Robotic Knee Replacement in Canada

Total knee arthroplasty using ROSA® and VELYS™ robotic systems with premium implants including Persona and Attune, performed through a muscle-sparing subvastus approach.

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★★★★★ 5.0 from 192+ Reviews

Real Patient Experiences

★★★★★

"Just hours after bilateral knee replacement surgery, I stood up and walked PAIN FREE! Yes on two new knees! The difference is unbelievable! I could not be more pleased. Dr. Zywiel was the surgeon I felt most comfortable with."

— Glynis Hunt

Bilateral Knee Replacement

★★★★★

"Total Knee Replacement - Dr. Rodriguez-Elizalde. The entire service from initial contact to follow up after surgery was professional and caring. I definitely made the right choice with Pathway Surgery. The staff at Westmount Surgical Clinic were amazing."

— Lynn Pavlik

Total Knee Replacement

★★★★★

"I came from Toronto to have a knee replacement. Once I entered the clinic all the staff treated me like a friend. The star of the show was Dr Rodriguez and his complete team. It has only been two days and the pain is very manageable. Dr Rodriguez personally called me today to see how I was making out."

— Jack Leggo

Total Knee Replacement

Read More Patient Stories

What is Knee Replacement?

Total knee replacement—also called knee arthroplasty—is a surgical procedure that resurfaces the damaged portions of your knee joint with metal and polyethylene components. It's typically recommended when severe arthritis causes significant pain and limits daily activities despite conservative treatment.

Modern knee replacement has evolved significantly. Robotic-assisted surgery allows your surgeon to optimize implant positioning based on your unique anatomy, potentially improving how natural your knee feels after surgery.

Key Benefits of Robotic-Assisted Knee Replacement

Personalized implant positioning
Real-time surgical feedback
Optimized joint balance
Surgeon remains in control

The goal of knee replacement is to relieve pain, restore function, and improve quality of life. With modern implants and proper care, knee replacements typically last 20 years or more.

Robotic Technology

Two Advanced Robotic Platforms

Our surgeons utilize industry-leading robotic systems to enhance surgical precision

ROSA Knee System

ROSA® Knee System

The ROSA system collects detailed information about your knee anatomy and alignment using intraoperative data. This allows the surgeon to assess limb alignment, joint balance, and range of motion in real time.

  • Real-time feedback during bone cuts
  • Personalized implant positioning
  • Surgeon remains in full control
VELYS Robotic-Assisted Solution

VELYS™ Robotic-Assisted Solution

The VELYS system gathers data during surgery to evaluate knee alignment, joint stability, and movement throughout the range of motion, allowing dynamic real-time adjustments.

  • Dynamic intraoperative assessment
  • Soft-tissue balancing optimization
  • Designed for the ATTUNE implant

The robotic system does not perform surgery independently—it assists the surgeon by enhancing precision and consistency.

Implant Technology

Premium Knee Implants

We use implants from leading manufacturers designed for longevity and natural movement

Persona Knee Implant

Persona® The Personalized Knee®

Zimmer Biomet

Designed to more closely reproduce the original. Advanced research on hundreds of knees confirmed that implant shape and fit really matter—Persona was designed with this in mind.

  • 21 distinct femoral profiles in 2mm increments
  • Anatomic tibia design for optimal bone coverage
  • 5 levels of constraint in 1mm increments
Learn more at Zimmer Biomet
ATTUNE Knee System

ATTUNE® Knee System

Johnson & Johnson / DePuy Synthes

Designed for stability in motion. The ATTUNE system focuses on maintaining consistent ligament tension throughout the full range of knee movement.

  • Stability throughout motion
  • Optimized for VELYS robotics
  • Patella-friendly design
Surgical Approach

Tendon-Sparing Subvastus Approach

Our knee replacement surgeons use the subvastus approach, often called a "quadriceps-sparing" technique. This approach has gained popularity for its potential to promote earlier mobility and less discomfort following surgery.

Advantages of the Subvastus Approach

  • Preserves the Quadriceps Tendon

    Reduces trauma to the extensor mechanism

  • Earlier Straight-Leg Raise

    May be possible sooner after surgery

  • Quicker Quadriceps Activation

    Muscle function may return faster

Some studies show early advantages mainly in the first 2–6 weeks after surgery, including slightly less early postoperative pain.

How Robotic-Assisted Surgery Works

  1. 1

    Intraoperative Data Collection

    The robotic system collects detailed information about your knee anatomy and alignment

  2. 2

    Personalized Planning

    Surgeon plans implant positioning tailored to your individual anatomy

  3. 3

    Guided Bone Preparation

    Surgeon performs cuts with real-time robotic feedback for accuracy

  4. 4

    Final Balancing

    Implant placement and soft-tissue balancing performed by surgeon with robotic verification

Your Knee Replacement Specialists

Fellowship-trained surgeons with expertise in robotic-assisted knee replacement

Dr. Sebastian Rodriguez-Elizalde

Dr. Sebastian Rodriguez-Elizalde

Anterior Hip & Robotic Knee

View Profile Dr. Michael Zywiel

Dr. Michael Zywiel

Anterior Hip & Robotic Knee

View Profile Dr. Omar Dessouki

Dr. Omar Dessouki

Hip & Knee Replacement

View Profile

Frequently Asked Questions

Robotic assistance provides enhanced precision in implant positioning and real-time feedback during surgery. While long-term outcomes are still being studied, early data suggests potential benefits in alignment accuracy and soft-tissue balancing. Your surgeon can discuss whether robotic assistance is appropriate for your specific case.

Most patients walk with a walker or cane within 1-2 days of surgery. Full recovery typically takes 3-6 months, with significant improvements in the first 6 weeks. The subvastus approach used by our surgeons may promote earlier mobility in the initial weeks.

No. The robotic system does not perform surgery independently. Your surgeon remains in full control of all decision-making, implant selection, and the actual surgical work. The robot provides real-time data, feedback, and verification to help ensure accuracy relative to the surgical plan.

No referral is required. You can book a consultation directly with our surgical team to discuss your knee replacement options. We recommend bringing any recent knee X-rays to your appointment.

While every patient is unique, the surgical time for a robotic-assisted knee replacement is typically 60 to 90 minutes. This does not include the time required for anesthesia preparation and postoperative recovery in the hospital.

Yes, the primary goal of the procedure is to return you to an active lifestyle. Most patients return to low-impact sports like walking, swimming, cycling, and golf. We generally advise against high-impact activities like running or jumping to prevent premature wear of the new joint components.

Ready to Take the Next Step?

Schedule a consultation to discuss your knee replacement options with one of our specialists.

Request a Consultation (647) 553-1297