Evidence map›Paper›PMID 41321911›Full record

ArticleArthroplasty today2025

Robotic-Assisted Primary Total Knee Arthroplasty is Associated With Decreased 90-Day Opioid Prescribing Patterns Compared to Manual Instrumentation.

Nathaniel T Ondeck, Colin C Neitzke, Yu-Fen Chiu, Sonia K Chandi, Pravjit Bhatti, Alejandro Gonzalez Della Valle, Geoffrey H Westrich, Brian P Chalmers

Abstract read
In one paragraph

Article in Arthroplasty today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Nathaniel T OndeckAdult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA.
Colin C NeitzkeAdult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA.
Yu-Fen ChiuAdult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA.
Sonia K ChandiAdult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA.
Pravjit BhattiAdult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA.
Alejandro Gonzalez Della ValleAdult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA.
Geoffrey H WestrichAdult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA.
Brian P ChalmersAdult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Robotic assistance minimizes bony resection and surrounding soft tissue damage during total knee arthroplasty (TKA), potentially decreasing postoperative pain. The objective of this study was to evaluate in-hospital opioid consumption, 90-day opioid prescribing patterns, length of stay (LOS), and patient-reported outcome measures (PROMs) following robotic-assisted vs manual primary TKA. Methods: Utilizing an institutional database, all patients undergoing primary unilateral TKA between 2019 and 2022 with 90-day minimum follow-up were retrospectively queried. Patients were excluded if they had another surgery within 90 days of the index TKA, were discharged to a rehabilitation center, or were prescribed opioid or benzodiazepine medications preoperatively. One-to-one propensity score matching identified 1476 patients undergoing robotic-assisted (n = 738) or manual (n = 738) TKA. Multivariable regression analysis assessed in-hospital morphine milligram equivalents (MMEs) consumption, LOS, 90-day opioid prescribing patterns (not necessarily consumption), and PROMs (preoperative, 6 weeks, and 3 months). Results: The robotic-assisted cohort consumed on average 12 fewer in-hospital MMEs ( Conclusions: Robotic-assisted TKA may confer shorter LOS with decreased 90-day opioid use patterns. This information is important given the increased scrutiny on opioid usage and recent focus on rapid recovery and ambulatory TKA pathways.

Indexed as

Length of stayOpioidsPainRobotic-assisted TKATotal knee arthroplasty

Identifiers

PMID41321911
PMCPMC12657598

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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.