Procedures  ›  Knee

Total Knee Replacement

Robotic-assisted knee replacement with patient-specific 3D alignment planning.

Robotic-assistedPatient-specificCT-based planning
Overview

Total knee replacement resurfaces all three compartments of the knee joint. The worn ends of the femur and tibia are replaced with precisely-machined metal components, and a highly-crosslinked polyethylene bearing is placed between them to replace the lost cartilage.

Dr. Debbi performs every primary knee replacement with robotic-arm assistance and a patient-specific alignment plan. A pre-operative CT scan of your knee is used to build a three-dimensional model, and the implant is positioned to match your unique anatomy, not a standardized template.

Technique
01

CT-based 3D modeling

A low-dose CT scan is used to build a millimeter-accurate 3D model of your knee. Implant size, rotation, and alignment are planned in software before the first incision.

02

Robotic-arm assistance

During surgery, the robotic arm provides a physical boundary, it cannot cut outside the pre-planned zone. This allows bone preparation within a fraction of a millimeter of the plan.

03

Ligament balancing

Intra-operative sensors measure soft-tissue tension through the full range of motion. The plan is adjusted in real time to balance the knee's ligaments before any bone is cut.

04

Implant placement

Titanium-backed femoral and tibial components are fixed to the bone. A highly-crosslinked polyethylene bearing replaces the cartilage. The patella may be resurfaced depending on wear.

Recovery timeline
Day 0
Walk with a walker; begin bending the knee the same day.
Day 1–3
Discharged home or to rehab; physical therapy begins immediately.
Week 2
Most patients off narcotics and using a cane.
Week 4–6
Walking without assistive devices; cleared to drive.
Month 3
Return to golf, doubles tennis, cycling, hiking.
Month 6–12
Full recovery; the knee continues to improve for up to a year.

Timelines are typical, individual recovery varies based on age, health status, pre-operative condition, and adherence to physical therapy. Dr. Debbi will give you a personalized recovery plan.

In patients' words
I'm a cyclist and was terrified I'd lose the bike. Dr. Debbi used robotic alignment to get the ligament balance exactly right. Three months post-op I was riding 30 miles without pain. Felt like my own knee again.
Patient, age 67 ★★★★★ Google review
Bone-on-bone arthritis in both knees, barely able to walk a block. Dr. Debbi did one knee in March and the other in September. A year later I'm hiking with my grandchildren. No exaggeration, it gave me my life back.
Patient, age 72 ★★★★★ Google review
Who is a candidate
Common questions
The robot does not perform surgery autonomously. It provides the surgeon with a pre-planned cutting boundary, if the surgeon moves the saw outside the planned zone, the robot locks. This allows precision well below what's possible with manual instruments.
Most patients regain the ability to kneel, though the sensation is often different than a native knee, pressure on the incision may feel firm. Kneeling is safe for the implant.
Modern cemented total knee replacements show 90%+ survival at 15–20 years. The robotic-assisted, patient-specific approach is designed to improve these numbers further, particularly in younger and more active patients.
Low-impact activities (cycling, golf, doubles tennis, hiking, swimming) are encouraged. Running and singles tennis are possible for motivated patients but are generally discouraged to extend implant life.
Total knee replacement resurfaces all three compartments. If only one compartment is affected, you may be a candidate for a partial knee replacement, which preserves healthy bone and ligaments.
Patient resources

Summarized from Hospital for Special Surgery patient education materials. These guides are general, always follow the specific instructions from Dr. Debbi and your care team.

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Ready to take the next step?

New patient appointments are typically available within 1–2 weeks. Telehealth consultations available for out-of-state patients.