ArticleArchives of orthopaedic and trauma surgery2023
Is sequential bilateral robotic total knee arthroplasty a safe procedure? A matched comparative pilot study.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- Robot-assisted total knee arthroplasty and the risk of postoperative infection: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Does Robotic-Assisted Total Knee Arthroplasty Improve Outcomes of Adult Osteoarthritis Patients-A Systematic Review and Trial Sequential Meta-Analysis.Orthopaedic surgery · 2025Pooled it
- Imageless and image-based robotic-assisted total knee arthroplasty achieve equivalent radiographic accuracy: A randomised controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Trial
- Robotic-assisted simultaneous bilateral total knee arthroplasty was associated with a more favorable perioperative profile than a historical conventional cohort.Journal of experimental orthopaedics · 2026Article
- Short-term clinical outcomes of robotic-assisted total knee arthroplasty at 12-month follow-up: a prospective, multicenter, concomitant comparison to conventional total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2026Article
- Robotic Guided Knee Arthroplasty - Group Learning Curve and Early Outcomes.Arthroplasty today · 2025Article
- The role of next-generation robotic systems in transforming knee arthroplasty: precision and beyond.Journal of robotic surgery · 2025Review
- Accuracy and Outcomes of a Novel Cut-Block Positioning Robotic-Arm Assisted System for Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.Arthroplasty today · 2024Article
- Adverse events related to robotic-assisted knee arthroplasty: a cross-sectional study from the MAUDE database.Archives of orthopaedic and trauma surgery · 2024Article
- Comparison of Alignment Accuracy and Clinical Outcomes between a CT-Based, Saw Cutting Robotic System and a CT-Free, Jig-guided Robotic System for Total Knee Arthroplasty.Orthopaedic surgery · 2024Article
- Is 80% satisfaction still the expectation in modern TKA mechanically aligned with robot assist? We think not.Journal of robotic surgery · 2024Article
- Comparison of accuracy and early outcomes in robotic total knee arthroplasty using NAVIO and ROSA.Scientific reports · 2024Article
- Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation.Arthroplasty (London, England) · 2023Article
- Image-free handheld robotic-assisted technology improved the accuracy of implant positioning compared to conventional instrumentation in patients undergoing simultaneous bilateral total knee arthroplasty, without additional benefits in improvement of clinical outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
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
introductionTo our knowledge, no papers have reported the results of robotic-assisted surgery for sequential bilateral Total Knee Arthroplasty (TKA). Indeed, sequential bilateral TKA present several benefits, as one single anesthesia, surgical episode, hospitalization, and rehabilitation. The purpose of our study was to evaluate peri-operative outcomes and compare the complication rates, clinical outcomes, and implant positioning of sequential bilateral TKA performed with a robotic-assisted system versus a conventional technique. MATERIALS AND
methodsAll patients who underwent a sequential bilateral robotic-assisted primary TKA (raTKA) in our institution between November 2019 and February 2021 were included. Twenty patients met the inclusion criteria and were matched with 20 sequential bilateral TKA performed with a conventional technique. The two groups were comparable for the demographic data and the preoperative parameters, including preoperative anticoagulation and ASA score. The minimum follow-up was 6 months.
resultsThe operative time was significantly longer in the robotic group (< 0.0001), with a mean additional time of 29 min. There was no significant difference between both groups for postoperative blood loss, rate of blood transfusion, or postoperative pain. The average length of stay was 5 days. There was one early complication in the robotic group due to the tibial trackers. The functional outcomes were similar between both groups, except for the functional KSS score, which was better at 6 months in the robotic group (p < 0.0001). The restoration of the knee alignment and the distal femoral anatomy were significantly better in the robotic group than in the conventional group.
conclusionsDespite a longer operative time, the peri-operative parameters of sequential bilateral TKA were similar between robotic and conventional techniques. Further, sequential bilateral raTKA was at least as safe as a conventional technique, without additional risk of medical complications.
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