ArticleJB & JS open access
Radiographic Outcomes of Robot-Assisted Versus Conventional Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.
Article in JB & JS open access. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 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
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Technology-assisted revision knee arthroplasty reduces radiographic outliers compared with standard revision knee surgery: A systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- Improved alignment accuracy but similar early clinical outcomes with NAVIO imageless robotic-assisted vs. conventional total knee arthroplasty: a meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Comparison of early postoperative inflammatory response, blood-loss burden, and functional outcomes after robot-assisted and conventional total knee arthroplasty.Journal of robotic surgery · 2026Article
- 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
- Dynamic coronal plane knee alignment: Femoral anatomy determines kinematic curve morphology, tibial anatomy determines curve position.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Augmented Reality-Guided Individualized Total Knee Arthroplasty: Initial Clinical Implementation and Results.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Augmented Reality-Assisted vs Manual Total Knee Arthroplasty: Clinical and Perioperative Outcomes in a Consecutive Single-Surgeon Cohort.Arthroplasty today · 2026Article
- Step-specific learning curve of the TMINI robotic system for total knee arthroplasty: a single-surgeon CUSUM analysis.Journal of robotic surgery · 2026Article
- Comparison of Radiographic and Patient-Reported Outcomes in Robotic-Assisted Versus Manual Total Knee Arthroplasty Using Medial-Congruent Bearing.Journal of clinical medicine · 2026Article
- Technology in Total Hip Arthroplasty: Recent Advancements.Orthopedic reviews · 2026Article
- Article
- Real-World Outcomes of Robotic Total Knee Arthroplasty: Five Years' Experience in a Non-Academic Center.Journal of personalized medicine · 2025Article
- Augmented reality navigation improves intraoperative resection accuracy but may not prevent alignment deviations in total knee arthroplasty.Journal of experimental orthopaedics · 2025Article
- Novel all-intra-incisional pin placement technique in robotic total knee arthroplasty: a safer alternative.Arthroplasty (London, England) · 2025Article
- Review
- Practice Patterns of Adult Reconstruction Fellowship-Trained Surgeons: Current Trends and Evolution of Training From 1986 to 2022.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Manual vs robotic patellofemoral arthroplasty outcomes: A Michigan arthroplasty registry collaborative quality initiative-based study.Journal of orthopaedics · 2025Article
- A newly custom coordinate system used for preoperative planning of robotic-assisted total knee arthroplasty.Heliyon · 2024Article
- Correlation Between Planned and Executed Bone Cuts Using Robotics in Total Knee Arthroplasty: A Prospective Study of 500 Patients.Indian journal of orthopaedics · 2024Article
- Robotics in total knee replacement: Current use and future implications.World journal of orthopedics · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Total knee arthroplasty (TKA) has long been considered the definitive treatment for knee osteoarthritis. Although tremendous improvements have been made in surgical techniques for conventional TKA, a substantial dissatisfaction rate among patients has persisted because of moderate-to-severe pain and stiffness following TKA. Robot-assisted TKA was developed as an alternative to conventional TKA with the goal of improving operative precision and producing better clinical outcomes with minimal postoperative complications. The aim of this study was to compare the radiographic outcomes, duration of surgery, and complication rate between robot-assisted TKA and conventional TKA. Methods: We conducted relevant literature searches of Medline, Scopus, ClinicalTrials.gov, and the Cochrane Library databases with use of specific keywords. The outcomes for continuous variables were pooled into mean differences, whereas the outcomes for dichotomous variables were pooled into odds ratios with 95% confidence intervals with use of random-effects models. Results: A total of 12 randomized clinical trials were included. Our pooled analysis revealed that robot-assisted TKA was associated with fewer outliers in the hip-knee-ankle (HKA) angle (p < 0.0001), femoral component (coronal) angle (p = 0.0006), femoral component (sagittal) angle (p = 0.009), tibial component (coronal) angle (p = 0.05), and tibial component (sagittal) angle (p = 0.01) when compared with conventional TKA. The postoperative HKA angle was also significantly more neutral in the robot-assisted TKA group (mean difference, -0.77°; p < 0.0001). However, the complication rate did not differ significantly between the 2 groups. Conclusions: Robot-assisted TKA may produce more accurate placement of the prosthetic component and better joint alignment accuracy than conventional TKA as shown by fewer outliers in several joint angles. Level of Evidence: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
Identifiers
What OpenQuestion holds
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.