DR. ROBERT PETTIT, MDBeacon Orthopaedics & Sports Medicine
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Mako Robotic Partial Knee Replacement

If your arthritis lives in just one compartment of the knee, you may not need a total replacement. A Mako robotic partial knee resurfaces only what’s damaged — preserving your ligaments, your bone, and the natural feel of your knee.

KneeMako RoboticsJoint Replacement

What is a partial knee replacement?

The knee has three compartments — medial (inside), lateral (outside), and patellofemoral (kneecap). When arthritis is limited to one compartment with healthy ligaments, a unicompartmental replacement resurfaces only that compartment with a small implant, leaving the rest of your native knee untouched.

Mako partial knee replacement patient infographic — Robert Pettit, MD
Patient infographic — click to open full size.

Why patients choose it

Compared with total knee replacement: a smaller incision, less blood loss, faster recovery, and — because your cruciate ligaments are preserved — a knee that feels more like your own. Studies consistently show higher patient-reported “forgotten joint” scores for well-selected partial knees.

The Mako difference for partials

Implant positioning tolerance in partial knee replacement is tight — small errors matter more than in total knees. That’s exactly where robotic execution shines: your CT-based 3D plan is delivered by the robotic arm within fractions of a millimeter, protecting the compartments being preserved.

Candidacy & recovery

The ideal candidate has single-compartment arthritis, intact ligaments, and correctable alignment — Dr. Pettit confirms this with X-rays, exam, and the pre-operative CT. Recovery is brisk: walking day one, many patients off assistive devices in two to three weeks, and return to low-impact sport over two to three months.

Pain control after surgery

If surgery is the right choice, Dr. Pettit builds pain control around Journavx (suzetrigine) — the first new non-opioid prescription pain medicine in decades — paired with a nerve block, scheduled Tylenol and an anti-inflammatory. Most patients use little or no narcotic medication, which means clearer thinking, less nausea and an earlier return to normal activity. Journavx before surgery (PDF). Read how Dr. Pettit approaches Mako partial knee replacement →

Frequently asked questions

Partial vs. total — how do I know which I need?

Imaging and exam decide it. Arthritis limited to one compartment with intact ligaments favors a partial; disease in multiple compartments or deficient ligaments calls for a total. Dr. Pettit shows you your images and explains the recommendation.

Will I still need a total knee later?

A well-done partial in a well-selected patient can last 10–15+ years. If arthritis later progresses in other compartments, conversion to a total knee remains straightforward.

Is recovery really faster?

Yes — most patients are weeks ahead of the total-knee timeline at every milestone: walking unassisted, driving, and returning to activity.

This page is for patient education and does not replace personalized medical advice. Every patient is different — treatment decisions are made together at your visit.