Sub-millimetre precision, better ligament balance, and walking within 24 hours — performed by Dr. Himanshu Gupta at Amicare Hospital, Indirapuram.
Robotic knee replacement is a total knee replacement performed with the help of a robotic arm that follows a 3D plan of your own knee, built from your scans before surgery. The surgeon still makes every decision — the robot simply executes those decisions with an accuracy the human hand cannot match, and physically stops the saw from straying outside the planned zone.
For you, that means less healthy bone removed, less soft-tissue and ligament damage, a knee that is balanced through its full range of movement, and a recovery that is usually noticeably faster in the first two weeks.
Robotic assistance helps every knee, but it helps some knees a great deal more than others.
Large deformities are exactly where manual jigs struggle and robotic planning shines. Correcting the mechanical axis accurately is the single biggest factor in a long-lasting knee.
If you are in your 50s or early 60s and expect the implant to last 20+ years, alignment accuracy matters more to you than to an 80-year-old.
Previous fractures, retained hardware, or an unusual bone shape make standard jigs unreliable. A 3D plan built from your own scan handles this properly.
Unicondylar implants are extremely sensitive to positioning. Robotic assistance meaningfully improves the accuracy of partial knee surgery.
In bilateral surgery, consistency between the two knees matters. Robotic planning keeps both sides symmetrical.
Reduced soft-tissue trauma means less early pain, which matters if you have a heart or lung condition and need to mobilise quickly.
We will not oversell the robot. Here is where it genuinely helps and where the difference is small.
| Parameter | Robotic-Assisted | Conventional |
|---|---|---|
| Pre-operative planning | 3D model of your knee, cut plan finalised before surgery | Standard sizing, decisions made during surgery |
| Bone cut accuracy | Sub-millimetre, robot restricts the saw | Depends on jig placement and surgeon experience |
| Ligament balancing | Measured numerically in real time | Assessed by feel |
| Soft tissue trauma | Lower | Moderate |
| Blood loss | Usually lower | Moderate |
| Time to first walk | Typically within 24 hours | Typically 24–48 hours |
| Hospital stay | 2–3 days | 3–5 days |
| Long-term outcome at 10 years | Excellent | Excellent when alignment is accurate |
| Cost | Higher | Lower |
Comparing options? Read about total knee replacement and partial knee replacement.
A CT scan or intra-operative mapping builds a digital model of your knee. Implant size, position and rotation are decided before a single cut is made.
In the OT, the surgeon maps landmarks on your actual bone so the robot knows exactly where your knee sits in space, accurate to fractions of a millimetre.
The robotic arm restricts the saw to the planned boundary. Damaged bone is removed; healthy bone and ligaments are protected.
Ligament tension is verified through the full range of movement, then the implant is fixed and the knee tested before closing.
Surgery takes 60–90 minutes per knee under spinal anaesthesia. You feel nothing below the waist, and you are usually awake and comfortable throughout.
| Timeline | What you will be doing |
|---|---|
| Day 1 | Sitting up, standing and taking first steps with a walker. Physiotherapy begins. |
| Day 2–3 | Walking to the bathroom independently. Discharge home with an exercise plan. |
| Week 2 | Stitches or staples removed. Walking indoors with minimal support. Bending 90°+. |
| Week 4–6 | Walking outdoors, climbing stairs, resuming driving. Most stop the walker. |
| Month 3 | Normal daily activities, temple visits, market walks, light travel. |
| Month 6–12 | Knee feels like your own. Long walks, swimming, cycling and light gym work. |
Detailed week-by-week plan → Knee replacement recovery guide
Robotic surgery costs more than conventional because of the robot, the pre-operative planning and the disposable instruments. What follows is an indicative range — you will get a written estimate for your specific case before admission.
| Procedure | Indicative Range (₹) |
|---|---|
| Robotic knee replacement — single knee | 2,20,000 – 3,20,000 |
| Robotic knee replacement — both knees | 3,80,000 – 5,50,000 |
| Robotic partial knee replacement | 1,90,000 – 2,60,000 |
| Under CGHS (empanelled) | Cashless at approved CGHS rates |

Technology does not replace judgement. Dr. Himanshu Gupta brings 20+ years and 2500+ surgeries to every robotic case.
MS Orth., MCh Orth., trained at Safdarjung Sports Injury Centre, New Delhi.
He consults, plans, operates and reviews you personally — no handover to a junior team.
Many patients are told to wait and given an exercise plan. Surgery is advised only when it is genuinely needed.
In-house physiotherapy from day one, because recovery decides the result as much as the surgery does.
No. The robot never moves independently and never makes a decision. The surgeon plans the operation, holds the robotic arm and performs every step. The robot's role is to keep the saw inside the planned boundary and to give the surgeon live numerical feedback on alignment and ligament tension. Think of it as a very precise guide, not an autonomous machine.
Roughly ₹2,20,000 to ₹3,20,000 for a single knee and ₹3,80,000 to ₹5,50,000 for both knees, depending on the implant, room category and your medical condition. Amicare Hospital is CGHS empanelled, so central government employees, pensioners and dependents can have robotic knee replacement cashless at approved CGHS rates. Cashless insurance is also accepted.
It is most worth it if you have a significant deformity, unusual anatomy or previous trauma, if you are younger and want maximum implant longevity, or if you are having a partial or bilateral knee replacement. For a straightforward knee in an older patient, a well-performed conventional replacement gives excellent results at a lower cost. Dr. Gupta will tell you which category you fall into rather than pushing the more expensive option.
Most patients stand and take their first steps with a walker within 24 hours of surgery, and walk to the bathroom independently by day two. Discharge is usually on day two or three. You will walk indoors without support in about two to three weeks and resume outdoor walking and driving around six weeks.
Yes, and the reduced soft-tissue trauma and lower blood loss are often particularly helpful in elderly patients who need to mobilise quickly. Age alone is not a barrier — cardiac, pulmonary and kidney fitness is what determines safety, and that is assessed before surgery. Fit patients in their 80s are operated routinely.
Sometimes, yes. Knee implants are made of cobalt-chromium or titanium alloys and can trigger airport scanners. Carry your implant card and discharge summary when travelling and inform security staff. No special medical certificate is legally required in India, but the card makes the conversation quicker.
Modern implants last 15 to 20 years or more in most patients. Accurate alignment is one of the strongest predictors of implant survival, which is the main long-term argument for robotic assistance. Maintaining a healthy weight, avoiding repeated deep squatting and treating any infection anywhere in the body promptly all extend implant life.
Often yes, and previous surgery is sometimes a reason to prefer robotic planning because the anatomy is altered and standard jigs become unreliable. Retained plates, screws or an old fracture change how the bone must be cut. If your first knee replacement has failed, see our revision knee replacement page.
Send your standing X-ray on WhatsApp or bring it to the OPD. You will get a straight answer about which procedure suits you — including whether you can safely postpone surgery.
Our coordinator will call you the same working day.
No obligation, no pressure. Just an honest assessment.