ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2025
Robotic-assisted total knee arthroplasty reduces postoperative complications and length of stay without increased cost compared to navigation-guided techniques: A national analysis.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Robot-assisted vs. navigation-assisted total knee arthroplasty: A systematic review and meta-analysis of the latest controlled studies based on perioperative, functional, and radiographic outcomes.Journal of robotic surgery · 2026Pooled it
- 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
- Medical Utilization and Expenditures Before and After Total Knee and Hip Arthroplasty in Osteoarthritis in Seoul, South Korea: A Retrospective Matched Cohort Study.Healthcare (Basel, Switzerland) · 2026Article
- Periprosthetic knee fractures following robotic-assisted total knee arthroplasty: an observational incidence study.Journal of robotic surgery · 2026Observational
- Cost-utility analysis of robotic and conventional total knee arthroplasty: A 200-patient micro-costing study in a public sector institution.Journal of robotic surgery · 2026Article
- Trustworthy AI models to predict prolonged hospital length-of-stay in orthopedic surgery.npj health systems · 2026Article
- Robotic-assisted unicompartmental knee arthroplasty is associated with lower odds of prolonged hospitalization and no higher odds of high-charge admission during the index hospitalization.Archives of orthopaedic and trauma surgery · 2026Article
- Robotic arm-assisted total knee arthroplasty reduces postoperative inflammatory response and blood loss compared to manual total knee arthroplasty: A matched-pairs analysis of 688 patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Increasing research on personalized alignment concepts, robotic-assisted surgery and artificial intelligence in total knee arthroplasty: A bibliometric analysis of the last 10 years inJournal of experimental orthopaedics · 2026Review
- Comparable clinical outcomes in functionally aligned computer-assisted and image-based robotic assisted total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Observational
- Non-linear association between surgical duration and length of hospital stay in primary unilateral total knee arthroplasty: a secondary analysis based on a retrospective cohort study in Singapore.Journal of orthopaedic surgery and research · 2025Article
- Robotic-assisted total knee arthroplasty achieves superior early postoperative outcomes compared to conventional techniques in patients with severe varus.Journal of experimental orthopaedics · 2025Article
- Comment on: Healthcare resource utilization for VELYSJournal of robotic surgery · 2025Article
- Predictors of Major Amputation and Mortality in Infected Diabetic Foot Ulcers: A Retrospective Nationwide Inpatient Sample Study.International journal of environmental research and public health · 2025Article
- Healthcare resource utilization for VELYS™ robotic-assisted solution compared to manual surgery for total knee arthroplasty.Journal of robotic surgery · 2025Article
- Short learning curve associated with robotic total knee arthroplasty: A retrospective study.Journal of experimental orthopaedics · 2025Article
- Blood transfusion in total knee arthroplasty and total hip arthroplasty: A nationwide study of complications, costs and predictive modelling.Journal of experimental orthopaedics · 2025Article
- High satisfaction and functional improvement following robotic-assisted total knee arthroplasty: A Latin American cohort study.Journal of experimental orthopaedics · 2025Article
- Predictive analysis of economic and clinical outcomes in total knee arthroplasty: Identifying high-risk patients for increased costs and length of stay.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- The Impact of Diabetes on Outcomes in Anterior Cervical Discectomy and Fusion (ACDF).Journal of clinical medicine · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionThis study compares postoperative outcomes of robotic-assisted total knee arthroplasty (RA-TKA) versus navigation-guided total knee arthroplasty (NG-TKA). Using Nationwide Inpatient Sample (NIS) data, it provides an analysis of postoperative complications, mortality, hospital costs and duration of stay.
methodsThe study analysed 217,715 patients (81,830 RA-TKA; 135,885 NG-TKA) using NIS data from 2016 to 2019. Elective TKA patients were identified through the International Classification of Diseases, 10th Revision codes. Statistical analyses, including logistic regression modelling, were performed using Statistical Package for the Social Sciences and MATLAB.
resultsRA-TKA patients were younger (66.1 vs. 67.1 years, p < 0.0001) and had similar mortality rates (0.024% vs. 0.018%, p = 0.342) but shorter length of stay (LOS) (1.89 vs. 2.1 days, p < 0.0001). Mean total charges were comparable between RA-TKA ($66,180) and NG-TKA ($66,251, p = 0.669). RA-TKA demonstrated lower incidences of blood-related complications (11.67% vs. 14.19%, p < 0.0001), pulmonary oedema (0.0306% vs. 0.066%, p < 0.0001), deep vein thrombosis (0.196% vs. 0.254%, p = 0.006) and acute kidney injury (AKI) (1.356% vs. 1.483%, p = 0.016).
conclusionRA-TKA reduces postoperative complications and LOS without increasing costs, highlighting the relevance of this technology in patient care. LEVEL OF EVIDENCE: Level III.
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