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Background: Knee osteoarthritis is a prevalent and growing global health issue, leading to significant pain and decreased quality of life. Total knee arthroplasty (TKA) is a widely accepted treatment, with both conventional and robotic-assisted techniques in use. The emergence of robotic-assisted total knee arthroplasty (RA-TKA) has demonstrated improved prosthetic alignment and reduced complication rates. However, long-term outcomes, particularly revision rates, remain under investigated. Purpose: This research aims to evaluate whether RA-TKA leads to lower revision rates, improved long-term outcomes, and greater patient satisfaction when compared to conventional TKA (C-TKA) in patients with knee osteoarthritis. Methods: An evidence-based clinical review (EBCR) was conducted using three major databases—PubMed, Google Scholar, and MEDLINE—to identify high-quality peer-reviewed studies published within the last ten years. Inclusion criteria focused on adults over 50 undergoing TKA for osteoarthritis. Researchers applied predefined search strategies and quality assessment tools from the National Heart, Lung, and Blood Institute (NHLBI) to select studies rated as good. Data was extracted and analyzed using a standardized tool to assess revision rates and long-term outcomes. Results: The review identified whether RA-TKA offers a statistically significant advantage in revision rates over C-TKA. Anticipated findings include better component alignment and fewer mechanical failures in RA-TKA, which may correlate with reduced need for revision surgery. Conclusion: Robotic-assisted TKA holds promise for improving long-term surgical outcomes. If shown to significantly reduce revision rates, RA-TKA may influence future clinical guidelines and offer long-term cost benefits despite higher upfront expenses.