{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T04:20:52Z","timestamp":1793766052881,"version":"4.6.1"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T00:00:00Z","timestamp":1641254400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T00:00:00Z","timestamp":1641254400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T00:00:00Z","timestamp":1641254400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Over the last decade, robotic TKA gained popularity for improving the accuracy of implant positioning and reducing outliers in limb alignment comparing to conventional jig\u2010based TKA. Hypothesis of this study was that this newly designed robotically assisted system will achieve a high level of accuracy for bone resection. Purpose of the study was to evaluate the accuracy of the system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>For this study, 75\u00a0knees in 75 patients were operated using a new, robotic system (ROSA<jats:sup>\u00ae<\/jats:sup> Knee System; Zimmer Biomet, Warsaw, IN) with a Posterior Stabilized Total Knee Arthroplasty (Persona<jats:sup>\u00ae<\/jats:sup> Knee System). The planned, validated and measured angles and cuts for the distal and posterior femur, for the proximal tibia and for the final coronal alignment on long standing x\u2010rays were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A statistically significant difference was found only between the average planned and the average validated angle for femoral flexion, tibial coronal axis, medial and lateral cuts; the average difference was in any case below 1\u00a0mm or under 1 degree with SD\u2009&lt;\u20091. No statistical difference was found between planned validated and measured cuts. Average difference between planned HKA and measured was 1.2\u2009\u00b1\u20091.1. No statistically significant difference was found.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results of this study demonstrated that using this new surgical robot in total knee arthroplasty it is possible to perform accurate bone cuts and to achieve the planned angles and resections.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06800-8","type":"journal-article","created":{"date-parts":[[2022,1,3]],"date-time":"2022-01-03T19:03:16Z","timestamp":1641236596000},"page":"1153-1161","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":101,"title":["High accuracy of a new robotically assisted technique for total knee arthroplasty: an in vivo study"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4395-8457","authenticated-orcid":false,"given":"Stefano Marco Paolo","family":"Rossi","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Sezione di Chirurgia Protesica ad Indirizzo Robotico, Unit\u00e0 di Traumatologia dello Sport U.O.C. Ortopedia e Traumatologia Fondazione Poliambulanza Via Bissolati, 57 25124 Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudy","family":"Sangaletti","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Sezione di Chirurgia Protesica ad Indirizzo Robotico, Unit\u00e0 di Traumatologia dello Sport U.O.C. Ortopedia e Traumatologia Fondazione Poliambulanza Via Bissolati, 57 25124 Brescia Italy"},{"name":"<!--<label>3<\/label>--> Universit\u00e0 degli Studi di Pavia Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loris","family":"Perticarini","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Sezione di Chirurgia Protesica ad Indirizzo Robotico, Unit\u00e0 di Traumatologia dello Sport U.O.C. Ortopedia e Traumatologia Fondazione Poliambulanza Via Bissolati, 57 25124 Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavio","family":"Terragnoli","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> U.O.C. Ortopedia e Traumatologia, Fondazione Poliambulanza Via Bissolati 57 25124 Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Benazzo","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Sezione di Chirurgia Protesica ad Indirizzo Robotico, Unit\u00e0 di Traumatologia dello Sport U.O.C. Ortopedia e Traumatologia Fondazione Poliambulanza Via Bissolati, 57 25124 Brescia Italy"},{"name":"<!--<label>3<\/label>--> Universit\u00e0 degli Studi di Pavia Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,4]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2020.03.005"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2016.10.007"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2008.01.012"},{"key":"e_1_2_8_5_2","unstructured":"CanovasF DagneauxLQuality of life after total knee arthroplasty.Orthop Traumatol(2018)10.1016\/j.otsr.2017.04.017"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.01397"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.02.044"},{"key":"e_1_2_8_8_2","doi-asserted-by":"crossref","unstructured":"CollinsK AgiusPA FravalA PetterwoodJInitial experience with the navio robotic\u2010assisted total knee replacement\u2010coronal alignment accuracy and the learning curve.J Knee Surg(2021)10.1055\/s\u20100040\u2010172269333511584","DOI":"10.1055\/s-0040-1722693"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2019.05.004"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.07.021"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.99B8.BJJ\u20102016\u20101364.R1"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100038\u20101641729"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.artd.2020.12.022"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1302\/2058\u20105241.4.190022"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105138\u20105"},{"key":"e_1_2_8_16_2","doi-asserted-by":"crossref","unstructured":"KortN StirlingP PilotP M\u00fcllerJHRobot\u2010assisted knee arthroplasty improves component positioning and alignment but results are inconclusive on whether it improves clinical scores or reduces complications and revisions: a systematic overview of meta\u2010analyses.Knee Surg Sports Traumatol Arthrosc(2021)10.1007\/s00167\u2010021\u201006472\u2010434792611","DOI":"10.1007\/s00167-021-06472-4"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2013.12.010"},{"key":"e_1_2_8_18_2","doi-asserted-by":"crossref","unstructured":"MercuriJJ PepperAM WernerJA VigdorchikJMGap balancing measured resection and kinematic alignment: how when and why?.JBJS Rev(2019)10.2106\/jbjs.rvw.18.0002630844845","DOI":"10.2106\/JBJS.RVW.18.00026"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010011\u20101483\u20103"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.06.040"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010019\u20101328\u20101"},{"key":"e_1_2_8_22_2","unstructured":"SavovP EttingerM TueckingL\u2010RPSI\u2014technique for kinematic alignment.Orthopade(2020)10.1007\/s00132\u2010020\u201003927\u2010332542426"},{"key":"e_1_2_8_23_2","first-page":"118","volume-title":"Robotic\u2010assisted TKA reduces postoperative alignment outliers and improves gap balance compared to conventional TKA knee","author":"Song EK","year":"2013"},{"key":"e_1_2_8_24_2","doi-asserted-by":"crossref","unstructured":"VaidyaNV DeshpandeAN PanjwaniT PatilR JaysinganiT PatilPRobotic\u2010assisted 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(2020)10.1007\/s00167\u2010020\u201006353\u2010233165631","DOI":"10.1007\/s00167-020-06353-2"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010021\u201003805\u20103"},{"key":"e_1_2_8_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010015\u20103949\u20101"},{"key":"e_1_2_8_27_2","unstructured":"ZhangJ NdouWS NgN GastonP SimpsonPM MacphersonGJ PattonJT ClementNDRobotic\u2010arm assisted total knee arthroplasty is associated with improved accuracy and patient reported outcomes: a systematic review and meta\u2010analysis.Knee Surg Sports Traumatol Arthrosc(2021)10.1007\/s00167\u2010021\u201006464\u2010434766190"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-021-06800-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-021-06800-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-021-06800-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-021-06800-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T10:09:00Z","timestamp":1760868540000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-021-06800-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,4]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1007\/s00167-021-06800-8"],"URL":"https:\/\/doi.org\/10.1007\/s00167-021-06800-8","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,4]]},"assertion":[{"value":"3 July 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 November 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 January 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Prof Francesco Benazzo declares a teaching contract with the manufacturer (Zimmer Biomet); all other authors declare no conflict of interest related to the present study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"No IRB approval was necessary for this study, as a standard and approved technique was applied and no sensible data are presented.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All patients signed an informed consent for the surgical procedure.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}