Robot-assisted Knee Replacement
Comparison of Orthopedic Robots: OMNIBotics, ROSA®, and CORI

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In recent years, robot-assisted knee replacement technology has brought significant changes to the field of orthopedic surgery. Robots developed for knee replacement procedures enhance not only precision but also the safety of the surgery and the speed of recovery, which benefits both surgeons and patients. Three recognized systems – OMNIBotics, ROSA®, and CORI – lead the market in this area. Below, we will examine the technological solutions these systems offer and the advantages that may arise from choosing different robot-assisted surgical procedures.


The Development of Robotic Surgery

The expansion of robotics in orthopedic surgery has become necessary due to the demand for precision, better surgical outcomes, and increasing patient expectations. In knee replacement procedures, accurate implant placement is particularly crucial, as the complex biomechanics of the knee mean that every patient has different anatomical characteristics.

The limitations of traditional techniques, such as the imprecision of manual bone cutting, the limitations of human senses, and radiation exposure from preoperative imaging, highlighted the need for technological advancements.

Robotic systems such as OMNIBotics, ROSA® Knee, and CORI are capable of adapting in real-time to the patient’s unique anatomical features and placing implants more accurately. The CORI system is particularly outstanding, as it creates a 3D model during surgery without prior imaging, reducing radiation exposure and accelerating surgical preparations. As a result, robot-assisted knee replacement surgeries have led to significant improvements in more precise implantation, shorter recovery times, and longer implant lifespan, providing patients with a more natural sense of movement.

Robot-assisted Surgeries - Generations of Robots, The Evolution of CORI

Dr. Zoltán Bejek PhD

Dr. Zoltán Bejek PhD

Orthopedic Associate Professor, Robotic Surgeon

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Overview of Orthopedic Robots

The OMNIBotics, ROSA® Knee, and CORI systems all employ different technological approaches in robot-assisted knee replacement surgeries, which significantly influence the precision of the procedures and patients’ recovery times. What they all have in common, however, is the goal of improving patients’ quality of life.

Robot-assisted Knee Replacement Surgery is Aided by Evolving Imaging Systems

Core Technology and Navigational Imaging:

The core technology of the OMNIBotics system includes the BalanceBot™ ligament tensioner and the OMNIBot™ cutting guide, which optimize knee stability in real-time. In terms of navigational imaging, OMNIBotics uses a completely imageless technology. It creates an accurate 3D model based on data collected during surgery, eliminating the need for preoperative CT or MRI scans.

The main feature of the ROSA® Knee system is real-time 3D imaging and personalized implant alignment, which allows the surgeon to consider the patient’s unique anatomical characteristics. For navigational imaging, with ROSA®, the surgeon can choose between imageless or image-based planning, which requires CT or MRI scans.

The CORI robot works with navigational imaging, meaning it is also completely imageless, which implies no need for preoperative CT or MRI scans. This not only reduces radiation exposure but also makes surgical preparations faster and more efficient.

The artificial intelligence built into the CORI system provides a further important advantage, as it analyzes real-time data during surgery and provides feedback to the surgeon. This allows the surgeon to continuously monitor the implant’s position and ligament tension, ensuring the most accurate outcome possible. AI support also helps optimize implant placement for the best fit with the patient’s specific joint, which can long-term increase knee replacement stability and a natural sense of movement.

Surgical Control and Precision:

The OMNIBotics system provides full surgical control with the BalanceBot™ and OMNIBot™ tools, enabling real-time ligament tension measurement and precise bone cutting. This approach helps optimize implant fit, but the use of traditional fixed guides may somewhat limit the surgeon’s freedom of movement during surgery.

The strength of the ROSA® Knee system lies in its real-time 3D imaging and immediate feedback, which greatly assists the surgeon in precise implant placement. However, due to the system’s complexity, surgeons require more training, and preoperative imaging can sometimes be time-consuming. Additionally, the fixed robotic arm is less flexible, which may limit fine movements.

The CORI system stands out with its ergonomic, handheld device that provides the surgeon with great freedom of movement. Handheld precision milling allows for finer movements, enabling the surgeon to better adapt to the patient’s anatomical characteristics. The artificial intelligence-supported technology ensures half-millimeter accuracy, so the CORI system provides outstanding precision and more natural implant fit. While the advantage of handheld control is finer maneuverability, this may also require greater surgical experience to achieve precise results.

All three systems offer different advantages, but CORI stands out with its artificial intelligence support and fast, imageless navigation, which improves accuracy and surgical outcomes.

