ReviewDer Orthopade2018
Individualized alignment in total knee arthroplasty using image-based robotic assistance : Video article.
Review in Der Orthopade, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Do image-based robotic TKR systems improve radiological or clinical outcomes compared to image-free systems? A systematic review and meta-analysis.Journal of robotic surgery · 2025Pooled it
- Comparison of Outcomes After Total Knee Arthroplasty Involving Postoperative Neutral or Residual Mild Varus Alignment: A Systematic Review and Meta-analysis.Orthopaedic surgery · 2022Pooled it
- Robotic-assisted knee arthroplasty: an evolution in progress. A concise review of the available systems and the data supporting them.Archives of orthopaedic and trauma surgery · 2021Pooled it
- Robotic-assisted total knee arthroplasty reduces alignment variability and rotational outliers compared with conventional techniques.International orthopaedics · 2026Article
- How reliable are surgeons at assessing soft-tissue laxities in robotic arm-assisted total knee arthroplasty? : a prospective, multicentre surgeon-blinded study.Bone & joint open · 2025Article
- Same same but different-Image-based versus imageless robotic-assisted total knee arthroplasty!Journal of experimental orthopaedics · 2024Article
- Variability in Alignment and Bone Resections in Robotically Balanced Total Knee Arthroplasties.Bioengineering (Basel, Switzerland) · 2024Article
- Methods of alignment in total knee arthroplasty, systematic review.Orthopedic reviews · 2024Article
- Valgus alignment of the femoral component is associated with higher revision rates 10 years after TKA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Arthroplasty of the Knee: Current Techniques for Implant Alignment.Zeitschrift fur Orthopadie und Unfallchirurgie · 2022Article
- Short-Term Benefits of Robotic Assisted Total Knee Arthroplasty Over Computer Navigated Total Knee Arthroplasty Are Not Sustained With No Difference in Postoperative Patient-Reported Outcome Measures.Arthroplasty today · 2022Article
- A safe transition to a more personalized alignment in total knee arthroplasty: the importance of a "safe zone" concept.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Custom total knee arthroplasty facilitates restoration of constitutional coronal alignment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Higher satisfaction after total knee arthroplasty using restricted inverse kinematic alignment compared to adjusted mechanical alignment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Imageless robotic handpiece-assisted total knee arthroplasty: a learning curve analysis of surgical time and alignment accuracy.Archives of orthopaedic and trauma surgery · 2021Article
- Tibiofemoral dynamic stressed gap laxities correlate with compartment load measurements in robotic arm-assisted total knee arthroplasty.Bone & joint open · 2021Article
- Clinical outcomes of kinematic alignment versus mechanical alignment in total knee arthroplasty: a systematic review.EFORT open reviews · 2020Review
- [PSI-technique for kinematic alignment].Der Orthopade · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOver the past decades many innovations were introduced in total knee arthroplasty (TKA) focusing on implant longevity and higher procedural precision; however, there are still a high number of dissatisfied patients. It was reported that better anatomical alignment may result in improved patient outcome; however, current technologies have limitations to achieve this. The aim of this video article is to describe the technique of individualized alignment in TKA with the use of image-based robotic assistance.
methodsThe technology is based on an individual patient knee model computed from segmented computed tomography (CT) scans. A preoperative planning of prosthesis position is conducted following the principle of kinematic alignment. Intraoperatively the soft tissue envelope is recorded and the computer predicts the gap balance based on the virtual planning. The prosthesis position is then adapted to achieve balanced gaps and to avoid soft tissue release. This technique is shown in a cadaver operation and clinical examples of two patients are described.
resultsWith the combination of anatomically oriented prosthesis positioning and minor adaptations with respect to the soft tissue, an individualized alignment is achieved with reduced need of soft tissue release. The robotic-assisted surgery guarantees a precise implementation of the planning. The initial experience showed a promising outcome in short-term follow-up.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.