Evidence map›Paper›PMID 42596025›Full record

ReviewArthroplasty (London, England)2026

Asia-Pacific expert consensus on robotic-assisted hip and knee arthroplasty.

Guoqiang Zhang, Yixin Zhou, Yunsu Chen, Nicolaas C Budhiparama, Chun Hoi Yan, Seung Jae Lim, Lincoln Ming Han Liow, Nobuhiko Sugano, Andrew Tang, Hong Cai and 32 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Arthroplasty (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

42 authors.

Guoqiang Zhang *Department of Orthopaedic Surgery, First Medical Center, Chinese PLA General Hospital, Beijing, 100853, China. guoqiang@asiaarthroplasty.org.
Yixin Zhou *Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China. orthoyixin@yahoo.com.
Yunsu Chen *Department of Orthopaedics, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China. yschenb@163.com.
Nicolaas C BudhiparamaDepartment of Orthopaedic and Traumatology, Faculty of Medicine, University of Airlangga, Surabaya, 60131, Indonesia.
Chun Hoi YanDepartment of Orthopaedics and Traumatology, Gleneagles Hospital Hong Kong, Hong Kong SAR, China.
Seung Jae LimDepartment of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Lincoln Ming Han LiowDepartment of Orthopaedic Surgery, Singapore General Hospital, Singapore, 169865, Singapore.
Nobuhiko SuganoDepartment of Orthopaedic Medical Engineering, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, 565-0871, Japan.
Andrew TangMusculoskeletal Institute, Epworth Healthcare, Melbourne, VIC, 3121, Australia.
Hong CaiDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China.
Dirk van BavelDepartment of Orthopaedic Surgery, St Vincent's Hospital, Melbourne, Australia.
Wei ChaiDepartment of Orthopaedic Surgery, Fourth Medical Center, Chinese PLA General Hospital, Beijing, 100048, China.
Ping Keung ChanDepartment of Orthopaedics and Traumatology, School of Clinical Medicine, The University of Hong Kong, Hong Kong SAR, China.
Xinyu FangDepartment of Orthopedic Surgery, the First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, China.
Eryou FengDepartment of Orthopaedics, Fujian Medical University Union Hospital, Fuzhou, 350001, China.
Henry FuDepartment of Orthopaedics and Traumatology, School of Clinical Medicine, The University of Hong Kong, Hong Kong SAR, China.
Takafumi HiranakaDepartment of Orthopaedic Surgery and Joint Surgery Centre, Takatsuki General Hospital, Takatsuki, Japan.
Zongke ZhouDepartment of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, China.
Kang-Il KimDepartment of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, Seoul, 05278, Korea.
Andrew KurmisDiscipline of Medical Specialties, University of Adelaide, Adelaide, SA, Australia.
Huiwu LiOrthopaedic, Shanghai Jiao Tong University School of Medicine Affiliated Ninth People's Hospital, Shanghai, China.
David LiuThe Gold Coast Centre for Bone and Joint Surgery, 14 Sixth Avenue, Palm Beach, Gold Coast, 4224, Australia.
Xianzhe LiuDepartment of Orthopedic Surgery, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Sébastien LustigOrthopaedics Surgery and Sports Medicine Department, FIFA Medical Center of Excellence, Croix-Rousse Hospital, Lyon University Hospital, 69004, Lyon, France.
Xinzhan MaoDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, 410011, China.
Tomoyuki MatsumotoDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawaharacho, Sakyo, Kyoto, 606-8507, Japan.
Ming NiDepartment of Orthopaedic Surgery, First Medical Center, Chinese PLA General Hospital, Beijing, 100853, China.
Michael OngDepartment of Orthopaedics & Traumatology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Sang Eun ParkDepartment of Orthopedic Surgery, Gangnam St. Peter's Hospital, Seoul, 06275, Republic of Korea.
Wenwei QianDepartment of Orthopedic Surgery, Peking Union Medical College Hospital, Beijing, 100730, China.
Hongyi ShaoDepartment of Orthopaedic Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
Chandeep SinghMax Institute of Musculoskeletal Sciences & Orthopaedics, New Delhi, Gurugram, India.
Hao TangDepartment of Orthopaedic Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
Yukihide MinodaDepartment of Orthopedic Surgery, Osaka Metropolitan University, Osaka, Japan.
Haobo WuDepartment of Orthopaedics, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China.
Jie XieDepartment of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, Zhejiang, China.
Seng-Jin YeoDepartment of Orthopaedic Surgery, Singapore General Hospital, Singapore, 169865, Singapore.
Xiaogang ZhangDepartment of Orthopaedics, First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830054, China.
Aree TanavaleeDepartment of Orthopaedics, Faculty of Medicine and King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, 10330, Thailand.
Li CaoDepartment of Orthopaedics, First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830054, China.
Myung Chul YooDepartment of Orthopaedic Surgery, School of Medicine, Kyung Hee University, Seoul, 02447, Korea.
Yan WangDepartment of Orthopaedic Surgery, First Medical Center, Chinese PLA General Hospital, Beijing, 100853, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic-assisted total joint arthroplasty (rTJA) has witnessed rapid adoption across the Asia-Pacific region. However, practice heterogeneity and conflicting evidence regarding its clinical value necessitate standardized guidance. Therefore, this expert consensus aims to establish consensus-based recommendations to guide and standardize the clinical application of rTJA.

methodsThe Arthroplasty Society in Asia (ASIA) convened a panel of 45 experts. A modified Delphi technique was employed across three rounds. A systematic literature review informed the generation of consensus statements, which were finalized through anonymous voting. Consensus was defined as ≥ 75% agreement.

resultsThe panel reached consensus on 18 critical clinical questions spanning general principles, total hip arthroplasty, and total knee arthroplasty. Key consensus points include: (1) rTJA demonstrates superior accuracy in implant positioning and alignment restoration compared to manual techniques (98%); (2) current evidence does not yet support a definitive superiority in long-term survivorship or PROMs (77%); (3) robotic platforms are enabling technologies that make personalized alignment philosophies technically reproducible (100%); and (4) soft-tissue balancing should take precedence over rigid mechanical alignment targets in rTKA when conflicts arise(91%).

conclusionThis consensus statement provides a comprehensive framework for the application of robotic technology in hip and knee arthroplasty, emphasizing safety, precision, and the need for rigorous training.

Indexed as

Arthroplasty Society in ASIAConsensusDelphi methodRobotic-assisted surgeryTotal hip arthroplastyTotal knee arthroplasty

Identifiers

PMID42596025
PMCPMC13471573

What OpenQuestion holds

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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.