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This systematic and meta\u2010analysis aims to compare clinical and radiological outcomes between RTKA and CTKA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      52 studies were included (randomised controlled trials and observational cohorts). Outcomes compared were alignment (Hip\u2010Knee\u2010Ankle angle, femoral\/tibial component angles), Patient Reported Outcome Measures (PROMs), operative time, length of stay (LOS), blood loss, and complications. Data were pooled using random\u2010effect models, with heterogeneity assessed via\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      statistics using R.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>RTKA demonstrated superior accuracy in component alignment, and most PROMs showed minimal differences. Operative time was longer for RTKA, but hospital LOS was shorter. RTKA had lower blood loss. Inflammatory markers and revision rates showed few inconsistent findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RTKA improves mechanical alignment and reduces outliers, with modest short\u2010term advantages in PROMs and recovery metrics. Long\u2010term clinical benefits necessitate further high\u2010quality studies with standardised outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>This Systematic Review and Meta\u2010Analysis was registered on PROSPERO (ID number: CRD42023410154)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70228","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T09:39:58Z","timestamp":1790156398000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Robotic\u2010Assisted Versus Conventional Total Knee Arthroplasty: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5642-5523","authenticated-orcid":false,"given":"Abdulazeez","family":"Omairi","sequence":"first","affiliation":[{"name":"Faculty of Medical Sciences Translational and Clinical Research Institute, Newcastle University  Newcastle\u2010upon\u2010Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Kenny","sequence":"additional","affiliation":[{"name":"Evidence Synthesis Group, Faculty of Medical Sciences Population Health Sciences Institute, Newcastle University  Newcastle\u2010upon\u2010Tyne UK"},{"name":"NIHR Innovation Observatory, Faculty of Medical Sciences Population Health Sciences Institute, Newcastle University  Newcastle\u2010upon\u2010Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oday","family":"Al\u2010Dadah","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences Translational and Clinical Research Institute, Newcastle University  Newcastle\u2010upon\u2010Tyne UK"},{"name":"Department of Trauma and Orthopaedic Surgery South Tyneside District Hospital  South Shields UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"e_1_2_9_2_1","article-title":"Osteoarthritis: How Common Is It?","author":"NICE","year":"2023","journal-title":"Osteoarthritis"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kev231"},{"key":"e_1_2_9_4_1","unstructured":"NICE Osteoarthritis: Scenario: Management(2023) https:\/\/cks.nice.org.uk\/topics\/osteoarthritis\/management\/management\/."},{"issue":"1","key":"e_1_2_9_5_1","first-page":"49","article-title":"Osteoarthritis: Diagnosis and Treatment","volume":"85","author":"Sinusas K.","year":"2012","journal-title":"American Family Physician"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010020\u201006184\u20101"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620x.99b1.bjj\u20102016\u20100272"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/blo.0b013e318126c0c0"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1302\/2046\u20103758.810.bjr\u20102019\u20100175"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100040\u20101713895"},{"issue":"7","key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"e205","DOI":"10.37765\/ajmc.2020.43763","article-title":"Robotic Arm\u2010Assisted Knee Surgery: An Economic Analysis","volume":"26","author":"Pierce J.","year":"2020","journal-title":"American Journal of Managed Care"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010024\u201005231\u20107"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj\u20102018\u2010136190"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2020.03.005"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010015\u20102314\u20107"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058\u20105241.4.190022"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010022\u201007158\u20101"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12306\u2010016\u20100442\u2010z"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/corr.0000000000001324"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59020236"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.17.00249"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.4081\/or.2020.8657"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.2340\/17453674.2023.9411"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.11.028"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1017\/s026646232300020x"},{"key":"e_1_2_9_26_1","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions Version 6.5 (updated August 2024)","author":"Higgins J. 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