Robotic Technology
A Perfect Fit
with ROSA® Total Knee Replacement

ROSA® Keeps Us Moving!
You’re unique, and so is your anatomy. That’s why we offer advanced robotic surgery technology, the ROSA® Knee System, manufactured by Zimmer Biomet. ROSA, which stands for RObotic Surgical Assistant, is designed to help your specially trained surgeon tailor the placement of your knee implant with greater precision.




1. Surgeon-Centered
- Tools for soft tissue balancing and femoral rotation.
- Real-time range of motion assessment.
- Adapts to surgeon workflow with an intuitive user interface.
2. Accurate
- Designed to ensure proper alignment in real-time.
- Offers surgeons more accuracy.
- Provides high levels of precision.
3. Efficient
- 2D X-ray to 3D bone modeling imaging based on X-Atlas® technology.
- Reduced instrumentation through pre-operative planning.
4. Data-Driven
- Harnesses data to improve patient outcomes through informed decision-making.
- Capture more objective patient-specific data for better results.
A new knee for a more active you.
Thanks to robotic technology.
Having chronic knee pain shouldn’t mean giving up the things you love. Thankfully, Texas Surgical Hospital has a new way to keep you moving: ROSA® Knee robotic technology. Our specially trained surgeons use ROSA® Knee to personalize the approach to total knee replacement — providing a solution that works for you and your unique anatomy.
Contact Texas Surgical Center today to find out whether treatment is right for you, and the risks of knee replacement.
Getting a precise knee implant fit is vital to your comfort and overall experience following knee replacement surgery. ROSA® Knee uses data collected before and during surgery to inform your surgeon of many details related to your unique anatomy that may affect your implant fit. Using this data to make more informed decisions, your surgeon can plan for and carry out personalized surgery based on your individual needs.
Advantages of the ROSA® Robotic Total Knee Replacement
Being a minimally invasive approach, the ROSA® knee system offers the following benefits:
- Smaller incisions with reduced scarring and minimal blood loss
- Less post-operative pain
- Shorter hospital stay and recovery period
- Quicker return to daily activities
- Lower incidence of complications
- Precise placement of the implant
- Reduced injury to adjacent tissues
- Increased longevity of the implant
ROSA® TOTAL KNEE REPLACEMENT
WATCH AN OVERVIEW VIDEO OF THE ROSA® KNEE SYSTEM FOR MORE INFORMATION.

Is ROSA® Right for You?
Ideally, a knee replacement should last 25 years–and even a lifetime. Getting a precise, comfortable fit is essential. The ROSA® System does not require the use of CT scans. Instead, surgeons use a series of pre-operative X-rays detailing the measurements and positioning of each patient’s “individual anatomic landmarks” to create a 3D image of that person’s unique knee anatomy. Based on this 3D image, ROSA® planning software creates a custom blueprint for optimal alignment, joint stability, and mobility. The software helps the surgeon determine the ideal positioning of the implant, ensuring the best possible fit in the surrounding soft tissue and customizing alignment and balance through a complete range of motion.
Before surgery begins, optical trackers and a mini camera are attached to the patient so the computer always knows exactly where the joint is in space. The ROSA System works like a GPS, adjusting for the tiniest movement. The surgeon can tell the depth and angle of the instruments inside the patient’s body.
ROSA® provides the surgeon with continuous real-time data, helping them precisely position the implant. It enhances accuracy, making it easier to avoid nerves and preserve anatomy. Surgery is performed manually except for two critical steps: cutting the bone and placing the implant. This involves six “primary cuts” performed with the assistance of the ROSA’s robotic arm to ensure that the surgical plan is followed precisely as programmed.
Robotic-Assisted Total Knee Replacement with Texas Surgical Center Specialists
Our knee surgeons are expertly trained in the ROSA® system.

Ryan Rowland, MD
Orthopaedic Surgeon

W. Gage Liesman, MD
Orthopaedic Surgeon
Get In Touch With Us
Would you like to schedule an appointment? Have a question about ROSA® Total Knee Replacement at Texas Surgical Center? Contact us today!
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