Ortho | Robotic Hip and Knee Replacement Surgery

Robotic Hip and Knee Replacement Surgery: Benefits, Risks, and What to Expect

Robotic assistance is increasingly used in hip and knee replacement surgery. If you are considering joint replacement, you may wonder what the technology does, whether it improves results and whether you need it for a successful procedure.

I have extensive experience with robotic joint replacement and have trained with and currently use multiple robotic systems. I find the real-time measurements and guidance they provide helpful during surgery. However, I have not observed a difference in long-term function or recovery between my patients who had robotic-assisted surgery and those who did not.

Below are some of the most common questions my patients ask about robotic-assisted joint replacement.

How Does Robotic Joint Replacement Work?

During robotic-assisted joint replacement surgery, the robot does not perform the procedure on its own. It is a tool that provides the surgeon with information and guidance to help them plan and carry out the operation. Your surgeon remains in control at all times. Robotic systems work in different ways, but none of the systems currently used in the United States operates independently.

What Are the Potential Benefits?

Robotic assistance is more commonly used for knee replacement, although it may also be used for hip replacement. Depending on the system and procedure, it can help the surgeon:

  • Plan implant size and position
  • Place components with greater precision
  • Confirm alignment during surgery

Research has not consistently shown that robotic-assisted joint replacement produces better overall patient outcomes. Patients can have successful results with or without robotic assistance.

Are There Risks or Limitations?

Robotic assistance may reduce certain procedure-specific risks. For example, it may lower the chance of hip instability when a hip replacement is performed through an incision at the back of the hip, known as a posterior approach. It can also introduce risks, including a small risk of fracture at the sites where temporary pins are placed in the bone.

Do I Need Robotic Surgery for a Successful Joint Replacement?

Robotic assistance is not required for a successful hip or knee replacement. It has not been proven to significantly improve outcomes, and not using it does not mean you will have a worse result. Whether a surgeon uses robotic assistance depends on several factors, including the surgeon’s training and experience and the technology available at the hospital or surgery center.

I plan to continue using robotic assistance when it is available because I believe it makes the surgery more consistent and I find the additional measurements and guidance helpful in carrying out the surgical plan.

The most important consideration is choosing an experienced orthopedic surgeon who can recommend an approach based on your specific condition, goals and individual needs. Talk with your surgeon about whether robotic-assisted joint replacement is appropriate for you.

Based in Beaverton, Oregon at The Oregon Clinic Orthopedics, Dr. Richard Auran provides personalized, minimally invasive joint replacement surgery using advanced surgical techniques designed to reduce pain, speed recovery, and restore natural movement. Call today to schedule your consultation and learn about personalized treatment options.