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The e-mémoires of the Académie Nationale de Chirurgie

Robotic Surgery in Daily Practice : Experience Feedback, Clinical Cases, Perspectives

Antoine MOUTON

Seance of wednesday 26 november 2025 (Robotique en orthopédie: de la conception à la pratique en partenariat avec Johnson and Johnson)

DOI number : 10.26299/nfzv-zz05/emem.2025.48.04

Abstract

Knee prosthetic surgery has evolved significantly in recent years, moving from a systematic and empirical approach to increased personalization thanks to technological advances. Despite satisfactory but improvable results with conventional prostheses, surgeons now face new challenges : younger patients, higher functional expectations, and the need for individual adaptation.
The arrival of robotics, illustrated by the Velys® system, marks a turning point. It enables greater precision in bone cuts, better ligament balancing, and reproducibility of procedures, while reducing variability linked to the surgeon’s experience.
The learning curve is relatively short (2 to 11 cases depending on experience), with a slight increase in operating time, especially for low-volume surgeons, but this is offset by the quality of implant positioning.
Robotics is particularly valuable in complex cases (stiff knee, osteotomy sequelae, prosthesis revisions).
Finally, new perspectives are emerging: integration of AI, digital twins, and the evolution of the surgeon’s profession.
Dr Antoine Mouton