As robotics adoption accelerates across orthopedics, THINK Surgical is taking a distinctly different approach from the industry’s largest players. Under the leadership of President and CEO Stuart Simpson, the company is building an open-platform robotic system designed to give surgeons both the precision benefits of robotics and the freedom to choose the implant they believe is best for each patient.
That strategy is gaining momentum. Following the recent milestone of the TMINI system’s 5,000th total knee procedure, THINK Surgical is positioning itself at the center of what Simpson describes as the “second wave” of orthopedic robotics: smaller systems, streamlined workflows, and implant-agnostic technology designed around surgeon choice rather than manufacturer lock-in.
Orthopedic robotics has rapidly moved from emerging technology to one of the most important shifts in joint replacement surgery. For Stuart Simpson, that momentum comes down to one core reality: total knee replacement is highly individualized.
“The knee is a very complex joint,” Simpson explained. “All those ligaments and bones have to move together as you go through a range of motion, and every single patient, every single knee has a unique motion pattern.”
That variability, he argues, is exactly where conventional instrumentation begins to fall short.
“That’s where conventional instruments come up short, failing to deliver a personalized surgery for many of the people who’ve experienced a total knee replacement up until this point,” Simpson said. “That’s why surgeons are running toward robotic technology for knee replacement.”
The trend lines support that view. At LSI USA ’26, Simpson noted that roughly 30% of surgeons in the U.S. currently use robotics for total knee procedures. Within three years, nearly 60% expect to.
For Simpson, that growth trajectory points toward something larger than incremental adoption.
“Robotics is trending quite quickly toward becoming a standard of care,” he said. “Standard of care means the majority, if not all, total knee replacements will be performed using a robot in the foreseeable future.”
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