Robert J. Avino, M.D. — Palm Beach County
Robotic Knee Replacement Surgery
Board-certified, fellowship-trained orthopedic surgeon performing robotic-assisted knee replacement using Mako technology for patients throughout Palm Beach County.
Dr. Avino has performed over 1,000 robotic-assisted joint replacements and uses personalized 3D surgical planning to tailor each knee replacement to the patient’s individual anatomy.
What Is Robotic Knee Replacement?
Knee replacement surgery — also called total knee arthroplasty — replaces damaged portions of the knee joint with medical implants designed to restore alignment, stability, and movement. It is most commonly performed when advanced arthritis causes cartilage loss and progressive joint degeneration.
Dr. Avino performs knee replacement using the Mako robotic-arm system, which combines personalized 3D surgical planning with precision-guided execution. The robotic arm assists with bone preparation and implant positioning while the surgeon maintains full control of the procedure throughout.
Before surgery
3D Surgical Planning
A CT scan creates a three-dimensional model of your knee. Dr. Avino uses this model to plan implant size, alignment, and positioning specific to your anatomy before surgery begins.
During surgery
Precision-Guided Execution
The Mako robotic arm assists with precise bone preparation and implant positioning according to the surgical plan. The surgeon maintains full control throughout the entire procedure.
The result
Personalized to Your Anatomy
Each knee replacement is planned and performed based on a model of your individual joint — not a one-size-fits-all approach. The goal is accurate alignment and natural-feeling joint mechanics.
When Knee Replacement May Be Appropriate
Most patients who undergo knee replacement have advanced osteoarthritis — a condition where the cartilage that cushions the knee joint gradually wears away, eventually leading to bone-on-bone contact.
Patients often consider knee replacement when arthritis begins to limit the activities that matter most — golf, tennis, pickleball, walking for exercise, or travel — and non-surgical treatments such as medications, injections, or physical therapy are no longer providing adequate relief.
A consultation with Dr. Avino includes a review of imaging, a discussion of treatment goals, and an evaluation of whether robotic knee replacement may be a suitable option.
Why Patients Choose Dr. Avino for Knee Replacement
Patients researching knee replacement surgeons often evaluate training, surgical volume, and experience with robotic technology. Dr. Avino’s qualifications reflect the factors many patients prioritize.
1,000+ Robotic Joint Replacements
High-volume experience performing robotic-assisted hip and knee replacements with Mako technology — a factor many patients weigh when choosing a surgeon.
Board-Certified & Fellowship-Trained
Orthopedic residency at the University of Chicago followed by fellowship in adult hip and knee reconstruction at Cleveland Clinic.
Mako Robotic Knee Certification
Certified in Mako robotic-assisted total knee and partial knee replacement for personalized 3D planning and precision-guided execution.
Published Knee Research
Published in The Journal of Arthroplasty on outcomes in total knee arthroplasty and serves as an elite peer reviewer for the publication.
Focused on Joint Replacement
Practice dedicated exclusively to hip and knee replacement — not general orthopedics — so every patient benefits from focused experience.
Recognized by Peers
Named a Palm Beach Illustrated Top Doctor four consecutive years (2023–2026).
Robotic Technology
Why Robotic Knee Replacement?
Dr. Avino explains the advantages of robotic-assisted knee replacement and what makes this technology a better option for many patients.
Recovery After Robotic Knee Replacement
Recovery varies depending on the patient, the severity of arthritis prior to surgery, and overall health. Most patients begin walking shortly after surgery and gradually increase activity during the recovery period.
Day of surgery
Many patients walk with assistance
First few weeks
Physical therapy and guided rehabilitation
Weeks to months
Gradual return to daily activities
Longer term
Return to golf, tennis, travel, exercise
Physical therapy and guided rehabilitation help restore strength, mobility, and confidence in the joint. Robotic-assisted planning may help support restoration of alignment, which can contribute to improved function as recovery progresses.
Knee Replacement FAQ
What is the difference between robotic and traditional knee replacement?
Robotic knee replacement uses a CT scan to create a 3D model of the knee and a personalized surgical plan before the procedure begins. During surgery, the Mako robotic arm assists with bone preparation and implant positioning. The surgeon maintains full control throughout. Traditional knee replacement relies on manual instruments and intraoperative measurements without 3D preoperative planning.
How long does knee replacement surgery take?
Robotic knee replacement is typically completed in approximately one to two hours, depending on the complexity of the case. Dr. Avino discusses expected surgical time during the consultation.
Can I go home the same day?
Some patients may qualify for same-day knee replacement depending on overall health, support at home, and the surgical plan. Candidacy is discussed during the consultation.
What about partial knee replacement?
When arthritis is limited to one compartment of the knee, partial knee replacement may be an option. Dr. Avino is certified in Mako robotic-assisted partial knee replacement and evaluates each patient to determine the most appropriate procedure.
How long does recovery take?
Recovery varies by patient. Many patients walk the same day and return to daily activities within a few weeks. More demanding activities like golf or tennis may take longer, depending on the individual and adherence to rehabilitation.
How do I schedule a consultation for knee replacement?
You can request a consultation online or call (561) 694-7776 and ask for Dr. Avino.
Schedule a Knee Replacement Consultation
If knee arthritis is limiting your mobility or ability to stay active, a consultation with Dr. Avino can help determine whether robotic knee replacement may be right for you.