Robotic Total Knee Replacement Systems

Guideline-Based Recommendation

• The American Academy of Orthopaedic Surgeons provides strong evidence against using intraoperative navigation (which includes robotic systems) in TKA because there is no difference in outcomes or complications 1, 2, 3, 4, 5
• The American Academy of Orthopaedic Surgeons recommends against the routine use of robotic-assisted TKA systems over conventional TKA, as there is no demonstrated improvement in long-term clinical outcomes, survivorship, or complications, despite higher costs and longer operative times 1, 2, 3, 4, 5

Clinical Decision Algorithm

• For routine TKA cases, the American Academy of Orthopaedic Surgeons recommends using conventional instrumentation as the standard approach, as it achieves 89% good or excellent outcomes for pain and function up to 5 years 1, 2, 3, 4, 5, 7

Technical Considerations

• Robotic systems increase operative time for application and removal 6

Cost-Effectiveness

• Patient-specific instrumentation provides no benefit over conventional instrumentation, according to the American Academy of Orthopaedic Surgeons 1, 2, 4, 5