Hingarh Ortho T. Nagar · Chennai

Joint Replacement

Robotic Knee Replacement Surgery in Chennai

Robot-assisted precision for implant positioning measured in fractions of a millimetre, with less soft-tissue trauma than manual technique.

Dr. Pankaj Hingarh, MBBS, MS (Orthopaedics) T. Nagar, Chennai Digital X-ray on site

Robotic knee replacement uses a computer-guided robotic arm to execute a plan built from your own knee anatomy. Before a single cut is made, your joint is mapped in three dimensions and the size, angle and rotation of the implant are rehearsed digitally — then the robotic arm holds the surgeon to that plan within a fraction of a millimetre.

Dr. Pankaj Hingarh performs robotic-assisted knee arthroplasty for patients across Chennai, with consultation and follow-up at the T. Nagar clinic and surgery at affiliated hospitals in Kilpauk and Parrys. The pre-operative assessment, implant planning and every post-operative review happen with the same surgeon — you are not handed between teams.

Robotic assistance matters most in knees that are not straightforward: significant bow-leg or knock-knee deformity, stiff knees with limited bend, previous fracture around the joint, or patients who need both knees addressed. In these cases the margin for error in manual instrumentation is smallest, and that is exactly where the technology earns its place.

You may be a candidate if

  • Knee pain that persists despite six or more months of medication and physiotherapy
  • X-rays showing bone-on-bone contact or advanced grade III–IV osteoarthritis
  • Night pain that wakes you, or pain at rest rather than only on walking
  • Walking distance reduced to a few hundred metres
  • Visible bow-leg (varus) or knock-knee (valgus) deformity that is worsening
  • Difficulty with stairs, squatting, or getting up from the floor or a low chair

How the procedure works

1

Three-dimensional planning

A CT scan or intra-operative mapping builds a 3D model of your knee. Implant size, alignment and rotation are planned on that model before surgery, so the decisions are made with data rather than judged by eye in theatre.

2

Soft-tissue balancing

The system measures ligament tension through the full arc of movement and displays the gaps numerically. Balance is achieved by adjusting the bone cuts to your ligaments, rather than releasing healthy ligaments to fit a standard cut.

3

Robot-assisted bone preparation

The robotic arm constrains the saw to the planned boundary. It cannot cut outside that boundary, which protects the ligaments, tendons and neurovascular structures immediately behind the joint.

4

Verification before closure

Alignment and range of motion are re-measured with the trial implant in place and confirmed against the plan before the final implant is fixed.

Recovery timeline

Every patient recovers at their own pace, and the milestones below are typical rather than guaranteed. Your age, general health and how consistently you follow the rehabilitation programme all shift the timeline.

  1. Day 0–1 In hospital

    Standing and assisted walking with a walker begins, usually within 24 hours. Pain is managed with a multi-modal protocol that limits opioid use.

  2. Day 2–4 Discharge

    Most patients walk to the bathroom independently and manage stairs with support before going home.

  3. Week 2 Suture review

    Wound check at the T. Nagar clinic. Knee bend is typically 90–100 degrees by this point.

  4. Week 6 Daily independence

    Walking without support indoors, driving usually resumes, most routine daily activity restored.

  5. Month 3–6 Full function

    Return to walking distances, temple visits, travel and light recreational activity. Strength continues to improve for up to a year.

Questions

Robotic Knee Replacement — your questions answered

Still unsure about something? Call +91 99622 45671 and ask.

Does a robot perform the surgery instead of the surgeon?
No. The robotic arm is an instrument under the surgeon’s direct control — it does not move or cut on its own. Dr. Hingarh plans the operation, performs it, and the robotic system holds the cut to that plan. Every clinical decision remains with the surgeon.
Is robotic assistance right for every knee?
No, and a surgeon who recommends it for every patient is applying a policy rather than exercising judgement. It earns its place in significant deformity, stiff knees, previous hardware around the joint, and bilateral surgery — cases where the margin for error with manual instruments is smallest. In a straightforward knee, conventional technique in experienced hands does very well.
How long does a robotic knee implant last?
Modern knee implants have published survival above 90% at 15 years. Accurate alignment and balance are among the factors linked to longer implant life, which is the principal argument for robotic assistance. Your weight, activity level and bone quality also matter.
Can both knees be replaced at the same time?
Yes, in selected patients with good cardiac and general fitness, both knees can be done in one sitting. That means one anaesthetic and one rehabilitation period. Suitability is decided after a pre-anaesthetic assessment.
Will I be able to sit cross-legged or squat afterwards?
Many patients regain deep flexion, but it should not be assumed. It depends on your pre-operative range of movement, the implant design and your body build. We give you a realistic expectation for your specific knee at consultation rather than a blanket promise.

Related treatments

Appointments

Get seen today — walk in or call ahead

Consultation runs morning and evening, Monday to Saturday, with digital X-ray on site. Most patients leave with a diagnosis and a written plan in a single visit.

Monday – Saturday

10:00 AM – 12:30 PM

6:00 PM – 9:00 PM

Sunday — Closed (emergency calls attended)

7B, 4B, Thirumurthy Street Parthasarathi Puram, T. Nagar
Chennai 600017
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