Knee arthritis can gradually affect every aspect of daily life. Proper evaluation is the first step toward regaining your mobility and confidence.
Consistent clinical excellence in joint replacement across North India.
Advanced procedures with focus on care, safety, and long-term outcomes.
Among the few surgeons in India performing robotic joint replacement.

Knee arthritis can gradually affect every aspect of daily life. What often begins as occasional pain while climbing stairs or getting up from a chair may slowly progress to:
Difficulty walking and loss of confidence while walking
Disturbed sleep
Deformity of the knee
Dependence on pain medication
Inability to participate in normal family and social life
Many patients live with symptoms for years before considering surgery. However, the important question is not: “Should I choose robotic surgery?” The first question is: “Do I truly need knee replacement at this stage?” That distinction matters.
Not every painful knee needs surgery, and not every patient benefits from the same type of alignment philosophy or surgical approach. Good outcomes begin with correct diagnosis and appropriate decision-making.
Pain significantly affects daily life
Walking distance reduces progressively
Stiffness limits movement
Sleep is disturbed due to pain
Deformity increases
Non-surgical treatment no longer provides meaningful relief
Weight reduction
Strengthening exercises & physiotherapy
Medications & injections
Activity modification
The goal is not to “rush into surgery” or “delay surgery unnecessarily.” The goal is to intervene at the right stage for the right patient.
Robotic knee replacement is an advanced surgical technique designed to assist the surgeon with planning, precision and execution during knee replacement surgery. The robot does not perform surgery independently. The surgery is entirely performed by the surgeon.
The robotic platform assists with detailed planning, bone preparation, implant positioning, ligament balancing, alignment assessment, and real-time intra-operative feedback. Technology supports precision; clinical judgement remains central to the outcome.
Robotic systems are powerful tools, but outcomes depend on how technology is integrated with surgical judgement, soft tissue understanding and real-world experience.
After performing thousands of robotic knee replacement procedures, one of the most important lessons is this: A successful knee replacement is not created by numbers alone. It is created by balancing alignment, ligament tension, implant positioning, patient anatomy, stability, and recovery expectations. Every knee behaves differently. That is why thoughtful planning matters.
Traditional knee replacement philosophy often aimed to place every knee in a standard mechanical alignment. Modern arthroplasty increasingly recognises that not every patient’s natural anatomy is identical.
Selected patients may benefit from more personalised alignment strategies (kinematic thinking) that attempt to respect native anatomy, soft tissue balance, constitutional alignment, and joint line orientation.
This is where robotic planning can become extremely valuable. Robotic systems allow the surgeon to assess alignment dynamically, evaluate ligament balance in real time, and modify implant positioning based on the functional behaviour of the knee. The aim is not simply to make the X-ray look “perfect”; the aim is to create a knee that feels stable, balanced and functional for the patient.
One of the misconceptions in robotic surgery is that achieving ideal digital numbers automatically guarantees a successful outcome. Real surgery is more complex than software values alone.
A knee may appear perfectly balanced on the screen, yet still not behave naturally if the joint line is altered excessively, soft tissues are over-released, or patient anatomy is ignored. Technology is extremely useful—but surgery still requires interpretation, judgement and experience. This is why robotic surgery should support surgical thinking, not replace it.
At NHS Ortho Robotics, robotic knee replacement is performed using advanced robotic-assisted technology including the CORI robotic platform.
The system assists with real-time planning, dynamic balancing, implant positioning, and precision-guided bone preparation. This may help support accuracy, reproducibility, personalised planning, and consistency in execution. The robotic platform is a tool that assists the surgeon during surgery. The final decision-making always remains with the operating surgeon.
Improved precision of implant positioning
Better ligament balancing & personalised planning
Improved restoration of knee mechanics
Potentially more natural-feeling movement
Reduced alignment outliers & early functional recovery
Note: Successful outcomes still depend on correct diagnosis, patient selection, surgical technique, and rehabilitation.
This is one of the most common questions patients ask. The answer is not identical for every patient. Robotic surgery may offer advantages in precision, planning, balancing, and consistency. But robotic surgery is not magic. A well-performed conventional knee replacement can also function extremely well.
The more important questions are: Is surgery necessary? Is the patient appropriately selected? Is the knee balanced properly? Is the recovery structured correctly? Technology supports surgery; thoughtful decision-making determines the outcome.
Recovery is not just about surgery; it also depends on muscle condition, rehabilitation, pain control, motivation, and overall health.
Patients commonly seek second opinion consultation when:
Advised surgery at a relatively early stage
Unsure whether surgery is necessary
Confused between robotic and conventional surgery
Worried about recovery, or considering revision surgery
Sometimes the most important consultation is not about choosing a robot. It is about understanding whether surgery is truly required. That clarity matters. Learn more about our Second Opinion Service →
No. The surgery is performed entirely by the surgeon. The robotic system assists with planning and precision.
Not necessarily. Different patients may require different surgical approaches depending on anatomy, deformity and functional goals.
No surgery can guarantee outcomes. Technology may improve precision, but recovery and function depend on many factors.
In selected patients, bilateral knee replacement may be considered after detailed evaluation.
Modern knee replacements often function well for many years, although longevity depends on multiple patient and implant-related factors.
Dr Shubhang Aggarwal is a robotic knee and hip replacement surgeon and Director – Orthopaedics at NHS Hospital, Jalandhar.
His practice focuses on: robotic knee replacement, personalised alignment philosophies, revision arthroplasty, complex knee deformity, structured recovery protocols, and patient-specific surgical planning. Patients from Punjab, Himachal Pradesh, Jammu & Kashmir and neighbouring regions often seek consultation for robotic knee replacement, partial knee replacement, revision knee surgery, or a second opinion before surgery.
If knee pain is affecting your quality of life and you are considering robotic knee replacement surgery, proper evaluation and clear understanding of treatment options are essential. Share your X-rays or reports on WhatsApp for guidance.
Correct diagnosis | Clear guidance | Right decision