LIFE is as good as you LIVE IT.

If your knee or hip pain is preventing you from being healthy, active, and doing the things you love, it may be time to consider joint replacement surgery with Mako robotic arm-assisted surgery. Learn more straight from our skilled orthopaedic surgeons:

Now offering Mako for:

Total Hip Replacement • Total Knee Replacement • Partial Knee Replacement
Mako is the most advanced technology for a truly personalized surgery.

What does this mean for you?

Faster recovery • Less scarring • More precise implant placement • Longer lasting results

Meet the Surgeons

Arnold R. Miller, MD

Mako Specialty
Knee Replacements

Dr. Miller has been caring for patients at Laconia Clinic/LRGHealthcare for 31 years and started performing knee replacements with Mako technology at its inception almost five years ago. He is board certified by the American Board of Orthopaedic Surgery and performs, on average, 50 Mako knee replacements each year.

Jeremy P. Hogan, MD

Mako Specialty
Hip & Knee Replacements

September 2017 will mark seven years since Dr. Hogan joined the LRGHealthcare and Advanced Orthopaedic Specialists (AOS) teams. He is fellowship trained and has been an advocate of Mako since the beginning, helping to bring the advanced technology to LRGHealthcare in 2012. He performs over 100 Mako joint replacement surgeries each year.

Say hello to
John M. Grobman, MD

Mako Specialty
Knee Replacements

Dr. Grobman has been with LRGHealthcare and Advanced Orthopaedic Specialists (AOS) for 32 years and has been performing Mako for knee replacements since 2012. He is fellowship trained in sports medicine and arthroscopic surgery and board certified by the American Board of Orthopaedic Surgery. Fun fact.. this doctor can speak from real life experience. He’s had a total hip replacement with Mako.

Dr. Miller did both my knees and shoulders and he’s an outstanding doctor! He always checks in and he’s just a great guy.”

– Mark, Laconia, NH

For my own hip replacement, I felt most confident with LRGHealthcare and my AOS colleagues. With his advanced technique and personal approach to care, there was no better choice than Dr. Hogan.”

– Dr. John Grobman, Sanbornton, NH

Dr. Grobman did my total knee replacement and my knee is better now than it’s been in 20 years or so! Plus, he’s easy to talk to and very understanding.”

– Richard, Wolfeboro, NH

Questions? We have answers.

Mako is a surgical technique that combines a 3-dimensional preoperative plan, computer navigation during surgery, and a surgeon directed RIO robotic arm with the goal of a more accurate joint replacement surgery.

Currently, Mako is used for total knee replacement, total hip replacement, and partial knee replacement. Other uses are being developed.

The implants are no different than a manually performed joint replacement. What is different is the information available to the surgeon for planning and the technique used to prepare the bone for the implants. With conventional manual joint replacement techniques, the surgeon uses instruments placed on or inside the bone to guide the preparation of bone for the joint replacement.

Far superior accuracy of implant placement potentially leading to:

  • A more natural feeling prosthetic joint that can be rehabilitated easier and faster
  • A longer lasting prosthetic joint
  • Less implant wear and loosening
  • Less scarring
  • Shorter hospital stay
  • Quicker recovery

Yes. For partial knees, a 2 year follow up study showed a failure rate of 0.4% which is lower than in any registry data or large-scale study ever performed. Studies have demonstrated superior radiographic and clinical outcomes when compared to manual partial knee replacements. Hip replacement studies have shown a decrease in sockets placed outside of the alignment “safe-zone” versus manually performed hip replacements.

After evaluation by an orthopaedic surgeon and a mutual decision to proceed with a Mako joint replacement procedure, the patient goes through standard preoperative testing and evaluation along with a preoperative CT scan.

The CT scan is used to create a 3-dimensional model of the joint being replaced along with appropriate sized joint replacement implants.

Before surgery, the surgeon reviews and modifies the surgical plan.

During surgery, the surgeon uses computer navigation to determine the ligament tension around the joint and uses this information to further perfect the surgical plan.

Using the RIO robotic surgical arm, the surgeon then prepares the bone for the prosthetic joint. The robotic arm does not allow the surgeon to stray from the surgical plan.

The surgery is completed and the patient begins the process of recovery.

Mako provides a custom 3-D surgical plan which is perfected by the surgeon both before and during surgery. While the parts themselves are not custom, Mako is used with the Stryker total hip and knee systems which have passed the test of millions of replacements. Mako users believe that a custom, patient specific, surgeon modifiable plan with time-proven parts is far superior to custom implants designed by engineers at a factory.

Mako can be minimally invasive. The surgeon determines how invasive a procedure is. By using the Mako, the surgeon may be able to execute the surgery without having to open the tissues as much. The accuracy of Mako can allow a surgeon to perform a less invasive surgery without compromising quality.

The robotic arm is only used during the bone preparation before placing the joint prosthesis. All soft-tissue work is performed by the surgeon.

The whole procedure is performed by the surgeon. The RIO arm does nothing without help from the surgeon and can be stopped at any time by the surgeon.

Mako partial knees have been performed since 2006. The first Mako total hip replacement was performed in 2010. Stryker acquired Mako in 2013 and merged the technology with Stryker’s joint implants. To date, approximately 100,000 Mako procedures have been performed and the rate is accelerating rapidly.

LRGHealthcare purchased Mako in 2012 making them the first in northern New England and it has been used for more than 500 (4-8 performed each week) joint replacement procedures. The total knee application was added in early May 2017 and dozens of total knees have been performed with it since. Early results with the total knee are very promising.

Local Success Stories

Paul – Plymouth, NH

“Before my Mako hip replacement, every little thing was painful. Just a couple of weeks after surgery, I was pain free and now I’m thrilled to be back on the course. Why didn’t I do this five years ago?”

See More of Paul's Story

Sarah – Moultonborough, NH

“Before Mako, my knee was in so much pain I couldn’t go anywhere or work in my garden. Just 3 days after surgery, I was walking again and now I’m happy to be back in my garden helping it bloom again.”

See More of Sarah's Story