Modern robotic technology has revolutionized the field of orthopedics, but the surgeon behind the controls remains the most critical factor in your success. Achieving a natural-feeling joint requires a blend of advanced technology and seasoned clinical judgment. Let’s explore why surgical experience matters when choosing a Mako robotic surgeon.
The Synergy of Technology and Technique
The Mako Robotic-Arm Assisted System is a marvel of medical engineering. It allows for a level of precision that the human eye simply cannot match by creating a 3D virtual map of your unique anatomy before the first incision is even made. However, the robot is a tool, not a pilot.
A high-volume surgeon understands how to interpret the real-time data the system provides. They know how to adjust the tension of the ligaments and the "balance" of the joint to ensure the implant feels stable and fluid. This understanding only comes from repeating the procedure across a diverse range of patient profiles and anatomical complexities.
The Power of High-Volume Proficiency
In the medical world, "volume" refers to the number of times a surgeon performs a specific procedure. Research does show that high-volume surgeons, those who perform hundreds of these cases annually, tend to have higher patient satisfaction scores.1
For a Mako surgeon, high volume means they have encountered almost every anatomical variation imaginable. This deep familiarity allows for:
- Enhanced Accuracy: Finer adjustments to the robotic plan for optimal alignment.
- Reduced Time Under Anesthesia: Efficient workflows developed through repetition.
- Minimized Soft Tissue Trauma: A steady hand that knows exactly how to navigate the surgical site with minimal disruption.
Customization Beyond the Computer
No two knees or hips are identical. A surgeon with extensive experience recognizes that perfect alignment on a computer screen might not feel perfect to the patient. High-volume surgeons use the Mako system to customize the surgery to your specific gait and activity level. Whether you are looking to return to the golf course or simply want to walk through the grocery store without hesitation, that level of personalization is only possible when the surgeon has mastered the intersection of technology and biology.
Faster Recovery Through Expertise
One of the primary goals of robotic surgery is a faster return to daily life. Because the Mako system allows for bone-sparing techniques and precise implant placement, there is typically less post-operative inflammation. When this technology is paired with a surgeon who has performed hundreds of these procedures, the entire surgical team operates like a well-oiled machine. This collective expertise streamlines your care from the moment you enter the operating room to the start of your physical therapy.
Experience You Can Trust with Dr. Avino
There is no substitute for a proven track record. Choosing a specialist who has mastered a specific platform provides a level of confidence that is essential for a successful outcome.
Dr. Avino brings an elite level of expertise to every joint replacement. Having completed a prestigious Mako Fellowship, he possesses a specialized understanding of robotic integration that few in the field achieve. With a portfolio that includes hundreds of successful Mako robotic procedures, Dr. Avino combines advanced fellowship training with high-volume experience to help his patients achieve the best possible results.
Frequently Asked Questions About Choosing a High-Volume Mako Robotic Surgeon
What is Mako robotic-assisted joint replacement?
The Mako Robotic-Arm Assisted System is an advanced technology used in knee and hip replacement surgery. It creates a personalized 3D model of your joint, allowing the surgeon to plan implant positioning with exceptional precision before and during the procedure.
Does the robot perform the surgery on its own?
No. The robot does not operate independently. It is a tool fully controlled by the surgeon. The surgeon makes all decisions and performs the procedure, while the robotic system provides enhanced visualization, planning, and real-time guidance.
Why does surgical volume matter?
High-volume surgeons perform a large number of specific procedures each year. This repetition builds familiarity with different anatomical variations, improves efficiency, and refines surgical judgment, all of which can contribute to better outcomes and patient satisfaction.
Is robotic surgery safer than traditional joint replacement?
Robotic-assisted surgery may improve implant positioning accuracy and help preserve surrounding bone and soft tissue. However, outcomes still depend heavily on the surgeon’s expertise, technique, and post-operative care plan.
Will I recover faster with robotic joint replacement?
