U.S. Surgical Robotics and Navigation for Orthopaedic Market Size, Share and Trends Analysis Report – Industry Overview and Forecast to 2033

U.S. Surgical Robotics and Navigation for Orthopaedic Market Size

• The U.S. surgical robotics and navigation for orthopaedic market size was valued at USD 3.03 billion in 2025 and is expected to reach USD 11.46 billion by 2033, at a CAGR of 18.1% during the forecast period
• The market growth is largely fueled by technological advancements in robotic systems and real-time navigation platforms, increasing adoption of minimally invasive surgical procedures, rising incidence of musculoskeletal disorders and joint replacements, and strong healthcare infrastructure and reimbursement environment
• Furthermore, rising demand for precision, improved patient outcomes, and reduced operative recovery times is establishing robotic and navigation technologies as preferred access and guidance systems for complex orthopaedic surgeries. Converging trends in digital surgery and integrated workflows are accelerating uptake of surgical robots and navigation solutions, thereby significantly boosting the industry’s growth.

U.S. Surgical Robotics and Navigation for Orthopaedic Market Analysis

• Surgical robotics and navigation systems for orthopaedics encompass advanced robotic‑assisted platforms and computer‑aided navigation technologies used in joint replacements, spinal procedures, and other orthopaedic surgeries, driven by their ability to enhance surgical precision, reduce invasiveness, and improve patient outcomes
• The accelerating demand for these systems is primarily fueled by the increasing prevalence of musculoskeletal disorders, rising procedural volumes for knee and hip arthroplasties, and significant investments in R&D by medical device companies focused on robotics, AI integration, and enhanced imaging capabilities
• Technological advancements such as AI‑assisted planning, haptic feedback, and augmented reality navigation are transforming surgical workflows, enabling surgeons to achieve higher accuracy, reduce complications, and shorten recovery times, which is boosting adoption across hospitals and specialized surgical centers
• Integration with hospital IT ecosystems and interoperability with imaging modalities and electronic health records is becoming a key factor in purchasing decisions, allowing seamless data flow, improved surgical planning, and real‑time performance tracking during procedures
• The system segment dominated the market with a share of 47.8% in 2025, driven by its widespread use in joint replacement and other orthopaedic procedures, superior precision, and ability to integrate multiple functionalities such as navigation, imaging, and robotic assistance into a single platform

Report Scope and U.S. Surgical Robotics and Navigation for Orthopaedic Market Segmentation  

U.S. Surgical Robotics and Navigation for Orthopaedic Market Trends

“Accelerated Precision Through Robotics and Digital Navigation”

• A significant and accelerating trend in the U.S. surgical robotics and navigation for orthopaedic market is the growing integration of AI, 3D imaging, and augmented reality (AR) technologies with robotic systems to improve surgical precision
• For instance, the MAKO robotic arm system integrates preoperative planning software and intraoperative navigation, enabling precise bone preparation and implant placement for joint replacements
• AI integration in orthopaedic robotics allows systems to learn surgical patterns and provide predictive guidance, while AR navigation provides real-time anatomical visualization during procedures
• The seamless fusion of robotic precision with digital navigation reduces surgical errors, shortens procedure times, and improves post-operative outcomes for patients
• This trend towards digitally assisted, highly accurate, and intuitive surgical systems is reshaping surgeon expectations and standards for orthopaedic procedures
• Consequently, companies such as Stryker and Zimmer Biomet are developing next-generation robotics with AI-enabled adaptive guidance and AR-assisted navigation for hip and knee replacements
• Integration with hospital IT and electronic medical records allows real-time data analysis, surgical performance tracking, and postoperative outcome monitoring to enhance decision-making
•  The emphasis on digital precision and integrated workflows is reshaping expectations for orthopaedic care, driving hospitals and surgical centers to adopt next‑generation systems capable of delivering superior clinical outcomes
• Patient-specific planning using AI and 3D imaging enables customized implants and precise surgical interventions, driving greater adoption of robotic-assisted procedures

U.S. Surgical Robotics and Navigation for Orthopaedic Market Dynamics

Driver

“Rising Orthopaedic Disorders and Demand for Minimally Invasive Surgery”

