SynthesisJournal of orthopaedic surgery and research2025
A comparison on the clinical outcomes of using intraoperative load sensors versus manual balancing in total knee arthroplasty: a systematic review and meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Postoperative outcomes after conventional, robotic-arm-assisted, and pressure-sensor-guided cruciate-retaining total knee arthroplasty: a retrospective cohort study.Journal of robotic surgery · 2026Article
- Clinical Outcomes of Functional Alignment Total Knee Arthroplasty using Intraoperative Sensors: A Prospective Cohort Study.Journal of orthopaedic case reports · 2026Article
- Functional versus mechanical alignment in robotic primary total knee arthroplasty: A meta-analysis.SICOT-J · 2026Article
- Global bibliometric analysis of molecular imaging-guided robotic-assisted surgery: publication dynamics, thematic evolution, authorship patterns, and disciplinary landscape development (1982-2025).Journal of robotic surgery · 2025Article
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Authors and funding
10 authors.
Funding
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Abstract
objectivesTo compare clinical outcomes and complications between sensor-assisted and manual balancing techniques in total knee arthroplasty, focusing on randomized controlled trials (RCTs).
methodsA systematic search of the Cochrane Library, Medline, Embase, Scopus, and Web of Science databases was conducted through February 22, 2024. RCTs comparing sensor-guided and manual balancing methods in primary TKA were included. Outcomes assessed include patient reported outcome measures, range of motion, and total complications.
resultsData from four RCTs (667 knees: 334 sensor-guided, 333 manual) were extracted and analyzed using RevMan V.5.4 with random- and fixed-effects models. The meta-analysis revealed no significant improvement in functional scores for sensor-guided balancing compared to manual techniques (SMD 0.10; 95% CI - 0.15-0.34; I2 = 57%). No significant differences were observed in complication rates (OR 0.84; 95% CI 0.46-1.54; I2 = 0%) or postoperative range of motion (MD 1.20; 95% CI - 0.26-2.65; I2 = 0%).
conclusionSensor-guided balancing did not significantly enhance functional outcomes, reduce complication rates, or improve range of motion compared to manual techniques. While the clinical impact of intraoperative sensors remains limited, they hold promise as training tools to standardize soft tissue balancing. Further high-quality, long-term studies are required to explore their potential benefits and establish definitive guidelines for TKA procedures.
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