Robot-Assisted Joint Replacement

Lowcountry Orthopaedics is pioneering same-day joint replacement surgery utilizing the most advanced robotic-arm assisted surgery technology. The first private practice in the Lowcountry to develop this program in an outpatient surgery center setting, the Mako Robotic Joint Replacement Program allows patients to have total joint replacement surgery and return home the same day. Patients benefit from eliminating the need for hospital admission and rehabilitating at home. The program that was once reserved for a few select patients is now approved to treat Medicare and most private insurers.

Same Day Appointments

Attention Patients & Visitors: Face Coverings Required

History of Same-Day Joint Surgery

The Robotic Joint Replacement Program at Lowcountry Orthopaedics Outpatient Surgery Center merges the most advanced technology and a highly experienced, personalized care team to bring total joint replacement patients home the same day.

Lowcountry Orthopaedics is South Carolina’s first outpatient surgery center to offer robotically-assisted surgery using Mako robotic technology, advanced implants, and multimodal pain management. We provide patients access to a myriad of benefits associated with same-day total joint replacement.

Benefits of Same-Day Surgery

The benefits of same-day total hip, knee, or shoulder replacement surgery include fast recovery, lower risk of infection, no risk of hospital-acquired illness, cost reduction, and increased patient satisfaction. Patients interested in same-day joint surgery should schedule an evaluation with Dr. Zimlich to review their medical profile for candidacy.

Benefits At-A-Glance

  • Less invasive
  • More precise placement of implant
  • Reduced risk of infection
  • More affordable
  • Accelerated recovery
  • More natural-feeling knee, thus less discomfort
  • Better post-surgery motion and mobility

Frequently Asked Questions

Same-day surgery. What is it?

Same day joint surgery allows patients to undergo surgery and receive personalized post-operative care. Patients are released to go home to recover with our outpatient physical therapy team and home care. Patients are safely home with a plan for accelerated recovery just hours following their joint replacement.

How are the process and technology different?

Robotic-arm assisted surgery technology for total joint replacement allows the orthopedic surgeon to provide patients with a customized surgical experience. The first step in the process involves obtaining a CT scan of the patient’s knee. This allows for the construction of a personalized three-dimensional (3D) virtual model that enables the surgeon to plan and place the implant more precisely. The use of the Mako Robotic-Arm Assisted Surgery System brings exceptional accuracy to the surgery—giving patients less pain and more natural movement right after surgery.

Does the Mako Robotics have quality outcomes?

Expertise and quality outcomes are among the many benefits of the same day Mako Robotics Joint surgery. Dr. Zimlich is an expert user of the Mako™ Robotic Knee system. As expert Mako Robotic surgeons they employ all the advantages of the software to optimize the position, alignment, and tracking of each implant.

How is the Mako Robotics Joint procedure better over time?

The Robotic procedure combined with experienced orthopedic surgeons allows for perfect sizing and achieves a more precisely placed knee replacement optimized for each patient’s unique anatomy. The long-term result is a more comfortably functioning, natural feeling knee. The precision results in the comfort of the implant over time.

Does the same-day procedure result in faster recovery?

Dr. Zimlich’s Robotics joint replacement minimizes tissue disruption. The combination of robotically assisted surgery, multimodal pain management, accelerated rehabilitation, and a personal care team makes the recovery faster and the discomfort less.

Is the procedure affordable and safe?

The Lowcountry Orthopaedics Outpatient Surgery Center provides more affordable access to the Mako Robotics procedure with less risk of infection than inpatient hospital surgery. Thus, the outpatient Mako Robotic Joint Replacement Program eliminates the higher hospital facility fee and provides a safe environment for the patient.

How do you recover at home without inpatient care?

Rehabilitation and at-home care are an integral part of the Lowcountry Orthopaedics outpatient robotics joint program. The patient experiences seamless navigation of their at-home care with our rehabilitation and home care services.

Lowcountry Orthopaedics’ Surgeons

Lowcountry Orthopaedics is a natural fit to pioneer the Mako Assisted Robotic Joint Replacement since our surgeons have significant experience using robotic equipment and a comprehensive outpatient surgery center program in place for total knee, hip, and shoulder replacement.
Richard Zimlich, MD

Richard Zimlich, MD

Hip & Knee Specialist

Eric Stem, MD

Eric Stem, MD

Hip & Knee Specialist

Contact Us

Office Phone

(843) 797-5050

Office Headquarters

2880 Tricom Street
North Charleston, SC 29406


2880 Tricom St.
North Charleston, SC 29406


1951 Clements Ferry Rd.
Charleston, SC 29492


93B Springview Ln.
Summerville, SC 29485


93B Springview Ln.
Summerville, SC 29485


130 E 3rd N Street
Summerville, SC 29483


93A Springview Ln.
Summerville, SC 29485


Now open at our North Charleston location Monday through Thursday from 5pm to 7pm and Saturdays from 8 am to Noon.


Our athletic trainers have the experience and equipment needed to provide on-the-spot sports medicine for your players.


Our Occupational Therapists treat patients with upper extremity injuries through the therapeutic use of everyday exercises.


We offer magnetic resonance imaging (MRI) in-house, which simplifies scheduling, insurance authorization, and filing.


We work directly with employers, occupational clinics, case managers, adjusters, and insurance companies to provide rapid treatment.


Our freestanding Ambulatory Surgery Center provides an efficient, cost-effective alternative to the traditional hospital stay.



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