Chronic hip or knee pain

If you suffer from chronic hip or knee pain and need a hip or knee replacement, you’ve come to the right place. Chippenham Hospital offers MAKO Robotic-Arm Assisted Surgery to its patients in need of hip and knee replacements.

Relief and recovery

When your Chippenham surgeon determines you’re a candidate for MAKO, you’ll benefit from:

  • Quicker relief from hip or knee pain
  • Quicker recovery—from months to weeks
  • Smaller incision, less scarring
  • Less blood loss during surgery
  • Shorter hospital stays
  • A more natural knee following surgery

We can help

The surgeons at Chippenham Hospital are focused on returning you back to your active lifestyle, and MAKO may be part of your treatment.

Call us today at 804-320-DOCS (3627) to make an appointment with a surgeon at Chippenham Hospital.

Technology, your surgeon and you

MAKOplasty is powered by the surgeon-controlled RIO robotic arm system enabling advanced treatment options for more accurate hip and knee implant placement. The robotic arm technology allows surgeons to more accurately achieve the biomechanical alignments that are planned to fit the patient’s unique anatomy.

Mako robot

When your surgeon determines that you’re a good candidate for MAKOplasty, they will schedule a computed tomography (CT) scan of your hip or knee one or two weeks prior to your surgery date. This is used to create your unique surgical plan for optimal implant replacement.

Your physician should discuss the specific risks associated with MAKOplasty and other treatment options with you. In addition, you should be informed of any pre-operative and post-operative instructions by your surgeon or their staff.

As a knee arthroplasty procedure, MAKOplasty is typically covered by Medicare insurers—check with your private health insurers. In some cases it may be performed on an outpatient basis depending on what your surgeon determines is the right course of treatment for you.

Learn about your procedure

Hip replacement

First offered in the central Virginia region by HCA Virginia’s Chippenham Hospital, MAKOplasty is powered by the RIO Robotic Arm Interactive System, which allows our surgeons to achieve a new level of accuracy and precision. The RIO system provides a patient-specific 3D image of the patient’s hip based on a pre-operative CT scan. Using the 3D model, the surgeon can then plan the optimal size and position of hip implant components. An implant consists of a cup and liner placed in the acetabulum, or the socket of the pelvis, and a femoral component with a femoral head and stem. The position of these components is critical for proper biomechanical reconstruction of the hip.

During surgery, RIO provides visualization of the joint and biomechanical data to guide the bone preparation and implant positioning to match the pre-surgical plan. First, the surgeon prepares the femoral bone for the implant and subsequently measures the femoral component’s position with the RIO. Next, the surgeon uses the robotic arm to accurately ream and shape the acetabulum. The implant will then be placed at the correct depth and orientation. Finally, the surgeon implants the femoral implant while RIO provides summary data to confirm the hip implants are aligned correctly.


MAKOplasty total hip replacement is designed to assist surgeons in attaining a new level of precision in surgery, to restore your confidence in your mobility and help you return to your active lifestyle.

Like other total hip replacement procedures, MAKOplasty may be a treatment option for people who suffer from either non-inflammatory or inflammatory degenerative joint diseases including, but not limited to:

  • Osteoarthritis (OA), also called “wear and tear” arthritis, in which cartilage wears down over time
  • Post-traumatic arthritis, which results from a severe fracture or dislocation of the hip
  • Rheumatoid arthritis (RA), an inflammatory arthritis of the joints
  • Avascular necrosis (AVN), a condition where the “ball” or femoral head has lost its healthy supply of blood flow causing the bone to die and the femoral head to be misshapen
  • Hip dysplasia, a condition where bones around the hip did not form properly, which may cause misalignment of the hip joint

Knee replacement

MAKOplasty is also utilized by orthopedic surgeons who perform knee replacements to correct degeneration and osteoarthritis (OA) of the joint. By selectively targeting the part of your knee damaged by OA, your surgeon can resurface your knee while sparing the healthy bone and ligaments surrounding it.

MAKOplasty is capable of:

  • Enabling surgeons to precisely resurface only the arthritic portion of the knee
  • Preserving healthy tissue and bone
  • Facilitating optimal implant positioning to result in a more natural feeling knee following surgery
  • Resulting in a more rapid recovery and shorter hospital stay than traditional total knee replacement surgery

The RIO system provides a patient-specific 3D image of the patient’s knee based on a pre-operative CT scan. Using the 3D model, the surgeon can plan the optimal size and position of knee implant components. The position of these components is critical for proper biomechanical reconstruction of the knee.