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  • Author: Talal Al-Jabri x
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Babar Kayani University College Hospital, London, UK
Princess Grace Hospital, London, UK

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Sujith Konan University College Hospital, London, UK
Princess Grace Hospital, London, UK

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Atif Ayuob University College Hospital, London, UK
Princess Grace Hospital, London, UK

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Elliot Onochie University College Hospital, London, UK

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Talal Al-Jabri University College Hospital, London, UK

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Fares S. Haddad University College Hospital, London, UK
Princess Grace Hospital, London, UK

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  • Robotic total knee arthroplasty (TKA) improves the accuracy of implant positioning and reduces outliers in achieving the planned limb alignment compared to conventional jig-based TKA.

  • Robotic TKA does not have a learning curve effect for achieving the planned implant positioning. The learning curve for achieving operative times comparable to conventional jig-based TKA is 7–20 robotic TKA cases.

  • Cadaveric studies have shown robotic TKA is associated with reduced iatrogenic injury to the periarticular soft tissue envelope compared to conventional jig-based TKA.

  • Robotic TKA is associated with decreased postoperative pain, enhanced early functional rehabilitation, and decreased time to hospital discharge compared to conventional jig-based TKA. However, there are no differences in medium- to long-term functional outcomes between conventional jig-based TKA and robotic TKA.

  • Limitations of robotic TKA include high installation costs, additional radiation exposure, learning curves for gaining surgical proficiency, and compatibility of the robotic technology with a limited number of implant designs.

  • Further higher quality studies are required to compare differences in conventional TKA versus robotic TKA in relation to long-term functional outcomes, implant survivorship, time to revision surgery, and cost-effectiveness.

Cite this article: EFORT Open Rev 2019;4:611-617. DOI: 10.1302/2058-5241.4.190022

Open access