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Orthopedic surgery stands at a transformative crossroads, where precision, personalization, and technological innovation are reshaping conventional practices. One of the most significant advancements in recent years is the integration of robotic technology into total knee arthroplasty (TKA). Once considered futuristic, robotic-assisted knee replacement has now become an essential and evolving aspect of modern surgical care, offering improved accuracy, consistency, and patient outcomes.
As orthopedic surgeons who have navigated the transition from traditional to technology-driven arthroplasty, we have experienced firsthand the challenges, questions, excitement, and promise that come with adopting robotic surgery. With this book, "A Comprehensive Guide to Robotic Knee Arthroplasty," we aim to bridge the knowledge gap and provide a complete, practical, and unbiased guide for all those navigating this new landscape—be it residents in training, early-career surgeons, or seasoned practitioners.
This book was conceived in response to a genuine need for a single, authoritative resource that not only explains the mechanics of various robotic platforms but also contextualizes their use in real-world clinical scenarios. It is not merely a compilation of theoretical chapters; rather it represents the shared experience of orthopedic surgeons who have collectively performed thousands of robotic knee surgeries. It brings together the knowledge and insights of contributors who are innovators, educators, and front-line clinicians deeply engaged with this technology on a dayto- day basis.

Throughout this book, we have made a conscious effort to keep the content evidence-based, yet clinically oriented and easy to navigate. The chapters begin with the evolution and rationale behind robotic TKA and gradually unfold into detailed discussions on different robotic systems—CUVIS, MISSO, MAKO, VALYS, CORI, ROSA, and more. Each system is examined with a focus on its unique features, operational workflow, indications, benefits, limitations, and clinical outcomes.
Comparisons between systems are drawn when relevant to aid in practical decisionmaking. In a field as dynamic as robotic knee arthroplasty, knowledge must evolve in tandem with technology. We hope this book will serve not only as a reference but also as a companion—one that instills confidence, encourages critical thinking, and ultimately contributes to better outcomes for patients worldwide.

* First-of-its-Kind Consolidated Resource: This book is among the earliest comprehensive Indian publications that brings together in-depth clinical and technical perspectives on all currently used robotic systems in total knee arthroplasty (TKA), making it a one-stop reference for orthopedic surgeons at all levels.
* Authored by an Expert Multidisciplinary Team: Contributions from over 20 leading orthopedic surgeons, including pioneers and early adopters of robotic technology in India. The team comprises clinicians from academic, private, and surgical backgrounds, offering a well-rounded perspective.
* Covers the Evolution from Conventional to Robotic TKR: Begins with the rationale for robotics and challenges in conventional KR, making it accessible even to orthopedic surgeons new to the field of computer-assisted and robotic surgery.
* Detailed Breakdown of Each Robotic System: Each of the leading robotic platforms-CUVIS,MISSO, MAKO, VELYS, CORI, and ROSA-is discussed in dedicated chapters, with focus on:
• System design and components
• Surgical workflow and steps
• Advantages, limitations, and clinical experiences
• Unique features and comparative insights
* Simplified Understanding of Core Concepts: Chapters on alignment techniques, robot classification, and robotic components are crafted to demystify the engineering and functional aspects of robotic systems, catering even to nonengineering readers.
* Evidence-based Discussion on Complications and Prevention: Real-world experience-backed insights into robot-specific complications, error minimization, and intraoperative risk management provide practical guidance for safe surgical practice.
* Strong Focus on Outcomes and Advantages: Includes a comprehensive chapter on the advantages of robotic knee arthroplasty, referencing improved alignment accuracy, component positioning, soft-tissue preservation, and patient satisfaction.
* Dedicated Chapter on Preoperative and Postoperative Rehabilitation: Guidance on rehabilitation protocols specific to robotic-assisted TKA, a commonly neglected area, with inputs from physiotherapists and or thopedic surgeons alike.
* Involvement of the Next Generation: Unique contributions from young minds like Sachiti Sachin Kale and Siddhant Pramod Bhor, reflecting the vision of passing the torch and incorporating intergenerational learning in orthopedic robotics.
* Extensively Referenced: The book ends with a well-curated bibliography and publications enabling readers to explore primary literature and recent studies for further research and academic engagement.