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Richard Grimsley, MD

Why Choose Mako Robotic-Assisted Joint Replacement?

As with any moving part, proper fit and alignment are essential to an implant’s smooth movement and long-term wear. Dr. Grimsley uses the latest surgical advances — including Mako robotic-assisted technology — for both hip and knee replacement, to help ensure your new joint mimics your original joint’s shape, size, and alignment. The result is a more stable, natural-feeling joint that lasts longer.

What Is Mako Robotic-Assisted Surgery?

One of the biggest challenges in joint replacement is making sure the implant is positioned and aligned precisely enough to feel truly natural. That’s what robotic-assisted surgery (RAS) was built to solve — giving surgeons a level of precision, control, and consistency that’s difficult to match with manual instrumentation alone.

Several RAS platforms are used in joint replacement today, including ROSA, VELYS, NAVIO, CORI, and Stryker’s Mako. Dr. Grimsley is trained and credentialed on the Mako SmartRobotics System, used in more than 1 million procedures worldwide to date, and has performed many Mako-assisted joint replacements at UF Health Flagler Hospital — part of a hospital program that holds The Joint Commission’s Gold Seal of Approval for its total hip and knee replacement care.

How It Works

Before surgery, a CT scan builds a detailed 3D model of your joint. Because no two joints are built exactly alike, this lets Dr. Grimsley plan your implant’s size, position, and alignment around your specific anatomy well before you’re in the operating room — which matters for comfort, natural movement, and how long your new joint lasts.

During surgery, Dr. Grimsley uses the Mako System’s robotic-arm assistance, guided by that personalized plan. AccuStop haptic technology creates a precise boundary around the planned surgical area, helping him execute the plan accurately while protecting the surrounding bone and soft tissue — something manual instrumentation can’t offer in the same way.

It’s worth remembering: as advanced as this technology is, it’s still entirely guided by your surgeon. The robotic arm doesn’t operate on its own — it’s a tool that helps Dr. Grimsley execute his plan with more precision than manual instrumentation allows.

For Knee Replacement, Mako-Assisted Surgery Has Been Associated With:

  • Highly precise implant placement and greater accuracy in positioning
  • Less soft tissue damage and greater bone preservation
  • Less post-surgical pain and reduced need for pain medication
  • Faster early recovery and shorter hospital stays
  • Improved implant longevity in mid-term studies

For Hip Replacement, Mako-Assisted Surgery Has Been Associated With:

  • Greater bone preservation and reduced blood loss compared to manual surgery
  • More accurate, consistent restoration of the hip’s natural center of rotation
  • Reduced dislocation rates compared to manual hip replacement
  • Decreased hospital length of stay