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DOI: 10.1055/a-2684-8764
Comparative Analysis of Certification Programs for Robotic Total Knee Arthroplasty: A Review of Training Requirements Across Major Platforms

Abstract
As robotic systems become increasingly utilized in total knee arthroplasty (TKA), structured certification programs are necessary to ensure that surgeons are proficiently trained for safe and effective use. This review examines the certification requirements for six major robotic TKA systems: Zimmer Biomet's ROSA, Stryker's Mako, Smith and Nephew's CORI, Depuy Synthes' Velys, Corin's ApolloKnee, and Think Surgical's TSolution One and TMINI. However, variation in certification structures and training requirements between each system is evident. This variability in training programs points to a need for standardized protocols across robotic platforms to ease the learning curve for surgeons and promote transferable skills and consistent outcomes. Establishing evidence-based guidelines for robotic TKA certification could facilitate broader adoption and improve clinical results, contributing to the advancement of robotic technology in orthopedic surgical practices.
Publication History
Received: 25 February 2025
Accepted: 15 August 2025
Accepted Manuscript online:
18 August 2025
Article published online:
16 September 2025
© 2025. Thieme. All rights reserved.
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