Technology
Dr. Siddiqi doesn't measure his work against what most surgeons do. He measures it against what every patient deserves.
Half a millimeter is the margin between a joint that works and a joint that still causes pain.
That is not a marketing figure. It is the clinical reality of total joint replacement — the difference between a component positioned correctly and one positioned within the acceptable range that the field decided was good enough before better tools existed.
That’s why Dr. Siddiqi uses robotic assistance in every joint replacement he performs. Not because it makes the surgery easier for the surgeon. Because it reduces the positional variability inherent in every human surgeon’s hands, and variability has consequences patients can feel years later.
The Mako SmartRobotics™ system is the most advanced robotic platform in joint replacement surgery today — and Dr. Siddiqi is among the select group of surgeons Stryker has designated as expert users of the technology.
Before a single incision is made, Dr. Siddiqi uses each patient’s own CT imaging to build a three-dimensional model of their joint. From that model, he plans the exact position, angle, and sizing of the implant — calibrated to that patient’s specific anatomy, not a population average. In the OR, the robotic arm executes his plan within precise boundaries he has set, flagging any deviation in real time.
The Mako SmartRobotics system doesn’t replace the surgeon’s judgment. It protects it. Every clinical decision belongs to Dr. Siddiqi. What the system provides is the instrument precision to carry those decisions out exactly as intended — on every patient, every time, regardless of the variables of any given surgical day.
What precision means at year five.
Joint replacement is a long-term investment. The implant placed today is expected to perform for 15 to 20 years. The variables that determine whether it performs well over that horizon — component positioning, alignment, soft tissue balance — are set in the first 90 minutes of surgery. They don’t adjust afterward.
Robotic-assisted planning reduces the likelihood of being on the wrong side of those variables. It doesn’t eliminate complications — nothing does — but it narrows the range of outcomes in a direction that benefits the patient, not just the surgeon’s statistics.
For patients traveling from Midland, Odessa, or East Texas for this surgery, that consistency matters in a specific way: they are making a significant commitment to come here. The precision standard is part of what that commitment is worth.
Questions about robot-assisted surgery?
The consultation is the place to ask them. Dr. Siddiqi will explain how the Mako system is used in his practice, what it changes about the procedure, and what it doesn't.