• The increasing prevalence of joint diseases, osteoarthritis, and musculoskeletal disorders in the aging and active U.S. population is a major driver for the growth of orthopaedic robotics and navigation
• For instance, hospitals are adopting robotic-assisted systems to meet the growing demand for hip and knee arthroplasty procedures with higher precision and fewer complications
• Robotic and navigation systems offer benefits such as reduced post-operative pain, shorter hospital stays, and improved implant alignment, encouraging adoption among surgeons and patients
• The growing preference for minimally invasive procedures is driving demand for systems that can provide accurate, safe, and efficient surgical outcomes with reduced tissue trauma
• Continued R&D investments by key companies to improve system interoperability, ease of use, and workflow efficiency are supporting market growth
• The combined focus on enhanced surgical precision, operational efficiency, and patient outcomes is accelerating adoption across U.S. hospitals and surgical centers
• Rising patient awareness and demand for advanced surgical technologies are motivating hospitals to invest in robotics and navigation for competitive differentiation
• Increasing investments in R&D by key market participants to develop intuitive, interoperable platforms are accelerating product introductions and expanding clinical applications
• The upward trend in minimally invasive procedures, coupled with hospitals’ focus on improving operational efficiency and patient satisfaction, is strengthening the demand for integrated robotic and navigation solutions
• Government initiatives and hospital programs promoting advanced surgical care and improved patient safety standards are further encouraging adoption of robotic systems

Restraint/Challenge

“High Costs and Training Requirements Limit Adoption”

• The high acquisition, installation, and maintenance costs of robotic and navigation systems pose a significant barrier to widespread adoption in U.S. hospitals and surgery centers
• For instance, smaller hospitals may find the upfront investment prohibitive, limiting market penetration in non-urban areas
• Complex system workflows and the need for specialized surgeon training create operational challenges and slow initial adoption rates
• Limited insurance reimbursement and inconsistent coverage for robotic-assisted orthopaedic procedures further hinder adoption in the healthcare system
• Integration challenges with existing hospital IT systems and electronic medical records can complicate data management and workflow efficiency
• Addressing these cost and adoption barriers through modular systems, training programs, and improved reimbursement policies will be vital for sustained market growth
• Concerns regarding device reliability, potential system malfunctions, and learning curve errors may discourage early adoption among cautious healthcare providers
• Inconsistent reimbursement policies and limited insurance coverage for robotic‑assisted orthopaedic procedures can also deter healthcare providers from investing in these systems
• While technological integration improves surgical outcomes, interoperability challenges with existing IT infrastructures and electronic health records can complicate clinical workflows and data management
• Competition from traditional manual surgical techniques, which have lower costs and require less infrastructure, continues to restrain rapid market penetration

U.S. Surgical Robotics and Navigation for Orthopaedic Market Scope

The market is segmented on the basis of type, technology, procedure type, surgical approach, mechanism, age group, end user, and distribution channel.

• By Type

On the basis of type, the U.S. surgical robotics and navigation for orthopaedic market is segmented into system, accessories and consumables, and software & services. The system segment dominated the market with the largest market revenue share of 47.8% in 2025, driven by its critical role in performing joint replacement and complex orthopaedic procedures with precision. Hospitals prioritize system adoption due to its repeatable outcomes, ability to integrate with navigation imaging, and support for multiple procedures. Leading systems such as Stryker Mako™ and Smith & Nephew CORI™ provide surgeons with enhanced control, accuracy, and data tracking. The system segment also benefits from recurring sales of consumables, accessories, and maintenance services tied to robotic platforms. Surgeons and hospitals prefer systems for long-term investment as they offer procedural versatility and integrate with software updates. The growing number of orthopaedic surgeries in the U.S. further consolidates system dominance.

The software & services segment is anticipated to witness the fastest growth rate from 2026 to 2033, fueled by increasing demand for advanced surgical planning, real-time analytics, and AI-assisted guidance. Hospitals are investing in software platforms to enhance the efficiency of robotic systems and navigation tools. Software upgrades and service contracts allow hospitals to optimize workflow, reduce complications, and analyze surgical outcomes. AI-driven planning tools are helping surgeons customize patient-specific procedures, improving post-operative recovery. Remote service and training offerings are also increasing adoption in smaller hospitals and ambulatory surgical centers. The flexibility and lower upfront cost compared to full robotic systems make software & services attractive for rapid expansion.

•  By Technology

On the basis of technology, the market is segmented into MRI, X-ray, computed tomography, optical imaging, fluoroscopy-based, and ultrasound imaging. Computed tomography (CT) dominated the market in 2025, driven by its high-resolution imaging capabilities and compatibility with navigation systems for orthopaedic procedures. CT imaging supports pre-operative planning, 3D reconstruction, and precise implant placement, which are critical for joint replacements and complex reconstructions. Hospitals and surgical centers rely on CT-based navigation due to its established clinical protocols and surgeon familiarity. The integration of CT imaging with robotic systems ensures better accuracy and repeatability during surgery. CT-based solutions are preferred for their reliability across different patient demographics and surgical complexity. The widespread use of CT imaging in U.S. hospitals reinforces its dominant position.

