Sam Brusco, Associate Editor09.26.22
Smith+Nephew has completed the first cases using the CORI surgical system for revision knee replacement, performed by Dr. Thorsten Seyler of Duke University on August 17, combining CORI with S+N’s LEGION revision knee system.
According to the company, S+N is the first orthopedic company to earn U.S. Food and Drug Administration (FDA) 510(k) clearance for revision using a robotics-assisted platform.

Smith+Nephew's CORI surgical system for knee revision.
RI.KNEE ROBOTICS image-free smart mapping removes the need for pre-op CT/MRI and the risk of image distortion from in situ components from the primary surgery. Surgeons are able to build patient-specific 3D models of the joint, register anatomy and bony defects after implant distraction, intra-operatively gap balance in real-time, and accurate precision mill for final component placement.
"The ability to visualize and create symmetric and balanced flexion and extension gaps with the CORI handheld robotic system has made one of the most challenging tasks in revision TKA an easier undertaking. I have never used more posterior stabilized over constrained bearings in a revision scenario. Additionally, the image-free system also allows for accurate mapping of bone defects after implant removal and enables surgeons to use a bone preserving approach to revision TKA," Dr. Seyler told the press.
CORI can now address robotic-assisted total, partial, and revision knee arthroplasty, as well as computer-guided total hip arthroplasty.
"Being first to market with a revision indication for robotic-assisted knee replacement surgery is a significant milestone in orthopedics," said Randy Kilburn, executive VP and GM, Orthopaedic Reconstruction, Robotics and Digital for Smith+Nephew. "Our ability to offer a robotic-assisted solution for partial, total, and now revision knee arthroplasty using a single platform is a true differentiator, especially when it potentially simplifies a complex procedure and maximizes the system's capabilities for surgeons to restore patient lives and live Life Unlimited."
S+N has also launched RI.HIP NAVIGATION, RI.HIP MODELER, “Cementless” CONCELOC advanced porous titanium 3D printing tech with the LEGION CONCELOC cementless total knee—all supported by CORI—over the past six months.
According to the company, S+N is the first orthopedic company to earn U.S. Food and Drug Administration (FDA) 510(k) clearance for revision using a robotics-assisted platform.

Smith+Nephew's CORI surgical system for knee revision.
"The ability to visualize and create symmetric and balanced flexion and extension gaps with the CORI handheld robotic system has made one of the most challenging tasks in revision TKA an easier undertaking. I have never used more posterior stabilized over constrained bearings in a revision scenario. Additionally, the image-free system also allows for accurate mapping of bone defects after implant removal and enables surgeons to use a bone preserving approach to revision TKA," Dr. Seyler told the press.
CORI can now address robotic-assisted total, partial, and revision knee arthroplasty, as well as computer-guided total hip arthroplasty.
"Being first to market with a revision indication for robotic-assisted knee replacement surgery is a significant milestone in orthopedics," said Randy Kilburn, executive VP and GM, Orthopaedic Reconstruction, Robotics and Digital for Smith+Nephew. "Our ability to offer a robotic-assisted solution for partial, total, and now revision knee arthroplasty using a single platform is a true differentiator, especially when it potentially simplifies a complex procedure and maximizes the system's capabilities for surgeons to restore patient lives and live Life Unlimited."
S+N has also launched RI.HIP NAVIGATION, RI.HIP MODELER, “Cementless” CONCELOC advanced porous titanium 3D printing tech with the LEGION CONCELOC cementless total knee—all supported by CORI—over the past six months.