Mako Robotic-Arm Assisted Total Knee & Hip Replacement

Scan, Plan, Mako Can

One of the latest innovations in medical science, Mako surgery, is a minimally invasive option for patients seeking to maintain joint function. The procedure can be done with a much lower risk of infection, pain or loss of mobility. The surgical procedure is typically completed in about an hour and has significantly less bruising, swelling and risk of postoperative infections than traditional methods. With the Mako procedure, you will experience a better range of motion and less pain when compared with traditional surgery.

Highest Level Orthopedic Care

One of the latest innovations in medical science, Mako surgery is a minimally invasive option for patients seeking to maintain joint function. The procedure can be done with a much lower risk of infection, pain or loss of mobility. The surgical procedure is typically completed in about an hour and has significantly less bruising, swelling and risk of postoperative infections than traditional methods. With the Mako procedure, you will experience a better range of motion, less pain and a quicker recovery time when compared with traditional surgery.

Scan. It all starts with a CT scan so your surgeon can know more about your anatomy.

Plan. The CT scan is used to create a 3D CT-based model of your hip. Your surgeon uses this 3D model to create a personalized surgical plan and to assist your surgeon in performing your hip replacement procedure.

Mako Can. In the operating room, your surgeon follows your personalized surgical plan while preparing the bone for the implant. The surgeon guides Mako’s robotic arm within the predefined area, and Mako’s AccuStop technology helps the surgeon stay within the planned boundaries that were defined when the personalized surgical plan was created.

Mako Total Knee Replacement can help lead to better outcomes, like less pain and shorter recovery times, compared to manual surgery.

In clinical studies, compared to manual knee replacement surgery, Mako Total Knee Replacement:

  • Enabled surgeons to execute their surgical plans more efficiently

  • Protected soft tissue and ligaments from damage

  • Resulted in lower pain scores among patients surveyed six months after surgery than those who received conventional joint replacement surgery

  • Resulted in better patient satisfaction scores among patients surveyed six months after surgery compared to those who received a conventional joint replacement surgery

Mako Total Hip Replacement can help lead to better outcomes, like less pain and shorter recovery times, compared to manual surgery.

In clinical studies, compared to manual hip replacement surgery, Mako Total Hip Replacement demonstrated:

  • More accurate placement and alignment of hip implants based on the surgical plan

  • Replication of the feeling of a natural hip

  • Less likelihood of hip dislocation

  • Reduced blood loss

  • Preservation of healthy bone

Meet Your Mako Robotic-Arm Assisted Total Knee & Hip Replacement Team

Providers Using Mako

James M. Bryan, MD
Orthopedic Surgeon
James M. Bryan, MD
Orthopedic Surgeon

Dr. James M. Bryan is a board certified orthopedic surgeon who is fellowship trained and board certified in sports medicine. Dr. Bryan joined The Orthopedic Clinic over 20 years ago.

Dr. Bryan is passionate about identifying the best method to successfully treat his patients. He’s especially interested in using minimally invasive techniques so his patients may experience less discomfort and faster recovery times.

Dr. Bryan brings a sports medicine perspective to all the surgeries and treatments that he performs. This includes reconstructive procedures like total knee, total hip and shoulder resurfacing, reverse and total shoulder arthroplasty procedures. He has an esteemed reputation for performing some of the most complex orthopedic surgeries including revision shoulder, hip, and knee reconstructions.

Please call 386.255.4596 to schedule an appointment today.

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Dominic Marino, MD
Orthopedic Surgeon
Dominic Marino, MD
Orthopedic Surgeon

Dr. Dominic Marino is a board eligible orthopedic surgeon who is fellowship trained in total joint surgery and specializes in treating all conditions involving the hip and knee in adults and children. Dr. Marino joined The Orthopedic Clinic in August 2023.

Dr. Marino is trained in anterior hip replacement, partial and total knee replacement, robotic-assisted surgery, muscle-sparing surgery, and arthroscopy surgery. He focuses on same-day total joint replacement procedures. He is particularly interested in arthritis surgery of the hip and knee and trauma of the lower extremity. His fellowship education furthered his expertise in taking care of patients with complex, failed, or infected joint replacements in need of a revision surgery. He also believes in a personal approach to care and prioritizes taking the time to understand a patient’s individual concerns, provide education on treatment options, and develop a collaborative care plan.

He grew up in Queensbury, NY, and pursued a degree in Biomedical Engineering at the University of Rochester. Prior to attending medical school, Dr. Marino patented and constructed a medical device that enables stroke survivors, upper extremity amputees, and others with the use of one hand to participate in the sport of cycling, providing an outlet for recreation and rehabilitation. Dr. Marino received his medical degree from Lake Erie College of Osteopathic Medicine, where he was involved in medical outreach trips to Haiti and was inducted into the Sigma Sigma Phi Honor Medical Society.

After receiving his Doctorate, he completed his Orthopedic Surgery residency at Michigan State University. After residency, he completed his fellowship training in adult reconstruction and complex hip and knee revision at The Florida Orthopaedic Institute, internationally recognized for orthopedic innovation. He has published clinical and basic science research papers and presented his work at national meetings. He has also served as a reviewer for the Journal of Arthroplasty.

As a surgeon at The Orthopedic Clinic, Dr. Marino sees patients at the following locations: Daytona Beach, Palm Coast, and Port Orange.

In his personal life, Dr. Marino is married to an obstetrician gynecologist and has two young children. He enjoys spending time with his family, cooking, fishing, boating, golf, college football, and traveling.

Clinical Expertise:
Hip: Minimally-invasive anterior hip replacement, revision hip replacement, impingement, abductor tendon repair and reconstruction, psoas syndrome, and hip tendonitis.
Knee: Muscle-sparing primary knee replacement, revision knee replacement, quadriceps and patella tendon repair, meniscus repair, partial meniscectomy, and general knee arthroscopy.
Trauma: Management of upper and lower extremities fractures, adult and pediatric.
Education and Training
Undergraduate Education
B.S., University of Rochester (Biomedical Engineering)

Medical Education
Doctorate, Lake Erie College of Osteopathic Medicine

Residency
Orthopaedic Surgery, Michigan State University

Fellowship
Adult Reconstruction/Total Joint Surgery, Florida Orthopaedic Institute

Honors/Awards
Forbes Entrepreneur Award
Rehabilitation Engineering and Assistive Technology Award
daVinci International Award for Universal Design and Accessibility
Nokia Health and Technology Award for Young Innovators
Order of the Engineer—University of Rochester
Sigma Sigma Phi Honor Society—Lake Erie College of Osteopathic Medicine

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C. (Charles) B. Williamson, MD
Orthopedic Surgeon
C. (Charles) B. Williamson, MD
Orthopedic Surgeon
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