{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T02:00:39Z","timestamp":1785117639523,"version":"3.55.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"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":["J Robotic Surg"],"DOI":"10.1007\/s11701-026-03705-x","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T01:47:19Z","timestamp":1785116839000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical and radiographic outcomes of ROSA robotic-assisted total knee arthroplasty: a retrospective comparison of anatomic (persona) versus symmetric (vanguard) implant designs"],"prefix":"10.1007","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9283-2407","authenticated-orcid":false,"given":"Murat","family":"Bozbek","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunus","family":"Demirta\u015f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zg\u00fcr","family":"Kaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahsin","family":"Ayd\u0131n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6khan","family":"\u00c7akmak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ertu\u011frul","family":"Ak\u015fahin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"issue":"8","key":"3705_CR1","doi-asserted-by":"publisher","first-page":"624","DOI":"10.2106\/JBJS.M.00285","volume":"96","author":"SM Kurtz","year":"2014","unstructured":"Kurtz SM, Ong KL, Lau E, Bozic KJ (2014) Impact of the economic downturn on total joint replacement demand in the United States: updated projections to 2021. J Bone Joint Surg Am 96(8):624\u2013630. https:\/\/doi.org\/10.2106\/JBJS.M.00285","journal-title":"J Bone Joint Surg Am"},{"issue":"10158","key":"3705_CR2","doi-asserted-by":"publisher","first-page":"1672","DOI":"10.1016\/S0140-6736(18)32344-4","volume":"392","author":"AJ Price","year":"2018","unstructured":"Price AJ, Alvand A, Troelsen A, Katz JN, Hooper G, Gray A, Carr A, Beard D (2018) Knee replacement. Lancet 392(10158):1672\u20131682. https:\/\/doi.org\/10.1016\/S0140-6736(18)32344-4","journal-title":"Lancet"},{"issue":"1","key":"3705_CR3","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1007\/s11999-009-1119-9","volume":"468","author":"RB Bourne","year":"2010","unstructured":"Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KD (2010) Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clin Orthop Relat Res 468(1):57\u201363. https:\/\/doi.org\/10.1007\/s11999-009-1119-9","journal-title":"Clin Orthop Relat Res"},{"key":"3705_CR4","unstructured":"Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) (2023) Hip, knee & shoulder arthroplasty: 2023 annual report. AOA, Adelaide"},{"issue":"2","key":"3705_CR5","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1016\/j.arth.2013.05.018","volume":"29","author":"AJ Kievit","year":"2014","unstructured":"Kievit AJ, Schafroth MU, Blankevoort L, Sierevelt IN, van Dijk CN, van Geenen RC (2014) Early experience with the Vanguard complete total knee system: 2\u20137 years of follow-up and risk factors for revision. J Arthroplasty 29(2):348\u2013354. https:\/\/doi.org\/10.1016\/j.arth.2013.05.018","journal-title":"J Arthroplasty"},{"key":"3705_CR6","doi-asserted-by":"publisher","unstructured":"Hitt K, Shurman JR 2nd, Greene K, McCarthy J, Moskal J, Hoeman T, Mont MA (2003) Anthropometric measurements of the human knee: correlation to the sizing of current knee arthroplasty systems. J Bone Joint Surg Am 85-A( Suppl 4115\u2013122. https:\/\/doi.org\/10.2106\/00004623-200300004-00015","DOI":"10.2106\/00004623-200300004-00015"},{"issue":"6","key":"3705_CR7","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1080\/10255840701552093","volume":"10","author":"MR Mahfouz","year":"2007","unstructured":"Mahfouz MR, Merkl BC, Abdel Fatah EE, Booth R Jr, Argenson JN (2007) Automatic methods for characterization of sexual dimorphism of adult femora: distal femur. Comput Methods Biomech Biomed Engin 10(6):447\u2013456. https:\/\/doi.org\/10.1080\/10255840701552093","journal-title":"Comput Methods Biomech Biomed Engin"},{"key":"3705_CR8","volume-title":"Persona: the personalized knee system, design rationale","author":"Zimmer Biomet","year":"2014","unstructured":"Zimmer Biomet (2014) Persona: the personalized knee system, design rationale. Technical monograph. Zimmer Biomet, Warsaw"},{"key":"3705_CR9","doi-asserted-by":"publisher","first-page":"195","DOI":"10.2340\/17453674.2025.43004","volume":"96","author":"KRL Mortensen","year":"2025","unstructured":"Mortensen KRL, Ingelsrud LH, Odgaard A, Kappel