ArticleArthroplasty today2021
Trends of Utilization and 90-Day Complication Rates for Computer-Assisted Navigation and Robotic Assistance for Total Knee Arthroplasty in the United States From 2010 to 2018.
Article in Arthroplasty today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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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
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Continuous outcomes of robotic-assisted total knee arthroplasty trials are statistically fragile.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Systematic review and meta-analysis of economic and healthcare resource utilization outcomes for robotic versus manual total knee arthroplasty.Journal of robotic surgery · 2023Pooled it
- Five-year implant-related complication rates of total hip arthroplasty performed for osteonecrosis were not improved by robotic-assisted or computer-navigated techniques.International orthopaedics · 2026Article
- Does technology increase the risk of stiffness after Total Knee Arthroplasty ? Evaluating the role of the learning curve.Journal of robotic surgery · 2026Article
- Risk of periprosthetic joint infection within 1 year following robotic-assisted versus conventional primary total knee arthroplasty: a propensity-score-matched cohort study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Article
- Utilization Trends and Surgical Outcomes of Technology-Assisted Total Hip Arthroplasty in the United States From 2014 Through 2024.Arthroplasty today · 2026Article
- Clinical and mechanical outcomes of robotic-assisted versus conventional total knee arthroplasty: a retrospective propensity-matched analysis of 163,516 patients.Journal of orthopaedic surgery and research · 2026Article
- Technology-assisted Total Hip Arthroplasty: A Contemporary Analysis of Regional Trends, National Trends, and 90-day Outcomes in a Nationwide Cohort.Arthroplasty today · 2026Article
- Increasing Utilization Trends of Robotic Assistance in Orthopaedic Surgery.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Ten-year functional outcomes and up to 18-year survivorship of computer-navigated total knee arthroplasty: analysis of 1677 cases from a high-volume centre.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- National evidence linking robotic total knee arthroplasty to reduced 90-day readmissions, complications, and readmission costs.Arthroplasty (London, England) · 2026Article
- Trends of robotic total joint arthroplasty utilization in the United States from 2010 to 2022: a nationwide assessment.Journal of robotic surgery · 2025Article
- Trends in adoption of robotics in arthroplasty: an analysis of the Indian landscape.Journal of robotic surgery · 2025Observational
- Access to robot-assisted total knee arthroplasty varies significantly by race/ethnicity.Knee surgery & related research · 2025Article
- Comparing a robotic imageless second-generation system to traditional instrumentation in total knee arthroplasty: A matched cohort analysis.Journal of orthopaedics · 2024Article
- Total knee replacement with an accelerometer-based, hand-held navigation system improves knee alignment: reliable in all patients.Archives of orthopaedic and trauma surgery · 2024Article
- Variability in Alignment and Bone Resections in Robotically Balanced Total Knee Arthroplasties.Bioengineering (Basel, Switzerland) · 2024Article
- Robotic Total Knee Arthroplasty Surgeon Marketing: Do Claims Align With the Literature?Arthroplasty today · 2024Article
- No Difference in 30-day Mortality Between Patients Undergoing Bilateral Simultaneous Total Knee Arthroplasty With Technology Assistance Compared to Conventional Instrumentation.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- High degree of alignment precision associated with total knee arthroplasty performed using a surgical robot or handheld navigation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComputer-assisted navigation (CAN) and robotic assistance (RA) for total knee arthroplasty (TKA) are gaining in popularity. The purpose of this study is to update the literature on United States technology-assisted TKA trends of national utilization, regional utilization, and 90-day complication rates requiring readmission.
methodsPatients who underwent primary, elective TKA between 2010 and 2018 were retrospectively identified in the PearlDiver All Payer Claims Database (PearlDiver Technologies Inc.). TKAs were classified as conventional, CAN, or RA based on International Classification of Diseases nineth or tenth revision and Current Procedural Technology codes. Annual rates and regional trends of each type of TKA were reported. Ninety-day complications requiring readmission for each group were captured. Multivariable logistic regression was used to identify odds ratios (OR) for all-cause readmission based on TKA modality.
resultsOf the 1,307,411 elective TKAs performed from 2010 to 2018, 92.8% were conventional, and 7.7% were technology-assisted (95.2% CAN and 4.9% RA). RA-TKA had the greatest increase in utilization (+2204%). The Western region had the highest utilization of technologies for TKA, while the Midwestern region had the lowest. Ninety-day postoperative complications requiring readmission were highest for conventional TKA and lowest for RA-TKA. RA-TKA (OR 0.68; 97.5% confidence interval 0.56-0.83,
conclusionUtilization of RA-TKA and CAN-TKA continues to rise across the United States. The use of these technologies is associated with a lower OR of readmission within 90 days postoperatively.
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