Many patients experience less post-operative discomfort and a quicker return to activity due to precise implant placement and tissue-sparing techniques. Recovery timelines vary depending on individual health, rehabilitation participation, and overall conditioning.
Am I a candidate for Mako robotic joint replacement?
Candidacy depends on factors such as the severity of arthritis, joint damage, overall health, and previous treatments attempted. A comprehensive evaluation is necessary to determine whether robotic-assisted surgery is appropriate for you.
What is a Mako Fellowship?
A Mako Fellowship is specialized advanced training focused specifically on robotic-assisted joint replacement using the Mako platform. Surgeons who complete fellowship training gain deeper expertise in robotic integration, implant alignment strategies, and joint balancing techniques.
How do I choose the right joint replacement surgeon?
Look for board certification, fellowship training, experience with robotic technology, and a high procedural volume in the specific joint replacement you need. Patient education, communication style, and personalized treatment planning are equally important factors.
Hear From Our Patients
Choosing the right orthopedic care is a personal decision, and hearing from others who have been in your position can be helpful. Many of our patients came to us seeking a long-term solution for knee or hip pain and the confidence that comes with choosing an experienced, high-volume robotic surgeon. Through precise planning, advanced technology, and personalized care, they were able to return to walking, traveling, and enjoying daily activities with renewed stability and comfort. To better understand our approach to personalized, patient-centered orthopedic care, explore some of our patient testimonials.
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AUTHOR: Robert J. Avino, M.D. – Fellowship-Trained Orthopedic Hip & Knee Surgeon
Robert J. Avino, MD is a board-certified, fellowship-trained orthopaedic surgeon specializing in adult hip and knee reconstruction at Palm Beach Orthopedic Institute, serving Palm Beach Gardens, Jupiter, West Palm Beach, and Wellington, Florida. He focuses on the treatment of hip and knee arthritis, utilizing advanced surgical techniques and robotic-assisted technology to deliver exceptional outcomes, less post-operative pain, and faster recovery. Dr. Avino is known for his precision, clear communication, and patient-centered approach to joint replacement care.
Dr. Avino earned his Doctor of Medicine from Saint Louis University School of Medicine in St. Louis, Missouri. He completed his orthopaedic surgery residency at the University of Chicago Medical Center, where he served as Chief Resident, followed by advanced fellowship training in adult reconstruction at the Cleveland Clinic, where he trained alongside internationally recognized leaders in joint replacement surgery.
His peer-reviewed research has been published in the Journal of Arthroplasty, the leading publication in the field of adult reconstruction, where he also serves as a peer reviewer. He additionally serves as a peer reviewer for the Journal of the American Academy of Orthopaedic Surgeons. Dr. Avino has presented his research at the annual meetings of the American Academy of Orthopaedic Surgeons (AAOS) and the International Society for Technology in Arthroplasty, and remains actively engaged in advancing surgical techniques and patient outcomes. He is also an active member of the American Association of Hip and Knee Surgeons (AAHKS) and the Florida Orthopaedic Society.
Dr. Avino has been recognized as a Top Doctor in Orthopaedic Surgery by Palm Beach Illustrated magazine in 2023, 2024, and 2025 — a distinction awarded by peer nomination and verified through the Florida Department of Health.
In addition to his clinical work, Dr. Avino serves on the governing board of Palm Beach Gardens Medical Center, contributing to strategic initiatives that support excellence in patient care and hospital quality standards.
Dr. Avino specializes in robotic-assisted direct anterior hip replacement and robotic-assisted knee replacement, emphasizing precision alignment and soft tissue preservation. His approach integrates innovative technology with efficient pain management pathways to promote rapid recovery and an earlier return to daily activities.Medical Disclaimer: This information is for educational purposes only and does not constitute medical advice. For diagnosis and treatment recommendations, please consult with Dr. Avino or another qualified orthopedic specialist.
Medical Disclaimer: This information is for educational purposes only and does not constitute medical advice. For diagnosis and treatment recommendations, please consult with Dr. Avino or another qualified orthopedic specialist.
