developing leading-edge advancements in hand and microsurgery, heart and lung care, orthopedics and sports medicine, neuroscience, organ transplantation and outpatient care. The hospital is the site of the world’s first successful hand transplant and AbioCor® implantable replacement heart procedures, in addition to the first trial of adult cardiac stem cells in chronic heart failure. Jewish Hospital continues to be recognized for its specialized heart care procedures, including the implantation of ventricular assist devices (VAD), and transcatheter aortic valve replacement (TAVR). The Jewish Hospital Trager Transplant Center is in a select group of hospitals nationwide that perform heart, lung, liver, kidney and pancreas transplantation. The center also includes a Pancreas Disease Center, a GI Motility Clinic, and Advanced Heart Failure and Ventricular Assist Device programs. Jewish Hospital services may also be accessed throughout the community at multiple freestanding outpatient/ambulatory/emergency care centers, as well as through the Healthy Lifestyle Center located at four locations across the region.