Ultrasound imaging is expected to witness the fastest growth from 2026 to 2033, driven by its cost-effectiveness, portability, and radiation-free guidance. Ultrasound-based navigation allows real-time anatomical visualization and assists in minimally invasive procedures. The adoption of AI-assisted ultrasound interpretation enhances precision and procedural efficiency. Smaller hospitals and outpatient surgical centers are increasingly implementing ultrasound-based solutions due to lower capital expenditure. Technological advancements in 3D ultrasound imaging further accelerate adoption. Ultrasound imaging complements robotic platforms, making it an attractive growth segment.

• By Procedure Type

On the basis of procedure type, the market is segmented into open surgery and minimally invasive. Minimally invasive procedures dominated the market due to reduced recovery time, smaller incisions, and lower complication rates. Surgeons increasingly prefer robotic-assisted minimally invasive procedures for knee, hip, and spine surgeries. Patients favor minimally invasive options for faster post-operative mobility and shorter hospital stays. Robotic systems provide the precision required for MIS procedures, enhancing surgeon confidence and outcomes. Hospitals benefit from increased OR efficiency and cost-effectiveness with minimally invasive procedures. The rising trend of outpatient surgeries further supports the dominance of MIS procedures.

Open surgery is expected to witness the fastest growth from 2026 to 2033, particularly in complex trauma, revision arthroplasty, and high-risk cases. Robotic navigation enhances surgical accuracy in open procedures where anatomical complexity is high. AI-assisted planning tools and robotic guidance improve alignment and implant positioning. Surgeons are increasingly adopting robotic support for open surgery to reduce variability and enhance outcomes. Training programs and research are contributing to faster adoption of robotics in open procedures. Hospitals are integrating hybrid workflows, combining open surgery with robotic navigation, driving segment growth.

• Surgical Approach

On the basis of surgical approach, the market is segmented into anterior, posterior, and lateral approaches. The posterior approach dominated the market due to its extensive use in hip and spine procedures and high familiarity among surgeons. Posterior access allows better visualization and stability during navigation-assisted surgery. Hospitals and surgical centers rely on posterior approaches for established outcomes and procedural predictability. Navigation and robotic guidance improve implant positioning and reduce intraoperative risks. The dominant adoption is supported by long-term training and procedural standardization in U.S. hospitals. Posterior approaches are preferred for complex cases and high-volume orthopaedic centers.

The anterior approach is expected to witness the fastest growth from 2026 to 2033, particularly in hip arthroplasty procedures that emphasize quicker recovery and reduced muscle disruption. Robotic and navigation systems provide enhanced precision in anterior approaches, reducing post-operative complications. Patients increasingly demand anterior approach procedures for early mobilization and less invasive outcomes. Hospitals are training surgeons in anterior techniques with robotic support to expand procedural offerings. AI-enabled planning and real-time feedback facilitate rapid adoption. The growing popularity of anterior approaches in high-volume surgical centers drives market growth.

• By Mechanism

On the basis of mechanism, the market is segmented into direct telemanipulator and computer control. Computer control dominated the market due to higher precision, integration with navigation imaging, and automation in orthopaedic procedures. These systems allow surgeons to perform complex movements with minimal error and improve repeatability across procedures. Hospitals prefer computer-controlled systems for better workflow efficiency and procedural reliability. The technology supports advanced planning, simulation, and analytics to optimize surgical outcomes. High procedural volume and long-term service contracts reinforce dominance. Computer-controlled mechanisms are widely implemented across hospitals for both primary and revision surgeries.

Direct telemanipulator is expected to witness the fastest growth from 2026 to 2033 as robotic arms become more intuitive, ergonomically optimized, and provide tactile feedback. Surgeons adopt telemanipulator systems for enhanced control, flexibility, and hands-on experience while performing robotic-assisted surgery. Smaller hospitals and ambulatory surgical centers find direct telemanipulators more accessible due to lower training and setup requirements. Real-time navigation integration further supports adoption. Ergonomic design and intuitive interfaces enhance surgeon acceptance. The increasing availability of modular telemanipulator platforms drives market growth.

• By Age Group

On the basis of age group, the market is segmented into pediatric, adult, and geriatrics. The geriatrics segment dominated the market due to higher prevalence of osteoarthritis, joint degeneration, and complex surgical needs in older populations. Robotic-assisted navigation improves accuracy and reduces revision risk in geriatric patients. Insurance coverage and procedural outcomes drive adoption in this demographic. Hospitals prioritize advanced technology for geriatrics because of higher surgery volumes. Enhanced post-operative recovery outcomes in geriatrics further reinforce adoption. Population aging trends in the U.S. support dominance in this segment.

