Scholarlink

<p>Total knee arthroplasty (TKA) is a cornerstone treatment for severe osteoarthritis (OA), yet debates persist regarding the comparative efficacy of robot-assisted (RA-TKA) versus navigation-assisted techniques (NA-TKA). This meta-analysis evaluates perioperative, functional, and radiographic outcomes of RA-TKA versus NA-TKA to guide clinical decision-making. A systematic review of 28 studies (2 RCTs, 26 retrospective cohorts) included 456,122 patients. Data were analyzed via RevMan 5.4 using random-effects models, focusing on hospital stay, surgical duration, complications, alignment accuracy, and functional scores. RA-TKA reduced hospital stay by 0.28 days (<i>p</i> &lt; 0.001) and hospitalization costs by $1,289 (<i>p</i> &lt; 0.001) but prolonged surgery by 8&#xa0;min (<i>p</i> = 0.02). These findings should be interpreted with caution due to high heterogeneity. Complication rates were comparable, yet RA-TKA exhibited lower absolute incidences of prosthesis loosening (RA:110 vs. NA:378) and deep vein thrombosis (RA:272 vs. NA:1,480). Radiographic alignment showed no significant differences except smaller HKA angle deviations in RA-TKA (− 0.57°, <i>p</i> &lt; 0.001). Functional outcomes (KOOS-JR, KSFS) marginally favored RA-TKA but lacked clinical significance. RA-TKA may offers economic and precision advantages in restoring mechanical alignment, despite longer surgery times. Large-scale RCTs are warranted to validate long-term benefits and cost-effectiveness.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Robot-assisted vs. navigation-assisted total knee arthroplasty: A systematic review and meta-analysis of the latest controlled studies based on perioperative, functional, and radiographic outcomes

  • 期刊论文

  • 发表日期：

    2026年1月3日

查看全文
  • Hao Jiang,
  • Haiping Gao,
  • Yingying Jiang,
  • Xin Jin

摘要

Total knee arthroplasty (TKA) is a cornerstone treatment for severe osteoarthritis (OA), yet debates persist regarding the comparative efficacy of robot-assisted (RA-TKA) versus navigation-assisted techniques (NA-TKA). This meta-analysis evaluates perioperative, functional, and radiographic outcomes of RA-TKA versus NA-TKA to guide clinical decision-making. A systematic review of 28 studies (2 RCTs, 26 retrospective cohorts) included 456,122 patients. Data were analyzed via RevMan 5.4 using random-effects models, focusing on hospital stay, surgical duration, complications, alignment accuracy, and functional scores. RA-TKA reduced hospital stay by 0.28 days (p < 0.001) and hospitalization costs by $1,289 (p < 0.001) but prolonged surgery by 8 min (p = 0.02). These findings should be interpreted with caution due to high heterogeneity. Complication rates were comparable, yet RA-TKA exhibited lower absolute incidences of prosthesis loosening (RA:110 vs. NA:378) and deep vein thrombosis (RA:272 vs. NA:1,480). Radiographic alignment showed no significant differences except smaller HKA angle deviations in RA-TKA (− 0.57°, p < 0.001). Functional outcomes (KOOS-JR, KSFS) marginally favored RA-TKA but lacked clinical significance. RA-TKA may offers economic and precision advantages in restoring mechanical alignment, despite longer surgery times. Large-scale RCTs are warranted to validate long-term benefits and cost-effectiveness.