journal article Nov 13, 2025

Imageless ROSA® Robotic Arm-Assisted Total Knee Arthroplasty Is Associated With Improved Accuracy Compared to Conventional Techniques

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References
30
[1]
Katz JN, Arant KR, Loeser RF. Diagnosis and treatment of hip and knee osteoarthritis: a review. JAMA. 2021, 325:568-78. 10.1001/jama.2020.22171 10.1001/jama.2020.22171
[2]
Bouché PA, Corsia S, Dechartres A, Resche-Rigon M, Nizard R. Are there differences in accuracy or outcomes scores among navigated, robotic, patient-specific instruments or standard cutting guides in TKA? A network meta-analysis. Clin Orthop Relat Res. 2020, 478:2105-16. 10.1097/CORR.0000000000001324 10.1097/corr.0000000000001324
[3]
Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature

Rajitha Gunaratne, Dylan N. Pratt, Joseph Banda et al.

The Journal of Arthroplasty 2017 10.1016/j.arth.2017.07.021
[4]
Nakano N, Shoman H, Olavarria F, Matsumoto T, Kuroda R, Khanduja V. Why are patients dissatisfied following a total knee replacement? A systematic review. Int Orthop. 2020, 44:1971-2007. 10.1007/s00264-020-04607-9 10.1007/s00264-020-04607-9
[5]
Riantho A, Butarbutar JC, Fidiasrianto K, Elson E, Irvan I, Haryono H, Prasetio JN. Radiographic outcomes of robot-assisted versus conventional total knee arthroplasty: a systematic review and meta-analysis of randomized clinical trials. JB JS Open Access. 2023, 8:e23.00010. 10.2106/JBJS.OA.23.00010 10.2106/jbjs.oa.23.00010
[6]
Ponzio DY, Lonner JH. Preoperative mapping in unicompartmental knee arthroplasty using computed tomography scans is associated with radiation exposure and carries high cost. J Arthroplasty. 2015, 30:964-7. 10.1016/j.arth.2014.10.039 10.1016/j.arth.2014.10.039
[7]
Shin C, Crovetti C, Huo E, Lionberger D. Unsatisfactory accuracy of recent robotic assisting system ROSA for total knee arthroplasty. J Exp Orthop. 2022, 9:82. 10.1186/s40634-022-00522-7 10.1186/s40634-022-00522-7
[8]
Hasegawa M, Tone S, Naito Y, Sudo A. Comparison of accuracy and early outcomes in robotic total knee arthroplasty using NAVIO and ROSA. Sci Rep. 2024, 14:3192. 10.1038/s41598-024-53789-4 10.1038/s41598-024-53789-4
[9]
Doan GW, Courtis RP, Wyss JG, Green EW, Clary CW. Image-free robotic-assisted total knee arthroplasty improves implant alignment accuracy: a cadaveric study. J Arthroplasty. 2022, 37:795-801. 10.1016/j.arth.2021.12.035 10.1016/j.arth.2021.12.035
[10]
Massé V, Cholewa J, Shahin M. Personalized alignment™ for total knee arthroplasty using the ROSA® Knee and Persona® Knee systems: surgical technique. Front Surg. 2023, 9:1098504. 10.3389/fsurg.2022.1098504 10.3389/fsurg.2022.1098504
[11]
Concepts and techniques of a new robotically assisted technique for total knee arthroplasty: the ROSA knee system

Cécile Batailler, Didier Hannouche, Francesco Benazzo et al.