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Detailed Comparison Based on Technological Solutions

This table helps to understand the key features of the systems, which can help clarify the characteristics of each robot.

Feature

OMNIBotics

ROSA® Knee

CORI

Developer

OMNIBotics
Corin Group

ROSA® Knee
Zimmer Biomet

CORI
Smith+Nephew

Application Area

OMNIBotics
Robot-assisted knee replacement implantation

ROSA® Knee
Hip and shoulder surgeries in addition to knee replacement

CORI
Robot-assisted knee and hip replacement implantation, revision surgeries, then shoulder surgeries

Core Technology

OMNIBotics
BalanceBot™ ligament tensioner and OMNIBot™ cutting guide

ROSA® Knee
Real-time data collection and personalized alignment

CORI
AI-supported system, real-time 3D imaging, and hand-held precision milling

Navigational Imaging

OMNIBotics
Imageless planning, intraoperative data collection

ROSA® Knee
Real-time imaging, but primarily preoperative imaging

CORI
Imageless planning, AI-supported 3D data collection and planning during surgery

Key Advantages

OMNIBotics
Real-time ligament tension measurement, without preoperative imaging

ROSA® Knee
Personalized implant placement, real-time data feedback

CORI
Compact system, small footprint, imageless, AI-supported technology, specialized milling head, first semi-autonomous robot

Surgeon’s Control

OMNIBotics
Full surgical control with BalanceBot™ and OMNIBot™ tools

ROSA® Knee
Full surgical control with real-time data feedback

CORI
Under surgeon’s control with a hand-held precision milling tool, but with robot assistance. (This is the first semi-autonomous robot on the market)

Soft Tissue Management

OMNIBotics
Relatively precise cutting guide adjustment with OMNIBot™

ROSA® Knee
Mostly precise implant placement with real-time data feedback

CORI
Precision bone cutting with a hand-held milling tool, 0.5 millimeter accuracy

Precision

OMNIBotics
Ligament tension measurement and optimization with BalanceBot™

ROSA® Knee
Real-time feedback on soft tissue tension

CORI
Intraoperative ligament balancing with real-time evaluation, AI support

Surgeon Training Requirements

OMNIBotics
Basic training required for using BalanceBot™ and OMNIBot™

ROSA® Knee
Requires preoperative imaging, robotic arm design is large and fixed, the fixed robotic arm adapts less easily to the patient’s unique anatomy, a huge device, thus taking up a lot of space

CORI
Currently applicable mainly for knee and hip replacement surgeries, can also be used for shoulder surgeries after further development

Disadvantages

OMNIBotics
Limited exclusively to knee replacement surgeries

ROSA® Knee
Requires preoperative imaging, robotic arm design is large and fixed, the fixed robotic arm adapts less easily to the patient’s unique anatomy, a huge device, thus taking up a lot of space

CORI
Currently applicable mainly for knee and hip replacement surgeries, will also be usable for shoulder surgeries after further development

Dr. Péter Molnár

Dr. Péter Molnár

Orthopedic-Traumatologist, Chief Operating Surgeon, Robotic Surgeon

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Online Appointment Booking for Bokor Street Clinic:

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The fee for the follow-up examination is valid for 3 months after the initial examination for the same complaint, depending on the examination location.


  1. 1. Select the requested service from the drop-down menu!
  2. 2. Use the calendar to choose a suitable appointment time!
  3. 3. Register by entering your details, or log in with your previous registration!
  4. 4. If you wish to book on behalf of another person (e.g., your child), please indicate this in the designated field!
  5. 5. Briefly describe your complaints!
  6. 6. Select the type of consultation: initial examination, follow-up examination, or prescription.
  7. 7. Click the button to complete the appointment booking. Thank you for choosing BMM!



If you are unable to attend your scheduled appointment, please notify us of your cancellation at least 24 hours in advance.

This allows other patients the opportunity to receive timely medical care. Thank you for your cooperation and understanding!

Cancellation: +36 1 44 33 433

If you cannot find an available appointment for your selected week, please call our call center at +36 1 44 33 433 for further assistance! Our staff will be happy to help you schedule an appointment with your chosen physician or another specialist according to your complaint.

Choosing the Right Robot-Assisted Knee Replacement System

When selecting the appropriate system, both surgical experience and patient needs are important. OMNIBotics excels in ligament balancing, while ROSA® focuses on unique anatomical features thanks to its 3D imaging. The CORI system, with its minimalist and efficient design, and imageless technology, can provide a practical solution for both surgeons and patients, especially in situations where fast and precise intervention is a key consideration.

