Comparative Study of Navigation-assisted OrthoPilot® Elite and Robotic-assisted MAKO® Total Knee Arthroplasty

This study is comparing two types of technology-assisted knee replacement surgery: one that uses computer navigation (OrthoPilot Elite) versus one that uses a robotic arm (MAKO). The goal is to see which method leads to better outcomes for patients. **You may be eligible if:** - You need a total knee replacement surgery - You are between 18 and 90 years old - You are willing to attend follow-up appointments - You are able to provide written consent to participate **You may NOT be eligible if:** - You are under 18 or over 90 years old - You are pregnant - Your kneecap (patella) has severe arthritis requiring resurfacing - Your general health is poor enough to score above 3 on the anesthesia risk scale (ASA Classification) Talk to your doctor to see if this trial is right for you.