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Simultaneous robotic-assisted total hip and knee arthroplasties
Fernando Fonseca1, Paulo Costa2, Luis Maximino3
1Orthopaedics, Coimbra University Hospital Centre, Coimbra, Coimbra District, Portugal pereirafonseca@gmail.com.
BMJ Case Reports
|April 14, 2026
Summary
Simultaneous hip and knee replacement surgery using robotic assistance is challenging but feasible. This case demonstrates successful integrated robotic planning for same-session ipsilateral total hip arthroplasty and total knee arthroplasty.
Area of Science:
- Orthopedic Surgery
- Robotic Surgery
- Arthroplasty
Background:
- Simultaneous ipsilateral total hip arthroplasty (THA) and total knee arthroplasty (TKA) are infrequent and carry higher risks than staged procedures.
- Robotic assistance in arthroplasty presents unique planning complexities due to sequential workflow limitations.
Purpose of the Study:
- To describe a novel approach for same-session ipsilateral THA and TKA using robotic assistance.
- To highlight the integrated three-dimensional preoperative planning for simultaneous bilateral joint replacement.
Main Methods:
- A single-session, ipsilateral THA and TKA was performed utilizing robotic assistance.
- Advanced three-dimensional preoperative planning was employed to integrate the workflow for both joints.
Main Results:
- Successful execution of simultaneous ipsilateral THA and TKA with robotic assistance.
- Integrated robotic planning facilitated precise implant positioning and limb alignment.
Conclusions:
- This case represents the first reported instance of integrated robotic planning for simultaneous ipsilateral THA and TKA.
- This combined surgical approach may improve accuracy and streamline rehabilitation.

