Is Living With Knee Pain Really Living?

If you're one of the estimated 30 million Americans suffering from osteoarthritis1, discover how knee replacement using NAVIO robotic assistance may help you return to the activities you love.

How Do I Know If I Am A Candidate For Robotics-Assisted Knee Replacement Using The NAVIO System?

Although each patient must consult with a physician individually, typical knee replacement candidates share the following characteristics:

  • Knee pain in the knee during activities
  • Knee pain is limiting activities on more days than not
  • Initial knee pain or stiffness caused by activities from a seated position
  • No longer finding relief from non-surgical treatment options

All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2019 Smith & Nephew, All Rights Reserved.

Mark G. McDonald, MD

Dr. McDonald is a graduate of The Ohio State University College of Medicine. Suma Cum Laude. He graduated from Ball State University where he was a Varsity Letterman in Football. He is a graduate of Lima Senior High School. He is Board Certified in Orthopaedic Surgery by the American Board of Orthopaedic Surgery. He completed his Orthopaedic Surgery residency at the University of Kentucky. He Specializes in Knee Surgery; knee arthroscopy, total knee replacement, and sports medicine. He was the team physician at Bluffton University and Lima Senior High School for many years. In 2000, he was named "Team Physician of the Year" by the Heartland Collegiate Athletic Conference, of which Bluffton University is a member.

Dr. McDonald is the CEO, President and Chairman of the Board at the Institute for Orthopaedic Surgery (IOS), an Orthopaedic Specialty Hospital. He is the President of the Medical Staff at IOS and also co-chairs its Medical Advisory Committee. He has been recognized multiple times as one of the Top 60 U.S. Physician Leaders of Hospital & Health Systems by Becker's Hospital Review: Business & Legal Issues for Health Systems Leadership.

Joseph R. Misson, MD

Dr. Misson is a graduate of the University of Cincinnati and the Medical College of Ohio. He completed his orthopaedic surgical residency at the Grand Rapids Medical Education and Research Center. He completed a Fellowship in Orthopaedic Arthroscopy and Sports Medicine at New Mexico Orthopaedics. He is Board Certified in Orthopaedic Surgery by the American Board of Orthopaedic Surgery. Dr. Misson also holds a Certificate of Added Qualification in Sports Medicine. He is a Fellow of the American Academy of Orthopaedic Surgeons and a member of the Arthroscopy Association of North America.

Dr Misson serves as team Orthopaedic Surgeon for Bluffton University and Celina High School.

James M. Nieman, MD

Dr. Nieman is a graduate of Fremont Ross High School and the University of Toledo. He attended medical school at the Medical College of Ohio. He completed his orthopaedic surgical residency at the State University of New York Health Science Center. He is Board Certified in Orthopaedic Surgery by the American Board of Orthopaedic Surgery. He also has a Sub-Specialty Board Certification in Sports Medicine from the American Board of Orthopaedic Surgery. He is a Fellow of the American Academy of Orthopaedic Surgery and American Society of Sports Medicine.

Dr. Nieman is current President of The Orthopaedic Institute of Ohio. He serves as Team Physician for Ohio Northern University, Bath High School and Lima Central Catholic High School.

James J. Patterson, MD

Dr. Patterson is a graduate of the University of Dayton. He received his medical degree from the University of Cincinnati and completed his orthopaedic surgical residency at the University of Cincinnati. He completed a Fellowship in Total Joint Reconstruction and Replacement at the University of Western Ontario, London Health Sciences Center. He is Board Certified in Orthopaedic Surgery by the American Board of Orthopaedic Surgery. He is a member of the American Academy of Orthopaedic Surgeons.

William Sanko, MD

Dr. Sanko is Board Certified in Orthopaedic Surgery. He received his undergraduate degree in Pharmacy at Ohio Northern University, medical degree from the Medical College of Ohio at Toledo, residency at William Beaumont Hospital in Royal Oak, Michigan and fellowship in Orthopaedic Sports Medicine at The Ohio State University.

He is a fellow of the American Academy of Orthopaedic Surgery and an active member of the American Society of Sports Medicine. He is director of Sports Medicine at the Orthopaedic Institute of Ohio in Lima, Ohio. He is also the team physician to the University of Northwestern Ohio and Shawnee High School.

Dr. Sanko specializes in shoulder and knee ligament reconstruction, arthroscopy and total joint replacement.

His fellowship training allows him to stay on the cutting edge of advancements in Sports Medicine, including the latest surgical techniques and rehabilitation methods.

Michael J. Wieser, MD

He is a graduate of the University of Cincinnati College of Medicine. He also completed his internship and orthopaedic surgical residency at the University of Cincinnati. He is Board Certified in Orthopaedic Surgery by the American Board of Orthopaedic Surgery. He is a member of the American Association of Orthopaedic Surgeons and the American Board of Sports Medicine. He is the Chairman of the Infection Control Committee.

Dr. Wieser has been the Orthopaedic Team Physician for Lima Central Catholic High School since 1988. He is also the Medical Director of Medical Assistant Program at James A. Rhodes State College. Dr. Wieser is the current Chairman of the Infection Prevention & Control Committee of the Medical Staff.


  1. Centers for Disease Control and Prevention, Arthritis-Related Statistics, Prevalence of Specific Types of Arthritis, http://www.cdc.gov/arthritis/data_statistics/arthritis-related-stats.htm, accessed 8/10/16

All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2019 Smith & Nephew, All Rights Reserved.