Pioneering the future: The first step in robotic surgery

Renukadevi*

Nursing Incharge, OT Department, Kauvery Hospital, Hosur, Tamil Nadu

Introduction

Robotic total knee replacement (TKR) uses computer-assisted technology to help surgeons precisely plan and perform knee replacement, offering personalized alignment, improved implant placement, and potentially faster recovery with less pain than traditional methods. The surgeon controls the robotic arm, which provides real-time data, haptic feedback, and guides cutting tools for highly accurate bone preparation and implant positioning, resulting in better joint balance and function.

Robotic TKR Advantages

Precision:Robotic arms guide bone cuts with sub-millimeter accuracy and ensure precise implant positioning, improving fitness and reducing risks.
Personalization:Creates custom surgical plans based on patient’s unique joint movement, protecting ligaments and soft tissues.
Faster Recovery:Smaller incisions, less tissue disruption, shorter hospital stays, and potentially quicker return to activity.
Better Function:Higher accuracy in alignment can lead to a more natural feel and improved long-term function.
Reduced Pain:Less disruption often means lower pain levels and reduced opioid use post-surgery.

Demonstration and Experience in Robotic Total Knee Replacement

On November 7th, 2025, The Robotic system and associated instruments were set up in Operating Theatre–1 (OT-1). The demonstration was attended by surgeons and operating room staff. A dummy bone model was used to simulate the procedure, allowing hands-on exposure without patient involvement. The training emphasized preoperative 3D planning, robotic system calibration, and intraoperative execution. Detailed explanations were provided regarding system settings, functional parameters, and real-time accuracy control. The session also highlighted the advantages of robotic assistance in improving precision and alignment during TKR procedure. Overall, the demonstration enhanced the team’s understanding of robotic workflows and increased enthusiasm among staff to adopt advanced surgical technologies. Such structured training programs play a crucial role in improving surgical efficiency, teamwork, and readiness for complex robotic procedures.

The Red-Letter Day

On November 13, 2025, for the first time in Krishnagiri District, the first Robotic Total Knee Replacement (TKR) was successfully performed at Kauvery Hospital, Hosur. Not just one, but two robotic TKR surgeries were completed on the same day (one unilateral and one bilateral).This achievement marks a huge success and a proud moment for all Kauverians. The robotic tools were positioned with precision, the staff were actively involved and performed exceptionally well, and the surgeons operated extraordinarily making it a truly memorable day.

Role of Surgeons and Operating Room Staff in Robotic Total Knee Replacement

Orthopedic surgeons serve as the principal planners and decision-makers in robotic TKR. Preoperative planning is performed using high-resolution three-dimensional imaging, including computed tomography (CT). These data are integrated into robotic software platforms to define implant positioning, bone resection parameters, and alignment targets prior to the surgical procedure. Such detailed planning allows for patient-specific customization and intraoperative accuracy.

Operating room technicians and technical staff play a critical role in the execution of robotic-assisted procedures. Their responsibilities include system installation, calibration, navigation tracking, and intraoperative troubleshooting. Efficient management of the robotic interface and navigation systems ensures procedural continuity and optimal utilization of the technology.

Surgery outcomes of Robotic TKR

Enhanced Precision and Alignment
Faster Recovery and Shorter Hospital Stays
Improved Early Function
Lower Complication Rates
High Patient Satisfaction

Preoperative X-ray

Intraoperative Surgery

Postoperative X-ray

Conclusion

The successful execution of robotic TKR is the result of a synergistic relationship between surgical expertise and technological proficiency. While the surgeon determines the operative strategy, the robotic system provides enhanced precision, and the OR staff ensures smooth operational functionality. This integrated approach enables the entire surgical process to be carried out efficiently and safely

Pioneering the future: The first step in robotic surgery

Pioneering the future: The first step in robotic surgery

Renukadevi*

Nightingale Journals