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Hollywood makes history with WA’s first mako robotic assisted total shoulder replacement

October 13, 2025

Hollywood Private Hospital has become the first hospital in Western Australia, and one of the first in the world, to successfully perform a total shoulder replacement using the advanced MAKO robotic system.

This groundbreaking procedure represents a major advancement in shoulder replacement surgery, combining cutting-edge robotic technology with surgical expertise designed to deliver enhanced precision and potentially improved patient outcomes.

The MAKO robotic system is designed to offer significant advantages over traditional shoulder replacement methods, providing surgeons with unprecedented accuracy during this complex procedure.

The technology is designed to enable:

  • Enhanced surgical precision with real-time feedback and control
  • Improved component positioning and alignment
  • A less invasive approach that preserves bone and soft tissue
  • Reduced surgical trauma compared to conventional techniques
  • Personalised treatment planning based on each patient's unique anatomy.

The clinical benefits are expected to mirror robotic knee and hip replacement surgery: decreased pain, reduced length of stay in hospital, and greater range of motion and shoulder function.

Hollywood based orthopaedic surgeon, Mr Travis Falconer, said the procedure was revolutionary and a significant milestone in orthopaedics in WA.

“The MAKO robotic system enables a level of surgical precision that traditional methods simply cannot match,” Mr Falconer explained. 

“While experienced surgeons typically position joint replacements within 1–2 mm of the CT-generated surgical plan, the integration of the robot refines this accuracy even further—achieving placement within just 0.1 mm of the planned position.”

The MAKO system transforms shoulder replacement surgery through a sophisticated three stage process:

  • Pre-operative planning: Prior to surgery, patients undergo a CT scan that creates a detailed 3D model of their shoulder anatomy. Surgeons use this model to plan the precise positioning and sizing of the implant, customised to each patient's specific needs.
  • Intra-operative guidance: During surgery, the MAKO robot provides the surgeon with real-time visual and haptic (touch) feedback. The system helps guide bone preparation with exceptional accuracy, ensuring optimal implant positioning.
  • Controlled precision: The robotic arm allows surgeons to perform bone preparation within pre-defined boundaries. If it moves outside these safe zones, the system provides resistance, helping to protect surrounding healthy tissue and ensure precise implant placement.

Mr Falconer said what makes the MAKO particularly remarkable is how it enhances the surgeon’s expertise rather than replacing it.

“This technology provides real-time feedback, helping to safeguard healthy tissue and preserve the patient’s bone, while I remain in full control of the procedure,” he said.

“This synergy of surgical expertise and robotic precision truly represents the future of joint replacement surgery.”

Hollywood is renowned for its world-class orthopaedic services, bringing together leading specialists, advanced technology, and comprehensive patient care.

 

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