Nashua Ambulatory Surgical Center adds robotic knee replacement to outpatient care

Nashua Ambulatory Surgical Center has completed its first robotic-arm assisted total knee replacement with Stryker’s Mako system, expanding same-day orthopedic surgery options in Nashua. The move adds robotic-assisted partial and total knee replacement to the center’s growing joint replacement program.

Why it matters: - Nashua Ambulatory Surgical Center is now offering robotic-assisted knee replacement in a same-day outpatient setting. - The addition expands access to advanced joint replacement for appropriately selected patients in southern New Hampshire. - The center is pairing robotic technology with lower-cost outpatient surgery and broader orthopedic services.

What happened: - Nashua Ambulatory Surgical Center performed its first robotic-arm assisted total knee replacement on October 27, 2026. - Andrew Garber, MD, a fellowship-trained total joint surgeon with New Hampshire Orthopaedic Center, performed the procedure. - The surgery used Stryker’s Mako SmartRobotics system. - Nashua Ambulatory Surgical Center is now expanding access to robotic-assisted partial and total knee replacement in an outpatient setting.

The details: - Mako uses a CT scan of the patient’s knee to create a 3D model before surgery. - The surgeon uses that model to plan implant size and placement for the patient’s anatomy. - During surgery, the robotic arm helps the surgeon carry out the plan. - Stryker’s AccuStop haptic technology helps keep cutting within planned boundaries. - Stryker says more than 2.5 million Mako procedures have been performed worldwide. - Dr. Garber said the system lets him plan around the patient’s anatomy before the patient enters the operating room. - Dr. Garber said outpatient surgery lets patients recover and go home the same day. - Dr. Garber and Daniel Wilson, MD, also of New Hampshire Orthopaedic Center, will offer Mako robotic partial and total knee replacement at NASC.

Between the lines: - The Mako launch continues a fast buildout of orthopedic services at Nashua Ambulatory Surgical Center. - NASC launched its total joint replacement program in November 2025 with its first total shoulder replacement, performed by Dr. Daniel Bouvier. - Dr. Andrew Garber introduced outpatient direct anterior total hip replacement in March 2026. - Dr. Eric Benson launched the center’s total knee replacement program in August 2026. - NASC’s robotic knee milestone also follows its ranking as No. 2 ambulatory surgery center in New Hampshire on Newsweek’s America’s Best Ambulatory Surgery Centers 2027 list. - Meredith Sterling, BSN, RN, CNOR, nurse administrator at NASC, said the center now offers comprehensive joint replacement services for shoulders, hips and knees. - Sterling said the growth reflects collaboration across surgeons, anesthesia providers, nursing staff, surgical technologists, sterile processing, purchasing and administrative teams.

What’s next: - NASC says patients considering knee replacement can learn more about its orthopedic services at orthopedic services. - The center expects robotic-assisted knee replacement to deepen its outpatient orthopedic offering. - NASC will continue positioning itself as a lower-cost outpatient surgical provider for specialized joint care.

The bottom line: - Nashua Ambulatory Surgical Center has moved robotic knee replacement into the outpatient setting, adding another advanced option to its growing joint replacement program in Nashua.