Gary P. Goodfried, M.D., P.A. - The Texas Center For Hip and Knee Reconstruction Your Practice Online
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Dr. Gary P. Goodfried
  • Anterior Approach
    Anterior Approach
         Total Hip Replacement
  • Total Hip Replacement
    Total Hip Replacement
  • Revision Hip Replacement
    Revision Hip Replacement
  • Hip Fractures<
    Hip Fractures
  • Total Knee Replacement
    Total Knee Replacement
  • Computer Assisted
    Computer Assisted
         Knee Replacement
  • Knee Arthroscopy
    Knee Arthroscopy
  • Revision Joint Replacement
    Revision Joint Replacement
  • Minimally Invasive
    Minimally Invasive
         Total Hip Arthroplasty
Meet Dr. Gary P. Goodfried
Hip Procedures
Knee Procedures
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For Appointments Call Dr. Gary P. Goodfried : 903-597-3140

Robotic Assisted Surgery

Mako Total Knee

Robotic-Arm Assisted Surgery

mako-systemtotalKneeCombines Mako Robotic-Arm Assisted Technology with the Triathlon Total Knee System. The outcomes you can achieve with the Mako Total Knee application have the potential to create the future of your orthopaedic service line.

Total knee arthroplasty (TKA) has demonstrated clinical success,1,2 however data shows mechanical axis malalignment of greater than 3° in 9.0% of computer-assisted and 31.8% of conventional TKA surgeries3

Introducing Mako Total Knee, the newest application for the Mako System. In a cadaveric study, this application demonstrated the potential to increase the accuracy of TKA bone cuts and component placement to plan, even for an experienced user of manual instrumentation who is new to robotic technology. On average, Mako Total Knee final bone cuts and final component positions were 5.0 and 3.1 times more precise to plan than the manual total knee arthroplasty control, respectively.4

Mako Total Knee demonstrated soft tissue protection, including no ligament disruption to the PCL, MCL, LCL, and patella ligament, and did not require tibial subluxation or patella eversion for visualization during cutting, in a cadaveric study.5

Our U.S. market-leading Triathlon Total Knee System has demonstrated 99% survivorship in a ten-year study6, with over 2 million implanted worldwide.7

Robotic-arm assisted total knee arthroplasty demonstrated soft tissue protection5


  • SampleSize: 14 cadaveric specimens prepared for Triathlon CR TKA using the Mako System by more than 5 surgeons with no prior clinical, robotic experience, compared to 7 specimens prepared using MTKA (manual TKA) by single surgeon.
  • Presence of soft tissue disruption was assessed by having a surgeon perform visual evaluation and palpation of the PCL, MCL, LCL, and the patellar ligament after the procedures.
  • Documented leg pose and retraction during bone resections - Recorded any tibial subluxation and/or patellar eversion.


  • RATKA (Robotic-arm assisted TKA) cases demonstrated several aspects of soft tissue protection, in this cadaveric study.

A) Manually performed TKA with arrow pointing to PCL, with no bone island preparation.
B) Robotically performed TKA, with bone island preparation in front of PCL and corresponding tibial view from Implant Planning page (showing implant plan to the actual boney anatomy, with remaining bone island). Black arrow points to PCL. White arrows outline bone island.

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