ArticleInternational orthopaedics2023
Prosthetic orientation, limb alignment, and soft tissue balance with bi-cruciate stabilized total knee arthroplasty: a comparison between the handheld robot and conventional techniques.
Article in International orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mean distraction force applied in tension-controlled ligament-balanced total knee arthroplasty: A systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- Better radiological outcomes but equal clinical function of a novel knee arthroplasty robot system: a prospective randomized controlled trial.International orthopaedics · 2025Trial
- VELYS robotic-assisted solution achieves more accurate bone cutting and neutral ground mechanical axis compared with an accelerometer-based portable navigation system in ground kinematically aligned total knee arthroplasty.Knee surgery & related research · 2026Article
- Increased medial component gap at 30° flexion is associated with subjective instability and worse patient-reported outcomes after image-free robot-assisted total knee arthroplasty.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
- Flexion-dependent differences in tibial rotation measured by navigation and robotic systems during bicruciate-stabilised total knee arthroplasty.Journal of experimental orthopaedics · 2026Article
- Image-free robotic-assisted total knee arthroplasty is associated with joint line distalization and improves mid-flexion instability: A prospective cohort study.Journal of experimental orthopaedics · 2025Article
- Current developments in robotic assistance technology for total knee arthroplasty: a comprehensive overview.Journal of orthopaedic surgery and research · 2025Review
- Progress in Computer-Assisted Navigation for Total Knee Arthroplasty in Treating Knee Osteoarthritis with Extra-Articular Deformity.Orthopaedic surgery · 2024Review
- Preoperative evaluation of femoral and tibial sagittal alignment in robotic-assisted and conventional total knee arthroplasty and consequences for practice.International orthopaedics · 2024Article
- Navigated Versus Conventional Total Knee Arthroplasty: A Systematic Review and Meta-analysis of Prospective Randomized Controlled Trials.Journal of orthopaedics · 2024Review
- Efficacy of the newly designed "SkyWalker" robot compared to the MAKO robotic system in primary total knee arthroplasty: a one-year follow-up study.International orthopaedics · 2024Article
- Two- and three-dimensional evaluations following handheld robot-assisted total knee arthroplasty.Journal of robotic surgery · 2024Article
- Comparison of accuracy and early outcomes in robotic total knee arthroplasty using NAVIO and ROSA.Scientific reports · 2024Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to examine the prosthetic orientations, limb alignment, intraoperative soft tissue balance, and early clinical outcomes associated with the use of the relatively new handheld robot technique compared to those associated with the use of the conventional alignment guide for bi-cruciate stabilized total knee arthroplasty (TKA).
methodsThis retrospective cohort study compared the prosthetic orientation and limb alignment of 35 patients who underwent TKA using robotic assistance (robot group) with those of patients who underwent TKA using a conventional alignment guide (control group). The coronal femoral component alignment (FCA), coronal tibial component alignment (TCA), and the hip-knee-ankle (HKA) angle were compared between groups. Intraoperative soft tissue balance, including the joint component gap and varus/valgus balance assessed by an offset-type tensor, were also compared between groups. One year postoperatively, the clinical outcomes, including the range of motion and 2011 Knee Society Score (KSS), were compared between groups.
resultsThe HKA angle and FCA were 0.1° varus and 0.1° varus, respectively, in the robot group and 1.3° varus and 1.3° varus, respectively, in the control group. The difference in the HKA angle and the FCA, but not the TCA, between groups was statistically significant (p < 0.05). The intraoperative soft tissue balance showed more stable joint component gaps and varus/valgus balances throughout the range of motion in the robot group than in the control group. Clinical outcomes of the robot group showed superior 2011 KSS subscales compared to those of the control group.
conclusionThe accuracy of the implantations and stable soft tissue balance in the robot group were superior to those of the control group. The robot group also had superior patient-reported scores for early clinical outcomes.
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