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Orthopaedics & Spine Procedure

Robotic-Assisted Joint Replacement (MAKO / NAVIO)

Robotic-assisted joint replacement is an advanced surgical technique where an orthopedic surgeon uses a robotic arm or a handheld robotic device to assist in performing total or partial joint replacements, primarily of the knee and hip. These systems enhance precision and allow for highly personalized surgical planning.

Robotic joint replacement (MAKO, CORI, Navio)
Robotic joint replacement (MAKO, CORI, Navio)

Clinical Overview & Disease Information

Robotic-assisted joint replacement is an advanced surgical technique where an orthopedic surgeon uses a robotic arm or a handheld robotic device to assist in performing total or partial joint replacements, primarily of the knee and hip. These systems enhance precision and allow for highly personalized surgical planning.

Signs & Symptoms

Early Symptoms
  • • Moderate knee or hip pain during walking
  • • Morning joint stiffness lasting 30 mins
Common Symptoms
  • • Severe joint pain unresponsive to medication
  • • Joint instability and bow-leg deformity
  • • Inability to walk short distances without pain
Emergency Symptoms
  • • Sudden joint locking
  • • Acute hot swollen joint

Causes & Risk Factors

Primary Causes & Etiology

  • Severe Tricompartmental Osteoarthritis
  • Complex joint deformities (>15 degree varus/valgus)
  • Post-traumatic cartilage destruction

Who is at Higher Risk?

  • Active seniors seeking natural knee feel
  • Patients with complex bony deformities

Diagnostic Evaluation & Testing

Diagnostic Test Clinical Purpose / What It Shows
3D CT Scanogram & Alignment Scan Generates virtual 3D anatomical model for robotic surgical planning
Dynamic Intraoperative Ligament Tension Mapping Measures real-time ligament balance through full range of motion

Comprehensive Treatment Options

Robotic-Assisted MAKO / NAVIO Partial & Total Joint Replacement

Robotic arm enforces haptic boundaries to protect soft tissue.

Key Advantages:
30% less post-op pain
Sub-millimeter cutting accuracy (<0.5mm)
Natural joint feel
Discharge 1-2 days earlier

Robotic Revision Joint Reconstruction

Robotic navigation for precise implant revision and bone defect augmentation.

Recommended For:
Complex joint deformities
Patients desiring rapid active recovery

Advanced Medical Technologies Available in Partner Hospitals

MAKO Robotic Arm System NAVIO / CORI Handheld Robotics Haptic Guidance Barriers

Possible Complications If Untreated

Pin-site infection (rare)
DVT blood clot
Transient nerve irritation

Recovery Timeline, Diet & Lifestyle Care

Recovery Timeline

Procedure / Stage Expected Recovery Duration
Day 1 Post-Op Full weight-bearing walking without brace
Hospital Discharge 2 to 3 days post surgery
Walking without Walker 2 weeks
Return to Sports & Driving 4 weeks

Recommended Post-Treatment Diet

  • Collagen peptide supplements
  • High protein diet
  • Anti-inflammatory berries

Essential Lifestyle Changes

  • Home robotic rehab app exercises
  • Stationary cycling
  • Low-impact fitness
When to Contact a Doctor Urgently:
Pin site redness or drainage
Fever > 101°F
Calf tenderness

Prevention & Long-Term Health

Quadriceps strengthening
Maintain body weight
Avoid joint impact injury

Frequently Asked Questions

Does the robot perform the surgery automatically?

No, the robot does not operate independently. Your orthopedic surgeon is in complete control at all times. The robotic system acts as a highly advanced tool that guides the surgeon's hands and prevents them from cutting outside the pre-planned boundaries.

What are the benefits of robotic over traditional joint replacement?

The primary advantage is exceptional precision in bone preparation and implant positioning. Proper alignment can lead to a more natural-feeling joint, better preservation of healthy soft tissue, potentially faster initial recovery, and a lower risk of the implant failing or wearing out prematurely.

Do all these systems require a CT scan before surgery?

