Robert J. Avino, M.D. — Palm Beach County
Robotic Hip Replacement Surgery
Board-certified, fellowship-trained orthopedic surgeon performing robotic-assisted hip replacement using Mako technology and the direct anterior surgical approach for patients throughout Palm Beach County.
Dr. Avino has performed over 1,000 robotic-assisted joint replacements and uses personalized 3D surgical planning to tailor each hip replacement to the patient’s individual anatomy.
What Is Robotic Hip Replacement?
Hip replacement surgery — also called total hip arthroplasty — replaces the damaged ball-and-socket hip joint with medical implants designed to restore smooth movement and improve joint stability. It is most commonly performed when advanced arthritis causes cartilage loss and progressive joint degeneration.
Dr. Avino performs hip replacement using the Mako robotic-arm system combined with the direct anterior surgical approach — a technique that accesses the hip joint from the front of the body, sparing the surrounding muscles rather than cutting through them. This combination of robotic precision and a muscle-sparing approach may support a faster recovery and allow many patients to go home the same day.
Before surgery
3D Surgical Planning
A CT scan creates a three-dimensional model of your hip. Dr. Avino uses this model to plan implant size, cup angle, and leg length specific to your anatomy before surgery begins.
During surgery
Direct Anterior Approach with Robotic Precision
The hip is accessed from the front, working between muscles rather than cutting through them. The Mako robotic arm assists with precise bone preparation and implant positioning according to the surgical plan.
The result
Personalized to Your Anatomy
Each hip replacement is planned and performed based on a model of your individual joint. The goal is accurate component positioning, proper leg length, and stable joint mechanics.
The Direct Anterior Approach
Dr. Avino performs hip replacement through the direct anterior approach — a technique that accesses the hip joint from the front of the body rather than the side or back. This approach works between muscles instead of cutting through them, which is one of the reasons many patients experience a faster early recovery.
Combined with Mako robotic technology, the direct anterior approach allows Dr. Avino to plan implant positioning with a high degree of precision while preserving the surrounding soft tissue.
Muscle-sparing technique
May support faster early recovery
Same-day discharge for many patients
Fewer hip precautions after surgery
When Hip Replacement May Be Appropriate
Most patients who undergo hip replacement have advanced osteoarthritis — a condition where the cartilage that cushions the hip joint gradually deteriorates, eventually leading to bone-on-bone contact and progressive loss of joint function.
Patients often consider hip replacement when arthritis begins to limit activities such as golf, tennis, walking for exercise, or travel — and non-surgical treatments like medications, injections, or physical therapy are no longer providing adequate relief.
A consultation with Dr. Avino includes a review of imaging, a discussion of treatment goals, and an evaluation of whether robotic hip replacement may be a suitable option.
Why Patients Choose Dr. Avino for Hip Replacement
Patients researching hip replacement surgeons often evaluate training, surgical volume, surgical approach, and experience with robotic technology.
1,000+ Robotic Joint Replacements
High-volume experience performing robotic-assisted hip and knee replacements with Mako technology — a factor many patients weigh when choosing a surgeon.
Direct Anterior Approach
Muscle-sparing surgical technique that accesses the hip from the front of the body, supporting a faster early recovery for many patients.
Board-Certified & Fellowship-Trained
Orthopedic residency at the University of Chicago followed by fellowship in adult hip and knee reconstruction at Cleveland Clinic.
Mako Robotic Hip Certification
Certified in Mako robotic-assisted total hip replacement for personalized 3D planning and precision-guided implant positioning.
Same-Day Hip Replacement
Many appropriate candidates are able to go home the same day as surgery, recovering in the comfort of their own home.
Recognized by Peers
Named a Palm Beach Illustrated Top Doctor four consecutive years (2023–2026). Published in The Journal of Arthroplasty.
Patient Stories
Hear from Patients Who Chose Dr. Avino
Real patients share their experience with robotic-assisted hip and knee replacement — from choosing Dr. Avino to returning to the activities they love.
Cynthia’s Story
Mako Robotic Hip Replacement
At 66, Cynthia was back to riding horses three months after robotic hip replacement. Her doctor at Jupiter Medical Center referred her to Dr. Avino as “the best.”
Barbara’s Story
Mako Total Hip Replacement
Barbara credits Dr. Avino and the Mako Total Hip Replacement with restoring her enthusiasm for life and returning her to the activities she loves.
Caralu’s Story
Anterior Hip Replacement
As a medical professional, Caralu researched surgeons carefully. After hip replacement with Dr. Avino, she’s back to boating, gardening, and walking — calling him her “guardian angel.”
Recovery After Robotic Hip Replacement
Recovery varies depending on the patient, the severity of arthritis, and overall health. The direct anterior approach and robotic-assisted planning may support a smoother early recovery for many patients.
Day of surgery
Many patients walk and may go home the same day
First few weeks
Physical therapy, increasing daily mobility
Weeks to months
Return to daily activities and exercise
Three months
Many patients return to golf, tennis, travel
Physical therapy and guided rehabilitation help restore strength, mobility, and confidence. Fewer hip precautions with the direct anterior approach means many patients can bend, cross their legs, and return to normal movement patterns sooner.
Hip Replacement FAQ
What is the direct anterior approach?
The direct anterior approach accesses the hip joint from the front of the body, working between muscles rather than cutting through them. This muscle-sparing technique may result in fewer restrictions after surgery and a faster early recovery for many patients. Dr. Avino combines this approach with Mako robotic technology for precision-guided execution.
What is the difference between robotic and traditional hip replacement?
Robotic hip replacement uses a CT scan to create a 3D model of the hip and a personalized surgical plan before the procedure. During surgery, the Mako robotic arm assists with acetabular cup positioning and femoral preparation. Traditional hip replacement relies on manual instruments without 3D preoperative planning.
Can I go home the same day?
Many patients who undergo robotic hip replacement with the direct anterior approach are able to go home the same day as surgery. Candidacy depends on overall health, support at home, and the surgical plan, and is discussed during the consultation.
Will I have hip precautions after surgery?
The direct anterior approach typically allows fewer post-operative restrictions compared to traditional posterior approaches. Many patients can bend, cross their legs, and return to normal movement patterns without the extended precautions associated with other surgical approaches. Dr. Avino discusses specific protocols during the planning process.
How long does recovery take?
Recovery varies by patient. Many patients walk the same day, return to daily activities within a few weeks, and are back to golf, tennis, or travel within a few months. Cynthia, one of Dr. Avino’s patients, was back to riding horses three months after surgery.
How do I schedule a consultation for hip replacement?
You can request a consultation online or call (561) 694-7776 and ask for Dr. Avino.
Schedule a Hip Replacement Consultation
If hip arthritis is limiting your mobility or ability to stay active, a consultation with Dr. Avino can help determine whether robotic hip replacement with the direct anterior approach may be right for you.