Based on the comparison, the CORI system stands out technologically due to its following innovative features:

  1. Artificial intelligence-based support – CORI can analyze intraoperative data in real-time, enhancing the accuracy of the surgeon’s decision-making, thereby increasing implant stability and a natural sense of movement.
  2. Imageless intelligent mapping technology – by creating a 3D model without prior imaging, it speeds up the surgical process, making the procedure more practical and cost-effective.
  3. Hand-held precision milling – the ergonomically designed hand-held instrument ensures accurate bone resections, which is particularly advantageous for the surgeon as it allows for easier control of the process.

These unique features provide flexibility, precision, and shorter recovery times, which can be particularly appealing to patients. While all three systems are advanced, the CORI system’s features are at the forefront of innovation, especially through artificial intelligence and the imageless approach, making it the optimal choice in many cases.

The Budapest Musculoskeletal Private Clinic‘s long and thorough research led to a clear decision to choose the CORI robot distributed by Smith+Nephew. Thus, under the leadership of Dr. Zoltán Bejek, chief orthopedic-traumatologist at BMM and associate professor at Semmelweis University Orthopedic Clinic, the CORI Robotic Surgery Department was established.

Summary

Overall, all three systems utilize the latest robotic technologies, and the degree of innovation is evident in the specific functions of each system. All three systems represent significant advancements in orthopedic surgery, increasing surgical precision and patient satisfaction. However, in the field of orthopedics, the most outstanding technology currently is the CORI robot, which operates with artificial intelligence support that continuously learns and analyzes from surgery to surgery, along with more than 1300 similar CORI robots worldwide. Nevertheless, CORI technology is the first semi-autonomous orthopedic robot in the world, meaning this type can perform independent tasks under the surgeon’s supervision, offering the most innovative solution.

If you are interested in robot-assisted knee replacement implantation, please request a consultation with our experts, who are readily available to assist you.

Why Choose the CORI Robot?

The success of knee replacement surgeries is measured not only by precision but also by the long-term impact on the patient’s quality of life. The CORI system represents the pinnacle of innovation, with three unique features: artificial intelligence-based real-time support, imageless intelligent mapping technology, and ergonomically designed hand-held precision milling. These tools enable the surgeon to make precise and informed decisions at every moment of the surgery – this is the power of technology, the logos.

The excellence of the CORI system is not merely measurable in technical parameters. Leading experts, such as Dr. Zoltán Bejek, chief physician at the Budapest Musculoskeletal Private Clinic, have unequivocally chosen the CORI robot because it provides a reliable, efficient, and safe solution. This professional credibility and experience form the basis of the ethos, guaranteeing that the patient is in the best hands.

Safe solution even in case of metal allergy: the CORI robot enables the implantation of hypoallergenic Oxinium prostheses.

Furthermore, choosing the CORI robot is not just a technological decision – it offers the patient the chance for faster recovery, reduced pain, and the regaining of natural movement. Imagine the moment when you can move without pain again and reclaim your active life. This is the patients’ dream that CORI can realize – this is the pathos that appeals to those affected on an emotional level.

Choose the CORI system and experience the peak performance of modern medicine – the guarantee of precise, fast, and long-term effective results.

Our Specialists Performing Robot-Assisted Surgery:

Dr. Zoltán Bejek PhD

Dr. Zoltán Bejek PhD

Orthopedic Associate Professor, Robotic Surgeon,
Head of BMM Robotic Surgery Center, International Instructor

Dr. Szabolcs Gáspár

Dr. Szabolcs Gáspár

Chief Orthopedic-Traumatology Physician, Robotic Surgeon
International Instructor

Dr. Péter Molnár

Dr. Péter Molnár

Orthopedic-Traumatologist, Chief Operating Surgeon, Robotic Surgeon

Dr. Gergely Holnapy, PhD

Dr. Gergely Holnapy, PhD

Chief Orthopedic-Traumatology Physician, University Adjunct, Robotic Surgeon

Dr. Péter Doszkocs

Orthopedic-Traumatologist Chief Physician, Hip and Knee Surgeon, Lower Limb Specialist, Robotic Surgeon

Dr. Dániel Kincses

Dr. Dániel Kincses

Orthopedic-Traumatologist Specialist, Robotic Surgeon

Dr. Maysam Moghaddam Amin

Dr. Maysam Moghaddam Amin

Orthopedic-Traumatologist Specialist, Robotic Surgeon

Dr. Gergely Holnapy, PhD

Dr. Sándor Csernus

Surgeon, Orthopedic and Traumatologist Chief Physician

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