The adult segment is expected to witness the fastest growth from 2026 to 2033, as younger patients seek precise and minimally invasive orthopaedic interventions. Patients in this group demand faster recovery and improved functional outcomes. Robotic-assisted navigation ensures procedural accuracy for active adults and sports-related injuries. Hospitals adopt technology to attract adult patients seeking advanced care. AI-enabled planning tools and predictive analytics support growth in adult procedures. Outpatient and ASC adoption further accelerates segment expansion.

• By End User

On the basis of end user, the market is segmented into hospitals, ambulatory surgical centers, diagnostic laboratories, clinics, and others. Hospitals dominated the market due to high procedure volumes, advanced OR infrastructure, and investment capacity for robotic systems. They serve as training, research, and reference centers, supporting wider adoption. Hospitals perform complex joint replacement, spine, and trauma surgeries, leveraging robotic navigation to improve outcomes. Long-term service contracts and recurring consumables strengthen adoption. Hospitals are central to clinical validation and technology adoption. Integration with existing OR systems ensures dominance.

Ambulatory surgical centers (ASCs) are expected to witness the fastest growth from 2026 to 2033, due to rising outpatient orthopaedic procedures. ASCs adopt compact robotic systems suitable for smaller ORs and faster procedures. Patient demand for outpatient solutions with minimal recovery time drives growth. Technology adoption enhances competitive positioning of ASCs. Lower capital requirements and modular software offerings accelerate uptake. Growing procedural volumes in ASCs further support market expansion.

• Distribution Channel

On the basis of distribution channel, the market is segmented into direct tender and retail sales. Direct tender dominated the market as hospitals and large healthcare systems negotiate contracts for full robotic systems, accessories, and service agreements. Long-term procurement ensures predictable pricing and support. OEMs prioritize direct tender to establish institutional partnerships. Hospitals benefit from bundled offerings including maintenance, software updates, and training. High-value capital investment favors tender-based procurement. Institutional trust and regulatory approvals reinforce dominance.

Retail sales are expected to witness the fastest growth from 2026 to 2033, particularly for software, consumables, and modular accessories. Smaller hospitals, clinics, and ASCs purchase through retail channels for lower upfront costs. Online and direct-to-clinic sales accelerate adoption cycles. Retail channels support subscription-based software and modular robotic tools. Price-sensitive buyers and emerging centers benefit from flexible retail offerings. Growing modularity and AI-driven software solutions enhance retail sales growth.

U.S. Surgical Robotics and Navigation for Orthopaedic Market Share

The U.S. Surgical Robotics and Navigation for Orthopaedic industry is primarily led by well-established companies, including:

• Intuitive Surgical Operations, Inc. (U.S.)
• Globus Medical (U.S.)
• Asensus Surgical US, Inc. (U.S.)
• Monogram Technologies (U.S.)
• Naviswiss (Switzerland)
• MicroPort (Multinational)
• Stryker (U.S.)
• Smith+Nephew (U.K.)
• Zimmer Biomet (U.S.)
• Medtronic (Ireland)
• THINK Surgical, Inc. (U.S.)
• Exactech, Inc. (U.S.)
• Brainlab AG (Germany)
• Corin Group (U.K.)
• Renishaw plc (U.K.)
• B. Braun SE (Germany)
• Medacta International (Switzerland)
• Corin Orthopaedics Ltd (U.K.)
• OrthoSensor, Inc. (U.S.)
• Intellijoint Surgical (Canada)

What are the Recent Developments in U.S. Surgical Robotics and Navigation for Orthopaedic Market?

• In July 2025, Zimmer Biomet announced a definitive agreement to acquire Monogram Technologies for USD 177 million, a move to enhance its robotics portfolio with semi‑ and fully autonomous robotic technologies targeting future growth in orthopaedic surgical robotics
• In March 2025, Monogram Technologies secured FDA 510(k) clearance for its Monogram mBôs™ TKA System an AI‑driven, CT‑based robotic total knee arthroplasty platform enabling the company to advance commercialization and integration into broader orthopaedic surgical offerings
• In August 2024, DePuy Synthes, part of Johnson & Johnson MedTech, announced the launch of its first Active Spine Robotics and Navigation platform the VELYS™ Active Robotic‑Assisted System (VELYS™ SPINE) designed to support planning and instrumentation for complex spinal procedures with dual navigation and active robotics capabilities, commercial availability expected in 2025
• In February 2024, Smith + Nephew confirmed it would showcase advanced AI‑driven robotic‑assisted solutions, including new features for its CORI™ Surgical System at the AAOS 2024 Annual Meeting, aimed at personalized orthopaedic surgery across knee and hip procedures
• In August 2023, Orthofix Medical fully commercialised the 7D FLASH™ Navigation System Percutaneous Module 2.0 in the U.S., marking the first completed cases with this machine‑vision‑based technology that delivers rapid 3D imaging and expanded planning functionality for minimally invasive and spinal navigation workflows

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