SynthesisThe bone & joint journal2022
Robotic arm-assisted versus manual unicompartmental knee arthroplasty : a systematic review and meta-analysis of the MAKO robotic system.
Synthesis in The bone & joint journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- Comparison of MAKO robotic-assisted and manual unicompartmental knee arthroplasty: a meta-analysis of radiographic precision and short-term functional results.Journal of robotic surgery · 2026Pooled it
- The presence of spin is commonly found in the abstracts of systematic reviews and meta-analysis on robotic-assisted unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Effect of Topical Application of an NSAID Lateral to the Incision on Postoperative Pain Following Unicompartmental Knee Arthroplasty: A Double-Blind Randomized Controlled Trial.Orthopaedic surgery · 2024Trial
- Incidental findings on preoperative computed tomography for the planning of robotic arthroplasty: retrospective cohort study.BJS open · 2026Article
- Assessment of 'spin' in the abstracts of systematic reviews in leading orthopaedic surgery journals over the past 10 years: a cross-sectional methodological study.EFORT open reviews · 2026Article
- Reduced postoperative inflammation and blood loss after robotic arm-assisted unicompartmental compared with total knee arthroplasty: A propensity score-matched analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Asia-Pacific expert consensus on robotic-assisted hip and knee arthroplasty.Arthroplasty (London, England) · 2026Review
- Patient-Specific Instrumentation Improves Technical Execution Accuracy After Artificial Intelligence-Assisted Preoperative Planning in Medial Unicompartmental Knee Arthroplasty.International orthopaedics · 2026Article
- Mako robot-assisted unicompartmental knee arthroplasty mitigates the impact of surgeon handedness.Journal of robotic surgery · 2026Article
- Surgical treatment of varus unicompartmental knee osteoarthritis: indications, trends, and outcomes-a narrative review.Archives of orthopaedic and trauma surgery · 2026Review
- Optimizing arthroplasty outcomes: the impact of artificial intelligence and robotic assistance.Annals of medicine and surgery (2012) · 2026Review
- Robot-assisted versus conventional unicompartmental knee arthroplasty: a retrospective comparative study of postoperative complications.BMC musculoskeletal disorders · 2026Article
- Radiolucent lines after robotic-assisted surface-matching kinematically aligned UKA: short-term incidence and lack of association with tibial alignment.Archives of orthopaedic and trauma surgery · 2026Article
- Accuracy of ROSAJournal of clinical medicine · 2026Article
- Long-term outcomes and revision-free survival following robotic-assisted unicompartmental and total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2026Article
- Robotic-assisted total knee replacement: a narrative review of evolution, clinical impact, and future prospects in AI-driven precision surgery.Annals of medicine and surgery (2012) · 2026Review
- Robot-assisted total knee arthroplasty is associated with reduced early anterior knee pain compared with conventional techniques : A propensity score-matched study.Orthopadie (Heidelberg, Germany) · 2026Article
- Does robotic assistance influence the length of stay after total knee arthroplasty?Journal of robotic surgery · 2026Article
- Comparative analysis of HURWA versus MAKO robotic-assisted TKA: a prospective cohort study of surgical accuracy and clinical outcomes.Journal of robotic surgery · 2026Article
- Learning curve of robotic arm-assisted versus manual unicompartmental knee arthroplasty : accuracy, theatre time, complications, patient-reported outcome measures, and implant survival.Bone & joint open · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThis systematic review aims to compare the precision of component positioning, patient-reported outcome measures (PROMs), complications, survivorship, cost-effectiveness, and learning curves of MAKO robotic arm-assisted unicompartmental knee arthroplasty (RAUKA) with manual medial unicompartmental knee arthroplasty (mUKA).
methodsSearches of PubMed, MEDLINE, and Google Scholar were performed in November 2021 according to the Preferred Reporting Items for Systematic Review and Meta--Analysis statement. Search terms included "robotic", "unicompartmental", "knee", and "arthroplasty". Published clinical research articles reporting the learning curves and cost-effectiveness of MAKO RAUKA, and those comparing the component precision, functional outcomes, survivorship, or complications with mUKA, were included for analysis.
resultsA total of 179 articles were identified from initial screening, of which 14 articles satisfied the inclusion criteria and were included for analysis. The papers analyzed include one on learning curve, five on implant positioning, six on functional outcomes, five on complications, six on survivorship, and three on cost. The learning curve was six cases for operating time and zero for precision. There was consistent evidence of more precise implant positioning with MAKO RAUKA. Meta-analysis demonstrated lower overall complication rates associated with MAKO RAUKA (OR 2.18 (95% confidence interval (CI) 1.06 to 4.49); p = 0.040) but no difference in re-intervention, infection, Knee Society Score (KSS; mean difference 1.64 (95% CI -3.00 to 6.27); p = 0.490), or Western Ontario and McMaster Universities Arthritis Index (WOMAC) score (mean difference -0.58 (95% CI -3.55 to 2.38); p = 0.700). MAKO RAUKA was shown to be a cost-effective procedure, but this was directly related to volume.
conclusionMAKO RAUKA was associated with improved precision of component positioning but was not associated with improved PROMs using the KSS and WOMAC scores. Future longer-term studies should report functional outcomes, potentially using scores with minimal ceiling effects and survival to assess whether the improved precision of MAKO RAUKA results in better outcomes. Cite this article:
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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.