ArticleArchives of orthopaedic and trauma surgery2023
Robotic-assisted TKA reduces surgery duration, length of stay and 90-day complication rate of complex TKA to the level of noncomplex TKA.
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 20 papers, 1 of them a synthesis 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.
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.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Robotic-assisted mechanically aligned total knee arthroplasty does not lead to better clinical and radiological outcomes when compared to conventional TKA: a systematic review and meta-analysis of randomized controlled trials.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Time neutrality and reduced ecological burden - handheld robotic-assisted total knee arthroplasty improves operating room efficiency compared with manual total knee arthroplasty.International orthopaedics · 2026Article
- Asia-Pacific expert consensus on robotic-assisted hip and knee arthroplasty.Arthroplasty (London, England) · 2026Review
- Article
- Cost-analysis of total knee arthroplasty with robot-assisted surgery versus conventional approach.Journal of robotic surgery · 2026Article
- Reduction in complication rate and hospital length of stay following robotic arm-assisted simultaneous bilateral total knee arthroplasty when compared to conventional techniques: a cohort study with minimum one year follow-up.Journal of robotic surgery · 2026Article
- Comparative outcomes of robot-assisted versus conventional TKA in rheumatoid arthritis patients.Journal of orthopaedic surgery and research · 2026Article
- Imageless robotic-assisted system is associated to effective restoration of the joint line and posterior condylar offset in revision total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- Robotic vs. conventional total knee arthroplasty over two decades: Evolving trends toward personalised alignment without significant clinical superiority in predominantly mild varus deformity-A systematic review of RCTs.Journal of experimental orthopaedics · 2025Review
- [Patient-specific instrumentation in total knee arthroplasty - current concepts and clinical implications].Orthopadie (Heidelberg, Germany) · 2025Article
- The role of next-generation robotic systems in transforming knee arthroplasty: precision and beyond.Journal of robotic surgery · 2025Review
- Clinical and patient-reported outcomes of a novel robotic system in total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- Robotic-assisted Conversion of Arthrodesis to Primary Total Knee Arthroplasty.Arthroplasty today · 2025Review
- Enhanced recovery after surgery day surgery for MAKO® robotic-arm assisted TKA; better outcome for patients, improved efficiency for hospitals.Journal of orthopaedics · 2024Article
- Adverse events related to robotic-assisted knee arthroplasty: a cross-sectional study from the MAUDE database.Archives of orthopaedic and trauma surgery · 2024Article
- An Outline on the Advancements in Surgical Management of Osteoporosis-Associated Fractures.Cureus · 2024Review
- Robotic Total Knee Arthroplasty: An Update.Journal of personalized medicine · 2024Review
- Outcomes following robotic assisted total knee arthroplasty compared to conventional total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Initial Learning Curve for Robot-Assisted Total Knee Arthroplasty in a Dedicated Orthopedics Center.Journal of clinical medicine · 2023Article
- Global research status and trends in orthopaedic surgical robotics: a bibliometric and visualisation analysis study.Journal of robotic surgery · 2023Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionComplex primary total knee arthroplasties (TKA) are reported to be associated with excessive episode of care (EOC) costs as compared to noncomplex procedures. The impact of robotic assistance (rTKA) on economic outcome parameters in greater case complexity has not been described yet. The purpose of this study was to investigate economic outcome parameters in the 90-days postoperative EOC in robotic-assisted complex versus noncomplex procedures. MATERIALS AND
methodsThis study is a retrospective, single-center review of 341 primary rTKAs performed between 2017 and 2020. Patient collective was stratified into complex (n = 218) and noncomplex TKA (n = 123) based on the presence of the following criteria: Obese BMI, coronal malalignment, flexion contracture > 10°, posttraumatic status, previous correction osteotomy, presence of hardware requiring removal during surgery, severe rheumatoid arthritis. Group comparison included surgery duration, length of stay (LOS), surgical site complications, readmissions, and revision procedures in the 90-days EOC following rTKA.
resultsThe mean surgery duration was marginally longer in complex rTKA, but showed no significant difference (75.26 vs. 72.24 min, p = 0.258), neither did the mean LOS, which was 8 days in both groups (p = 0.605). No differences between complex and noncomplex procedures were observed regarding 90-days complication rates (7.34 vs. 4.07%, p = 0.227), readmission rates (3.67 vs. 3.25%, p = 0.841), and revision rates (2.29 vs. 0.81%, p = 0.318).
conclusionsRobotic-assisted primary TKA reduces the surgical time, inpatient length of stay as well as 90-days complication and readmission rates of complex TKA to the level of noncomplex TKA. Greater case complexity does not seem to have a negative impact on economic outcome parameters when surgery is performed with robotic assistance.
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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.