Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Robotic Assisted Total Knee Arthroplasty (Tka) Is Not Associated With Increased Patient Satisfaction: A Systematic Review and Meta-Analysis Publisher



Hoveidaei AH1 ; Esmaeili S2 ; Ghaseminejadraeini A3 ; Pirahesh K3 ; Fallahi MS3 ; Sandiford NA4 ; Citak M5
Authors
Show Affiliations
Authors Affiliations
  1. 1. International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD, United States
  2. 2. Sina University Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Joint Reconstruction Unit, Southland Teaching Hospital, Invercargill, New Zealand
  5. 5. Department of Orthopaedic Surgery, Helios ENDO-Klinik Hamburg Holstenstrasse 2, Hamburg, 22767, Germany

Source: International Orthopaedics Published:2024


Abstract

Purpose: Total knee arthroplasty (TKA) is a common orthopedic surgery, yet postoperative dissatisfaction persists in around 20% of cases. Robotic total knee arthroplasty (rTKA) promises enhanced precision, but its impact on patient satisfaction compared to conventional TKA remains controversial (cTKA). This systematic review aims to evaluate patient satisfaction post-rTKA and compare outcomes with cTKA. Methods: Papers from the following databases were identified and reviewed: PubMed, Scopus, Web of Science, and the Cochrane Online Library, using keywords like Knee replacement, Total knee arthroplasty, Robotic, and Patient satisfaction. Extracted data included patient satisfaction measures, Knee Society Score, Oxford Knee Score, Forgotten Joint Score, SF-36, HSS, and KOOS. Statistical analysis, including odds ratio and 95% CI was performed using R software. Heterogeneity was assessed using Cochrane's Q test. Results: The systematic review included 17 articles, involving 1148 patients (571 in the rTKA group and 577 in the cTKA group) assessing patient satisfaction following rTKA. An analysis of proportions reveals rTKA satisfaction rate was 95%, while for cTKA, it was 91%. A meta-analysis comparing rTKA and cTKA found no statistically significant difference in patient satisfaction. Additionally, various patient-reported outcome measures (PROMs) were examined, showing mixed results across different studies and follow-up periods. Conclusions: The results of this study found no difference in patient satisfaction outcomes in the short to mid-term for rTKA compared to conventional methods. This study does not assert superiority for the robotic approach, highlighting the need for careful consideration of various factors influencing outcomes in knee arthroplasty. © The Author(s) under exclusive licence to SICOT aisbl 2024.
Related Docs
1. Patient's Height and Hip Medial Offset Are the Main Determinants of the Valgus Cut Angle During Total Knee Arthroplasty, Journal of Arthroplasty (2017)
2. Increasing Burden of Lower-Extremity Fractures in the Middle East and North Africa (Mena) a 30-Year Epidemiological Analysis, Journal of Bone and Joint Surgery (2024)
3. Recent Trends and Hotspots in Knee Arthroplasty: A Bibliometric Analysis and Visualization Study of the Last Five-Year Publications, Archives of Bone and Joint Surgery (2023)
4. Burden of Osteoarthritis in Iran: A National and Subnational Perspective, 1990−2019 Global Burden of Disease Study, Health Science Reports (2025)
5. Does the Duration of Antibiotic Treatment Following One-Stage Treatment of Infected Total Knee Arthroplasty Influence the Eradication Rate? a Systematic Review, Archives of Orthopaedic and Trauma Surgery (2025)
Experts (# of related papers)
Seyed Mohammad Javad Mortazavi (1)