If you are due to have Mako Total Knee Replacement surgery, this article explains how to prepare yourself in the weeks or months leading up to your operation. It offers general advice to help you optimise your physical wellbeing, prepare mentally and make small changes to your home environment that can support your recovery. Your orthopaedic surgeon will provide more specific advice, such as information about any medication you are taking or any particular recovery advice.
What is a Mako Total Knee Replacement?
A Mako Total Knee Replacement is a surgical procedure to remove your damaged knee joint and replace it with a prosthetic (artificial) joint. Unlike conventional knee replacement surgery, Mako uses an innovative computer software programme developed by Stryker. This allows the surgeon to pre-plan the procedure in detail using an accurate 3D model of your knee which means that, even before you reach the operating table, the surgeon knows precisely which areas of tissue and bone need to be removed and which are healthy and can remain.
During the surgery itself, the virtual 3D plan enables the surgeon to place the prosthetic joint with complete precision, which is essential for long-term comfort and performance. The Mako system also features a groundbreaking robotic arm, which is used in the operating theatre to support the orthopaedic surgeon. It features innovative Accustop™ technology designed to protect healthy bone and soft tissue, supporting the surgeon to remain within the virtual boundaries set out in the pre-operative plan. The robotic arm cannot operate on its own or make decisions. The surgeon remains fully in control but with high-tech support to guide them throughout the procedure. Studies show Mako enables surgeons to achieve greater accuracy. Patients surveyed after six months report lower pain scores compared to conventional joint replacements.
Getting prepared physically
While you are waiting for your Mako Total Knee Replacement surgery, there are things you can do to prepare yourself physically. Regular low impact exercises, such as swimming or yoga, can help to strength and stretch the muscles around your knee which will help support your new joint after surgery. Being overweight places weight-bearing joints like knees and hips under strain so it is advisable to lose excess weight prior to your Mako Total Knee Replacement.
Ask your doctor for sources of help and support if you need them. It’s also important to quit smoking if you’re a smoker. Smoking has been shown to increase the risk of complications from joint replacement surgery, including a greater chance of developing infections and slower recovery times.
Getting prepared mentally
As well as preparing physically, it’s important to take steps to prepare yourself mentally. For example, if you’re anxious about the procedure or not sure what to expect, talk to your orthopaedic surgeon who will be able to explain things.
If you’re having a Mako Total Knee Replacement, it can be helpful to read up about it and prepare a list of questions if you’re unsure about anything. Above all, don’t keep quiet if any aspect of your forthcoming surgery is causing you concern.
Getting prepared at home
Your medical team will suggest ways that you can prepare your home environment before going in for your Mako Total Knee Replacement. This includes removing any potential hazards, such as rugs or electrical cords that might cause you to trip, as well as arranging your living space so that it will be easy for you to get around when you’re on crutches or using a walker.
For example, if your home has stairs you might want to set up a bed downstairs in the short-term. You may also need safety aids – such as a raised toilet seat or shower chair – to use immediately after surgery.
When you’re coming home from hospital, someone will need to pick you up and stay with you during the first day or two at home. It can be helpful to pre-prepare meals and keep them in the freezer to have in the weeks after surgery.
For more information about Mako Total Knee Replacement surgery and how to prepare for the procedure, contact us.
Frequently Asked Questions
Why have I been offered a Mako Total Knee Replacement?
A Mako Total Knee Replacement is offered to someone who is experiencing moderate to severe knee pain that is affecting their everyday life. Unlike with a partial knee replacement, where some of the natural knee joint remains, with a total knee replacement the entire joint is removed and an artificial joint put in its place.
When will I be able to go home after surgery?
If you are able to stand up and move about, so you can visit the toilet and perform simple everyday tasks, and if you’re healing well, you should be able to leave hospital one to three days after having your Mako Total Knee Replacement.
How long will it take to recover?
Recovery times vary depending on your general state of health and your age. The early part of your recovery from Mako Total Knee Replacement surgery takes around 6-12 weeks. However, healing continues for up to 12 months after surgery. It’s important to follow the exercises recommended by your physiotherapy team to support your recovery.









