SynthesisArchives of orthopaedic and trauma surgery2021
Current role of intraoperative sensing technology in total knee arthroplasty.
Synthesis in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis 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.
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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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Sensor-guided gap balance versus manual gap balance in primary total knee arthroplasty: a meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Asia-Pacific expert consensus on robotic-assisted hip and knee arthroplasty.Arthroplasty (London, England) · 2026Review
- Full-flexion gap balancing-driven personalized preoperative planning for TKA: biomechanical evidence of improved load symmetry in an in vitro model.Arthroplasty (London, England) · 2026Article
- Alignment Philosophies in Total Knee Arthroplasty: A Comprehensive Narrative Review.Arthroplasty today · 2026Article
- From empirical to analytical: Soft-tissue tension gauging in total knee arthroplasty.Knee surgery & related research · 2025Review
- Navigated instrumentation and ligament tensioning device enhances initial gap acquisition during total knee arthroplasty procedure: A cadaveric study.Journal of experimental orthopaedics · 2025Article
- Different intraoperative joint laxity patterns do not impact clinical outcomes in robotic-assisted medial unicompartmental knee replacement with 1-to-1 surface reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2024Article
- Increased accuracy in component positioning using an image-less robotic arm system in primary total knee arthroplasty: a retrospective study.Archives of orthopaedic and trauma surgery · 2024Article
- SMART (self- monitoring analysis and reporting technology) and sensor based technology applications in trauma and orthopaedic surgery.Journal of orthopaedics · 2023Review
- Incidence of soft tissue releases in robotic assisted cementless TKA with mechanical alignment and flexion gap balancing.Arthroplasty (London, England) · 2023Article
- A new robotically assisted technique can improve outcomes of total knee arthroplasty comparing to an imageless navigation system.Archives of orthopaedic and trauma surgery · 2023Article
- Is sequential bilateral robotic total knee arthroplasty a safe procedure? A matched comparative pilot study.Archives of orthopaedic and trauma surgery · 2023Article
- Smart sensor implant technology in total knee arthroplasty.Journal of clinical orthopaedics and trauma · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSensors have been introduced within the last 10 years to quantify soft tissue balancing during total knee arthroplasty (TKA) and to give the surgeon objective data. These devices are fairly new and their impact on patient outcome remains uncertain. The aim of this systematic review was to summarize all the relevant surgical and clinical results of sensors for TKA.
methodsA PRISMA systematic review was conducted using five databases (PubMed, EMBASE, MEDLINE, GOOGLE SCHOLAR, and the COCHRANE LIBRARY) to identify all available literature that described the surgical and clinical results of sensors for TKA between 2000 and 2021. The main investigated outcome criteria were intraoperative data, postoperative functional and clinical outcome, knee range of motion, complications and revision rates.
resultsTwenty-seven articles were finally included. The maximum reported follow-up was 26 months. A balanced knee with sensor corresponded to a mediolateral difference inferior to 15 lb and a stable posterior drawer test. The standard assessment of knee balance was a poor predictor of the true soft tissue balance when compared to sensor data. At least 60% of TKA needed an additional rebalancing procedure with the sensor, after conventional gap balancing. Achieving a quantitatively balanced knee resulted in a significantly higher patient satisfaction score. But the prospective comparative studies found no demonstrable improvement in clinical outcome, range of motion or complication rate at one year postoperatively for patients undergoing TKA using sensor-guided balancing compared with routine techniques.
conclusionEven though the use of the intraoperative sensing technology was not related to an improvement in clinical outcome, the current studies showed that using sensors facilitates the reproduction of natural joint stability, and improves the rate of achieving a balanced knee. Sensor use in complex cases could be particularly valuable, but their use in standard practice remains to be defined.
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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.