Now accepting Telehealth appointments. Schedule a virtual visit.

Improvements in Knee Replacement Makes it One of the Most Successful Medical Procedures!

Dr. Daniel Nicholson Certified in Total Knee Replacement Using the Mako System

As one of the most successful procedures in all of medicine, total knee replacements in the U.S. are expected to rise 673 percent by 2030.  Perimeter Orthopedics’ surgeon, Dr. Daniel Nicholson is now offering his patients a highly advanced procedure allowing a remarkable degree of precision, accuracy and a personalized surgical experience.  The Mako Robotic-Arm Assisted Total Knee Replacement is a new treatment option designed to relieve the pain caused by joint degeneration due to osteoarthritis. 

Knee Pain and Osteoarthritis

If your knee is damaged by arthritis or injury, it may be difficult to perform simple activities such as walking, getting up from a chair or climbing stairs.  Some people may experience pain during rest that wakes them up at night.  When conservative treatments like medications, injections or physical therapy fail to provide relief, it may be time to consider partial or total knee replacement surgery. 

A normal knee is made up of several parts, including bones, cartilage, ligaments, muscles and fluid that act as a lubricant reducing friction in a healthy knee joint.  Articular cartilage allows for smooth movement within the joint.  Osteoarthritis is the most common form of knee arthritis in which the joint cartilage gradually wears away.  The bones then rub against each other causing knee pain and stiffness. In addition, the bones become thicker around the edges of the joint and may form bony “spurs”. All of these factors can cause pain and restrict range of motion in the joint. Osteoarthritis of the knee generally affects people ages 50 plus.

Knee Replacement with the The Mako Total Knee System

Total knee replacement, also called total knee arthroplasty, is a surgical procedure in which the worn out or damaged surfaces of the knee joint are removed and replaced with artificial parts. What makes the Mako Total Knee Replacement System different is that a CT scan of the patient’s diseased knee joint can be uploaded into the Mako software rendering a 3D model of the patient’s knee.  Dr. Nicholson will use the virtual 3D model to create each patient’s surgical plan before entering the operating room.  Guided by Dr. Nicholson, the robotic arm precisely positions the implant in the knee joint. During the surgery, Dr. Nicholson can validate the plan and make necessary adjustments while guiding the arm to execute the plan. “Mako is changing the way joint replacement surgeries are performed.  By optimizing the position of the knee implant, greater overall knee function and long-term outcomes are achieved.  Mako is allowing a more personalized experience based on the patient’s specific anatomy,” commented Dr. Nicholson. 

Positive Results

Each patient is unique and can experience joint pain for different reasons.  A thorough evaluation with an orthopaedic doctor can help rule out other factors and/or treatments.  In addition, your surgeon will explain the potential risks and complications of having a knee replacement. The good news is that if total knee replacement surgery is recommended, more than 90% of people experience a dramatic reduction of knee pain.  Most patients report significant improvements in their ability to perform common activities of daily living. Call 404-255-5505 to make an appointment.

Learn more at

You Might Also Enjoy...

COVID-19 Updates

The team at Perimeter Orthopaedics continues to closely monitor the COVID-19 outbreak via the Centers for Disease Control (CDC), the Georgia Department of Public Health, and the World Health Organization.

Carve The Pumpkin, Not Your Hand!

Pumpkin carving, costumes, unfamiliar homes, and young children traveling in darkness all provide possible scenarios for accidents and injuries. Perimeter Orthopaedics urges children and adults to take proper precautions to ensure a safe Halloween. 

Hand Fractures and What To Do About Them

A hand fracture is a break in one of the bones in the hand. Perimeter Orthopaedics own, Dr. Khurana (Orthopedic Hand & Upper Extremity Surgeon), takes a further look into hand fractures and how to treat them.

Orthopedic Surgeon Reviews Vaccine Shoulder Pain - SIRVA

Shoulder injury or pain related to vaccine administration, or SIRVA, happens when a vaccine is injected too high or too deep in the shoulder. Dr. Nicholson, a world class orthopedic surgeon, discusses the patients options to combat this pain.