Scotland Health Becomes First in North Carolina to Introduce Mako 4 Orthopedic Robot, Elevating Patient Outcomes in Joint Replacement Surgery

Scotland Health is proud to announce the installation of the Mako 4 robotic-arm assisted surgical system, becoming the first and only healthcare provider in North Carolina to offer this cutting-edge technology. This marks a major milestone in orthopedic care for the region, building on the success of the previously used Mako 3 system. 

The Mako 4 system is the newest system developed by Stryker and represents the latest evolution in robotic-assisted joint replacement. It offers enhanced precision, expanded surgical applications, and a streamlined experience for both patients and surgical teams. The system supports total hip, total knee, and partial knee replacements, and integrates advanced 3D modeling, real-time intraoperative guidance, and personalized surgical planning.  

“This upgrade to Mako 4 allows us to deliver even more accurate and customized joint replacements,” said Brandy Baysek, Senior Director of Surgical Services & Cath Lab. “Our patients benefit from faster recovery, less pain, and improved long-term outcomes.” 

Recent studies have shown that robotic-assisted joint replacements using Mako technology offer significant benefits to patients. The enhanced surgical precision improves implant alignment, which reduces stress on joints and boosts mobility. Minimally invasive techniques contribute to faster recovery times, allowing patients to leave the hospital sooner and return to daily activities more quickly. Patients also report experiencing less pain and better functional outcomes compared to traditional methods. Additionally, improved alignment and joint balance help extend the lifespan of implants, resulting in fewer revision surgeries and better long-term results. 

The Mako 4 system uses CT-based 3D modeling to create a personalized surgical plan for each patient. During surgery, the robotic arm assists the surgeon in executing the plan with sub-millimeter accuracy, preserving healthy bone and tissue while optimizing implant placement.  

“Our goal is to help patients forget they ever had joint pain,” said Baysek. “With Mako 4, we’re closer than ever to making that a reality.” 

Scotland Health’s adoption of Mako 4 reflects its ongoing commitment to innovation, safety, and excellence in patient care. This advancement aligns with the system’s broader strategic goals to improve outcomes and expand access to specialty services across southeastern North Carolina.