Evidence map›Paper›PMID 40110313›Full record

ArticleAnnals of medicine and surgery (2012)2025

Robotic-assisted versus conventional total knee arthroplasty: a systematic review and meta-analysis of alignment accuracy and clinical outcomes.

Omar Mostafa, Maymunah Malik, Kaif Qayum, Usman Ishaq, Abdul Muhaymin Khan, Abdus Samee Wasim, Zain Alsoud, Sohail Quraishi

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Omar MostafaDepartment of Trauma & Orthopaedic Surgery, Russells Hall Hospital, The Dudley Group NHS Foundation Trust, Dudley.
Maymunah MalikDepartment of Trauma & Orthopaedic Surgery, Russells Hall Hospital, The Dudley Group NHS Foundation Trust, Dudley.
Kaif QayumDepartment of Trauma & Orthopaedic Surgery, Russells Hall Hospital, The Dudley Group NHS Foundation Trust, Dudley.
Usman IshaqEast of England Orthopaedic Training Programme, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Abdul Muhaymin KhanNorth of Scotland Orthopaedic Training Programme, Aberdeen Royal Infirmary, NHS Grampian, Aberdeen, UK.
Abdus Samee WasimBirmingham Orthopaedic Training Programme, The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.
Zain AlsoudThe University of Manchester Medical School, School of Medical Sciences, Manchester, UK.
Sohail QuraishiDepartment of Trauma & Orthopaedic Surgery, Russells Hall Hospital, The Dudley Group NHS Foundation Trust, Dudley.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Robotic-assisted total knee arthroplasty (RA-TKA) has emerged as an alternative to conventional TKA (C-TKA), aiming to improve surgical precision and patient outcomes. This systematic review and meta-analysis study compares the efficacy of RA-TKA versus C-TKA. Methods: A comprehensive search of five databases (PubMed, EMBASE, Web of Science, SCOPUS, and Cochrane Library) was conducted. We included all published randomized controlled trials (RCTs) from inception to August 2024. Meta-analysis was done using RevMan 5.4 package. Results: Twenty-one RCTs involving 2692 patients were involved. RA-TKA demonstrated significantly lower mechanical alignment outlier rates (risk ratio = 0.33, 95% confidence interval (CI)[0.19, 0.59], Conclusion: RA-TKA offers improved mechanical alignment accuracy compared to C-TKA but does not demonstrate superior short to medium-term functional outcomes. The technology is associated with longer operative times. These findings suggest that while RA-TKA may enhance surgical precision, its clinical benefits and cost-effectiveness require further evaluation, particularly in long-term studies.

Indexed as

arthroplastyconventionalkneemeta-analysisrobotic

Identifiers

PMID40110313
PMCPMC11918693

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Registered trials

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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.