Robotic vs. conventional total knee arthroplasty over two decades: Evolving trends toward personalised alignment without significant clinical superiority in predominantly mild varus deformity-A systematic review of RCTs.

ABSTRACT:

Purpose

Randomised controlled trials (RCTs) comparing robotic-assisted (RA-TKA) and conventional total knee arthroplasty (C-TKA) have demonstrated evolving trends in alignment strategies, surgical workflows and outcomes measurements. This review synthesises current evidence to clarify the evolving role of RA-TKA over the past two decades.

Methods

A PRISMA systematic review was conducted searching PubMed, Cochrane Library, and Google Scholar (2000-2024). Eligible studies were Level I RCTs comparing RA-TKA to C-TKA with well-defined alignment strategies and surgical workflows. Data included demographics, robotic and prosthetic systems, learning curves, outcome measures and complications.

Results

From 850 records, 9 RCTs were included (627 TKAs: 317 RA-TKA, 310 C-TKA). P

SUBMITTER: Sacco R 

PROVIDER: S-EPMC12670295 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature