Robotic-assisted technology in total joint arthroplasty (TJA) has emerged as a significant advancement, promising improved precision in component placement and alignment. This technology addresses common challenges such as ligament imbalance, malalignment, and patient dissatisfaction. Despite the potential benefits, the adoption of robotic systems in India remains underexplored, especially given the country’s diverse healthcare settings. This research aims to analyse the trends in the adoption of robotic systems for TJA across India over the past five years, focusing on geographic distribution and market dynamics.

Methodology

The study employed a cross-sectional observational design, utilising data from various manufacturers of robotic arthroplasty systems. A descriptive analysis was conducted to summarize installation trends, while time-series visualization illustrated adoption trajectories. Linear regression was used to forecast installations for 2025. By September 2024, a total of 290 robotic systems had been installed across India, with specific systems leading in market share.

Findings

1. Installation Overview: Of the 290 robotic systems installed, the CUVIS system by Meril led with 89 installations (30.7%), followed by CORI (Smith and Nephew) with 66 installations (22.8%) and VELYS (DePuy) with 52 installations (17.9%). Other systems like MAKO (Stryker) and MISSO (Meril) had 38 (13.1%) and 25 (8.6%) installations, respectively.

2. Geographic Distribution: The installation trends revealed a concentration of robotic systems in Tier I hospitals, which accounted for approximately 50% of the total installations. In contrast, Tier III and IV facilities represented only 10% of installations. Notably, CUVIS dominated in Tier I hospitals, while CORI showed significant presence in Tier II hospitals.

3. Future Projections: Linear regression analysis indicated a steady growth in robotic installations, with an anticipated increase of over 80 new installations in 2025. The data suggest a strong preference for robotic systems that offer precision and versatility, though challenges such as high costs and limited training hinder adoption in lower-tier facilities.

Discussion

The study highlights the expanding role of robotics in TJA across India. The findings align with global trends, where the introduction of robotic systems often begins in high-volume centres before permeating smaller hospitals. However, the Indian landscape presents unique challenges, including affordability and infrastructure requirements. Despite these hurdles, a significant number of surgeons expressed willingness to adopt robotic technologies if costs decrease.

Conclusion

The adoption of robotic-assisted technology in total joint arthroplasty is on an upward trajectory in India, with Tier I hospitals leading the way. The study indicates that while barriers such as high costs and limited training persist, advancements in technology, increased awareness, and growing surgeon expertise could foster sustained growth in this sector. Future research should focus on correlating robotic adoption with clinical outcomes and addressing the challenges faced by lower-tier healthcare facilities.

READ MORE… https://link.springer.com/article/10.1007/s11701-025-02224-5

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