No. The MAKO system requires a pre-operative CT scan to create the 3D surgical plan. The NAVIO and CORI systems are "imageless," meaning they do not require a CT or MRI beforehand. Instead, the surgeon maps your joint's anatomy directly in the operating room.

Is the recovery time faster with a robotic procedure?

Many studies report that patients undergoing robotic-assisted surgery may experience less post-operative pain, require fewer pain medications, and achieve earlier mobilization in the first few weeks compared to traditional methods due to reduced soft tissue trauma. However, the overall timeline to reach maximum medical improvement and full strength remains similar (typically 3 to 6 months).

Top Recommended Specialists Available

Dr. Hitesh Garg

Dr. Hitesh Garg

Head - Ortho Spine Surgery

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Dr. Ashok Rajgopal

Dr. Ashok Rajgopal

Group Chairman - Orthopaedics & Joint Replacement

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Dr. Amit Jassal

Dr. Amit Jassal

Principal Consultant - Anaesthesia

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Dr. I P S Oberoi

Dr. I P S Oberoi

Chairperson - Orthopaedics Program & Chief – Robotic Joint Replacement & Arthroscopy Surgery

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Dr. (Col) Suvasish Chakraberty

Dr. (Col) Suvasish Chakraberty

Sr. Consultant - Orthopaedics & Joint Replacement

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Dr. Devendra Singh Solanki

Dr. Devendra Singh Solanki

Head Unit I - Orthopaedics & Joint Replacement

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Dr. Devendra Yadav

Dr. Devendra Yadav

Unit Head - Orthopaedics (Unit VI)

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Dr. Ramkinkar Jha

Dr. Ramkinkar Jha

Sr. Consultant - Orthopaedics & Joint Replacement

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Dr. Rohit Lamba

Dr. Rohit Lamba

Head of Department - Orthopaedics & Bone Joint Care

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Dr. Sachin Sethi (PT)

Dr. Sachin Sethi (PT)

Principal Lead - Physiotherapy & Rehabilitation

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Dr. Sumit Kumar

Dr. Sumit Kumar

Consultant - Orthopaedics & Spine Surgery

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Dr. Varun Khanna

Dr. Varun Khanna

Consultant - Orthopaedics & Spine Surgery

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Dr. Vivek Vaibhav

Dr. Vivek Vaibhav

Sr. Consultant - Orthopaedics & Joint Replacement (Unit I)

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Dr. Hitesh Garg

Dr. Hitesh Garg

Head - Ortho Spine Surgery

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Dr. (Prof.) Ravi Sauhta

Dr. (Prof.) Ravi Sauhta

Chief and HOD - Orthopaedics & Joint Replacement (Unit VI)

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Dr. Sandeep Chauhan

Dr. Sandeep Chauhan

Head (Unit-III) - Orthopaedics & Joint Replacement

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Dr. Sanjay Sarup

Dr. Sanjay Sarup

Head – Orthopaedics (Unit-II) & Chief – Paediatric Orthopaedics & Spine Surgery

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Dr. SK Rajan

Dr. SK Rajan

Chief - Neuro Spine Surgery & Additional Director - Neurosurgery

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Dr. Vipin Maheshwari

Dr. Vipin Maheshwari

Sr. Consultant - Orthopaedics & Joint Replacement

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Dr. Anjali Vaish

Dr. Anjali Vaish

Consultant - Physiotherapy and Rehabilitation Centre

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Global Cost Comparison Matrix

Procedure USA (Avg) India (ISG) Turkey (Avg) Thailand (Avg)
Robotic joint replacement (MAKO, CORI, Navio) $40,000-45,000 $8,000-9,000 $10,500-12,000 $12,000-14,000

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Commonly Prescribed Medications

  • Celecoxib 200mg daily
  • Paracetamol 1g
  • Rivaroxaban 10mg (DVT prevention)

International Patient Guide

Estimated Stay in India:
3D CT Mapping 1 day
Robotic Surgery & Stay 3 days
Outpatient Rehab & Flight 7 - 10 days total stay
Documents to Bring:
  • Passport & Visa
  • CT Scanogram CD
  • Medical Summary