Archives of Orthopaedic and Trauma Surgery 2021 10.1007/s00402-021-04048-y
[12]
Lee DY, Park YJ, Hwang SC, Park JS, Kang DG. No differences in mid- to long-term outcomes of computer-assisted navigation versus conventional total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2020, 28:3183-92. 10.1007/s00167-019-05808-5 10.1007/s00167-019-05808-5
[13]
Alrajeb R, Zarti M, Shuia Z, Alzobi O, Ahmed G, Elmhiregh A. Robotic-assisted versus conventional total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials. Eur J Orthop Surg Traumatol. 2024, 34:1333-43. 10.1007/s00590-023-03798-2 10.1007/s00590-023-03798-2
[14]
Kayani B, Konan S, Tahmassebi J, Pietrzak JR, Haddad FS. Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study. Bone Joint J. 2018, 100-B:930-7. 10.1302/0301-620X.100B7.BJJ-2017-1449.R1 10.1302/0301-620x.100b7.bjj-2017-1449.r1
[15]
Weiner TR, Ferreri ED, Sarpong NO, Shah RP, Cooper HJ. Robotic total knee arthroplasty is associated with earlier return of postoperative range of motion. Surg Technol Int. 2023, 43:197-201. 10.52198/23.STI.43.OS1724 10.52198/23.sti.43.os1724
[16]
Rajamäki A, Niemeläinen M, Junnila M, Lehtovirta L, Karsikas M, Ponkilainen V, Eskelinen A. Thicker polyethylene inserts (≥ 13 mm) increase the risk for early failure after primary cruciate-retaining total knee arthroplasty (TKA): a single-centre study of 7643 TKAs. Knee Surg Sports Traumatol Arthrosc. 2023, 31:1018-25. 10.1007/s00167-022-07189-8 10.1007/s00167-022-07189-8
[17]
Vanlommel L, Neven E, Anderson MB, Bruckers L, Truijen J. The initial learning curve for the ROSA® Knee System can be achieved in 6-11 cases for operative time and has similar 90-day complication rates with improved implant alignment compared to manual instrumentation in total knee arthroplasty. J Exp Orthop. 2021, 8:119. 10.1186/s40634-021-00438-8 10.1186/s40634-021-00438-8
[18]
Murphy GT, Shatrov J, Duong J, Fritsch BA. How does the use of quantified gap-balancing affect component positioning and limb alignment in robotic total knee arthroplasty using functional alignment philosophy? A comparison of two robotic platforms. Int Orthop. 2023, 47:1221-32. 10.1007/s00264-022-05681-x 10.1007/s00264-022-05681-x
[19]
Van Steyn PM, Porter KK, Henry AA, Ridgewell C, Formby PM. Cemented versus press-fit patellar implants in primary total knee arthroplasty: systematic review and meta-analysis. J Arthroplasty. 2025, 0:0. 10.1016/j.arth.2025.06.004 10.1016/j.arth.2025.06.004
[20]
Sarraf KM, Konan S, Pastides PS, Haddad FS, Oussedik S. Bone loss during revision of unicompartmental to total knee arthroplasty: an analysis of implanted polyethylene thickness from the National Joint Registry data. J Arthroplasty. 2013, 28:1571-4. 10.1016/j.arth.2013.02.003 10.1016/j.arth.2013.02.003
[21]
Li Z, Chen X, Wang X, et al.. HURWA robotic-assisted total knee arthroplasty improves component positioning and alignment - a prospective randomized and multicenter study. J Orthop Translat. 2022, 33:31-40. 10.1016/j.jot.2021.12.004 10.1016/j.jot.2021.12.004
[22]
da Rosa BN, Camargo EN, Candotti CT. Radiographic measures for the assessment of frontal and sagittal knee alignments and the associated normality values: a meta-analysis. J Chiropr Med. 2023, 22:72-84. 10.1016/j.jcm.2022.03.005 10.1016/j.jcm.2022.03.005
[23]
Deckey DG, Rosenow CS, Verhey JT, Brinkman JC, Mayfield CK, Clarke HD, Bingham JS. Robotic-assisted total knee arthroplasty improves accuracy and precision compared to conventional techniques. Bone Joint J. 2021, 103-B:74-80. 10.1302/0301-620X.103B6.BJJ-2020-2003.R1 10.1302/0301-620x.103b6.bjj-2020-2003.r1
[24]
Mannan A, Vun J, Lodge C, Eyre-Brook A, Jones S. Increased precision of coronal plane outcomes in robotic-assisted total knee arthroplasty: a systematic review and meta-analysis. Surgeon. 2018, 16:237-44. 10.1016/j.surge.2017.12.003 10.1016/j.surge.2017.12.003
[25]
Vaidya NV, Deshpande AN, Panjwani T, Patil R, Jaysingani T, Patil P. Robotic-assisted TKA leads to a better prosthesis alignment and a better joint line restoration as compared to conventional TKA: a prospective randomized controlled trial. Knee Surg Sports Traumatol Arthrosc. 2022, 30:621-6. 10.1007/s00167-020-06353-2 10.1007/s00167-020-06353-2
[26]
Durán-Serrano M, Lizcano-Palomares M, Laclériga-Giménez AF, Roche-Albero A, Delfau-Lafuente D, Martín-Hernández C. Postoperative limb alignment in total knee replacement. Conventional versus navigated versus robotic techniques. Int J Med Robot. 2023, 19:e2504. 10.1002/rcs.2504 10.1002/rcs.2504
[27]
Seidenstein A, Birmingham M, Foran J, Ogden S. Better accuracy and reproducibility of a new robotically-assisted system for total knee arthroplasty compared to conventional instrumentation: a cadaveric study. Knee Surg Sports Traumatol Arthrosc. 2021, 29:859-66. 10.1007/s00167-020-06038-w 10.1007/s00167-020-06038-w
[28]
Does Robotic-assisted TKA Result in Better Outcome Scores or Long-Term Survivorship Than Conventional TKA? A Randomized, Controlled Trial

Young-Hoo Kim, Sung-Hwan Yoon, Jang-Won Park

Clinical Orthopaedics and Related Research 2020 10.1097/corr.0000000000000916
[29]
Hoveidaei AH, Esmaeili S, Ghaseminejad-Raeini A, Pirahesh K, Fallahi MS, Sandiford NA, Citak M. Robotic assisted total knee arthroplasty (TKA) is not associated with increased patient satisfaction: a systematic review and meta-analysis. Int Orthop. 2024, 48:1771-84. 10.1007/s00264-024-06206-4 10.1007/s00264-024-06206-4
[30]
Improved Patient Satisfaction following Robotic-Assisted Total Knee Arthroplasty

Austin F. Smith, Christian J. Eccles, Samrath J. Bhimani et al.

The Journal of Knee Surgery 2021 10.1055/s-0039-1700837
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Published
Nov 13, 2025
Cite This Article
Christopher L Hoehmann, Jeffrey Baker, Kyle Struck, et al. (2025). Imageless ROSA® Robotic Arm-Assisted Total Knee Arthroplasty Is Associated With Improved Accuracy Compared to Conventional Techniques. Cureus. https://doi.org/10.7759/cureus.96782
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