Precision Surgery for Optimal Outcomes
Robotic-assisted orthopedic surgery uses advanced technology to improve the accuracy and customization of joint and spine procedures. These systems provide surgeons with a high-definition 3D view of the anatomy and real-time intraoperative guidance, allowing for extremely precise bone preparation and implant placement.
At OrthoNY, we use robotic platforms for total knee and partial knee replacements, as well as select spine surgeries. Before surgery, a CT scan of the joint is used to create a virtual 3D model. This model helps our surgeons determine the ideal size, position, and alignment of an implant. During the procedure, a robotic arm assists with executing the plan to within a fraction of a millimeter, while the surgeon remains in complete control. The system also enhances safety by preventing surgical instruments from moving outside the pre-planned boundaries, helping to protect surrounding tissues. For patients, this can result in better-fitting implants, improved joint function, less trauma to soft tissue, and potentially a faster, more comfortable recovery. Not every procedure requires robotic assistance, but for patients with complex anatomy or those seeking a highly personalized fit, it can offer significant benefits. Our surgeons will thoroughly evaluate each condition and help determine whether robotic-assisted surgery is the right choice.
5 Benefits of Robotic-Assisted Surgery at OrthoNY
- Highly accurate implant placement and bone preparation within a fraction of a millimeter
- Personalized surgical planning based on your individual anatomy
- Protection of soft tissues through boundaries set by the robotic system
- Potential for less pain, smaller incisions, and quicker recovery compared to traditional techniques
- Performed by fellowship-trained surgeons experienced in both conventional and robotic methods
Robot Types
Mako Robotic-Assisted Surgery
With a 3D CT scan and surgeon-guided robotic arm, Mako helps create a customized plan for hip and knee replacements. The Mako robot is used for knee procedures at OrthoNY Surgical Suites in Clifton Park.
VELYS Robotic-Assisted Solution
VELYS robotic technology uses real-time surgical data and advanced imaging to guide precise knee implant placement with surgeon-controlled accuracy. The Velys solution is available for procedures at Everett Road Surgery Center.
A Smarter Choice than a Hospital
OrthoNY’s surgery centers are designed specifically for orthopedic care, giving patients a focused alternative to traditional hospitals. Our model emphasizes safety, efficiency, and long-term outcomes.
- AAAHC-accredited centers meeting top safety standards
- 80% of U.S. surgeries performed in outpatient centers
- Lower costs than hospital-based orthopedic surgery
- Minimally invasive surgery by fellowship-trained surgeons
- Faster recovery, shorter waits, and lower infection risk
If surgery is your next step for care, ask your provider if an ASC setting is right for you.
Patient Testimonials
Dr silver is the nicest man. He’s a fabulous doctor.
Kara Echandy
May 17th 2026
Kara Echandy
May 17th 2026
Very thorough and detailed explanation of problem . Very caring and on first interaction knew he was the right doctor. Highly recommend.
Eric Canestraro
May 16th 2026
Eric Canestraro
May 16th 2026
Great group of people, I felt like they truly wanted to figure out what was causing my pain rather than dismissing me once the Xray came back fine. Highly recommend OrthoNY.
Christopher Vargas
May 16th 2026
Christopher Vargas
May 16th 2026
I couldn’t have asked for a better Ortho Doc and team than Dr Polishchuk at OrthoNY in Schenectady. The service was professional yet very personable. Everyone always took the time to actually …
Alicia Wilson
May 16th 2026
Alicia Wilson
May 16th 2026
Dr. Blaney is a Gem! She was so attentive to my needs and listened to me and my concerns. She was kind, polite, and thorough. I left the office with a solution …
tasha marie
May 16th 2026
tasha marie
May 16th 2026
Dr was very prompt to see Sharon and treated her with dignity and respect
Daniel T Fleming
May 16th 2026
Daniel T Fleming
May 16th 2026
I’ve been going here for yrs and recently started seeing pain management and I couldn’t be more comfortable and happy with my team!!
Imara A
May 16th 2026
Imara A
May 16th 2026
One of the best urgent medical assistance I’ve ever experienced.The staff was extremely helpful and supportive. When I entered the building I was in so much pain. The lady at the front …
Nardia Clarke
May 15th 2026
Nardia Clarke
May 15th 2026
Greg is awesome. He was very thorough and took the time to really listen to my concerns. He carefully reviewed and reinterpreted the X-rays, then explained everything clearly and in detail so …
Karin Reinhold
May 15th 2026
Karin Reinhold
May 15th 2026
Great experience Dr was kind caring and walked me through everything that was happening. Although my procedure wasn’t a big one the staff and Dr continuously asked if I was okay. Great …
Wadasia DeGroate
May 15th 2026
Wadasia DeGroate
May 15th 2026
Frequently Asked Questions
What is robotic-assisted surgery?
Robotic-assisted surgery is an innovation that augments, rather than replaces, the skill of a surgeon. In orthopedic applications, a robotic system consists of a mechanical arm, sensors, and a computer console. Before surgery, detailed imaging, often a CT scan, is used to create a 3D model of the joint or spine. The surgeon uses this model to plan the precise bone cuts and implant positioning. During the procedure, the robotic arm guides the surgeon’s instruments according to the pre-planned parameters, providing real-time feedback on alignment, depth, and orientation. Importantly, the robot does not operate independently, as the surgeon controls every movement and can adjust the plan as needed. The system’s sensors enforce boundaries to prevent the instruments from moving outside the safe zone, helping to protect surrounding soft tissues. The result is a highly accurate procedure tailored to each patient’s anatomy.
Which orthopedic procedures use robotic assistance at OrthoNY?
At present, OrthoNY employs robotic technology for several types of joint and spine surgeries. Total and partial knee replacement procedures utilize robotic arms to refine bone cuts and ensure the implant is positioned within a fraction of a millimeter. Partial hip replacement can benefit from robotic guidance in preparing the acetabulum (hip socket) and femur, optimizing leg length and cup orientation to reduce dislocation risk. In the spine, robotic navigation assists with the placement of pedicle screws and other hardware, particularly in complex deformity or revision cases. We continually evaluate emerging technologies and will expand our robotic offerings as evidence supports their safety and effectiveness. Not all procedures require robotic assistance, and the surgeon will discuss whether this technology is recommended based on anatomy, diagnosis, and personal goals.
How does robotic-assisted surgery differ from traditional joint replacement?
Traditional joint replacement surgery is performed using handheld instruments and alignment guides. Robotic-assisted surgery enhances precision by integrating pre-operative 3D planning with intra-operative guidance. Using CT-based models, surgeons determine the optimal size, orientation, and placement of the implant before entering the operating room. During the procedure, the robotic arm helps the surgeon make bone cuts and prepare the joint exactly according to this plan. The system’s boundaries prevent deviation from the planned angles or depths, and sensors provide feedback on soft-tissue tension, enabling more accurate ligament balancing. This level of precision can improve joint alignment and stability, potentially resulting in better implant longevity, improved function, and less post-operative pain. However, the surgeon remains in control and can adjust intraoperatively if unexpected findings arise.
Is robotic surgery safe?
Robotic-assisted procedures have a strong safety record. The systems we use are approved by the U.S. Food and Drug Administration (FDA) and have been extensively evaluated in clinical studies. By improving accuracy, robotic assistance may reduce certain complications, such as implant malposition, leg length discrepancy, or unbalanced ligaments, that can lead to pain or early implant failure. Like any surgery, there are inherent risks of infection, blood clots, injury to nerves or blood vessels, anesthesia-related complication,s and the possibility of needing further surgery in the future. The robotic component does not introduce new risks; instead, it serves as a sophisticated tool under the surgeon’s control. Our surgical team has undergone specialized training with the technology and follows stringent protocols to ensure patient safety before, during, and after the procedure.
Who is a candidate for robotic-assisted joint replacement?
Robotic assistance can benefit a broad range of patients undergoing joint replacement, but it may be particularly helpful for certain individuals. Candidates typically have symptomatic knee or hip arthritis that has not improved with non-operative treatments. Patients with unusual bone anatomy, previous fractures or hardware, deformities, or ligament laxity may gain more accurate implant alignment from robotic guidance. Those who value a personalized approach and the potential for enhanced precision often choose robotic assistance. However, some factors, such as poor bone quality, severe obesity, or medical conditions that increase surgical risk, may influence whether robotic technology is recommended. A comprehensive evaluation, including medical history, physical examination, X-rays, and sometimes CT scans, will allow your surgeon to determine if a candidate is the right fit for a robotic-assisted procedure.
What are the benefits of robotic-assisted surgery for patients?
Robotic technology offers several potential advantages. The enhanced accuracy of bone preparation and implant placement may lead to better joint alignment, which is associated with improved function and longer implant lifespan. Precise cuts and soft-tissue protection can reduce bleeding and trauma to surrounding muscles and ligaments, resulting in less post-operative pain and swelling. Smaller, more precisely located incisions may also mean smaller scars. For many patients, knowing that their surgery is guided by advanced technology provides reassurance and confidence. It’s important to remember that successful outcomes also depend on the surgeon’s expertise, adherence to post-operative instructions, and participation in rehabilitation.