A, Varnum C, Schr\u00f8der H, Gromov K, Troelsen A (2025) Patient-reported outcomes and complications of a new-generation total knee system: a randomized controlled trial. Acta Orthop 96:195\u2013202. https:\/\/doi.org\/10.2340\/17453674.2025.43004","journal-title":"Acta Orthop"},{"key":"3705_CR10","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1186\/s13018-014-0054-y","volume":"9","author":"PF Indelli","year":"2014","unstructured":"Indelli PF, Marcucci M, Graceffa A, Charlton S, Latella L (2014) Primary posterior stabilized total knee arthroplasty: analysis of different instrumentation. J Orthop Surg Res 9:54. https:\/\/doi.org\/10.1186\/s13018-014-0054-y","journal-title":"J Orthop Surg Res"},{"issue":"4","key":"3705_CR11","doi-asserted-by":"publisher","first-page":"1318","DOI":"10.1002\/ksa.70037","volume":"34","author":"A Montagna","year":"2026","unstructured":"Montagna A, Marescalchi M, Cinelli V, Sangaletti R, Andriollo L, Benazzo F, Rossi SMP (2026) A novel knee implant for total knee arthroplasty meets expectations at 10 years. First long-term follow-up report of clinical outcomes and survivorship. Knee Surg Sports Traumatol Arthrosc 34(4):1318\u20131326. https:\/\/doi.org\/10.1002\/ksa.70037","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"7","key":"3705_CR12","doi-asserted-by":"publisher","first-page":"2502","DOI":"10.1016\/j.arth.2021.02.020","volume":"36","author":"F Bernard de Villeneuve","year":"2021","unstructured":"Bernard de Villeneuve F, Jacquet C, Puech S, Parratte S, Ollivier M, Argenson JN (2021) Minimum five years follow-up of total knee arthroplasty using morphometric implants in patients with osteoarthritis. J Arthroplasty 36(7):2502\u20132509. https:\/\/doi.org\/10.1016\/j.arth.2021.02.020","journal-title":"J Arthroplasty"},{"key":"3705_CR13","doi-asserted-by":"publisher","first-page":"101451","DOI":"10.1016\/j.artd.2024.101451","volume":"29","author":"F Zaidi","year":"2024","unstructured":"Zaidi F, Goplen CM, Bolam SM, Monk AP (2024) Accuracy and outcomes of a novel cut-block positioning robotic-arm assisted system for total knee arthroplasty: a systematic review and meta-analysis. Arthroplast Today 29:101451. https:\/\/doi.org\/10.1016\/j.artd.2024.101451","journal-title":"Arthroplast Today"},{"issue":"3","key":"3705_CR14","doi-asserted-by":"publisher","first-page":"1153","DOI":"10.1007\/s00167-021-06800-8","volume":"31","author":"SMP Rossi","year":"2023","unstructured":"Rossi SMP, Sangaletti R, Perticarini L, Terragnoli F, Benazzo F (2023) High accuracy of a new robotically assisted technique for total knee arthroplasty: an in vivo study. Knee Surg Sports Traumatol Arthrosc 31(3):1153\u20131161. https:\/\/doi.org\/10.1007\/s00167-021-06800-8","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"8","key":"3705_CR15","doi-asserted-by":"publisher","first-page":"2677","DOI":"10.1007\/s00167-021-06464-4","volume":"30","author":"J Zhang","year":"2022","unstructured":"Zhang J, Ndou WS, Ng N, Gaston P, Simpson PM, Macpherson GJ, Patton JT, Clement ND (2022) Robotic-arm assisted total knee arthroplasty is associated with improved accuracy and patient reported outcomes: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc 30(8):2677\u20132695. https:\/\/doi.org\/10.1007\/s00167-021-06464-4","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"3705_CR16","doi-asserted-by":"publisher","first-page":"e70148","DOI":"10.1002\/jeo2.70148","volume":"12","author":"S Petrillo","year":"2025","unstructured":"Petrillo S, Moretti G, Bordignon N, Romagnoli S (2025) Rapid reduction in surgical time and high level of accuracy in alignment and femoral component size prediction in robotic-assisted total knee arthroplasty with ROSA Knee System. J Exp Orthop 12(1):e70148. https:\/\/doi.org\/10.1002\/jeo2.70148","journal-title":"J Exp Orthop"},{"key":"3705_CR17","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.70197","author":"A M\u00f6ller","year":"2025","unstructured":"M\u00f6ller A, Kasabji F, Fischer M, Schoon J, Hofer A, Wassilew GI, Reichert JC (2025) Improved surgical accuracy in total knee arthroplasty using the ROSA knee system: a randomised-controlled unblinded trial. Knee Surg Sports Traumatol Arthrosc. https:\/\/doi.org\/10.1002\/ksa.70197","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"8","key":"3705_CR18","doi-asserted-by":"publisher","first-page":"573","DOI":"10.7326\/0003-4819-147-8-200710160-00010","volume":"147","author":"E von Elm","year":"2007","unstructured":"von Elm E, Altman DG, Egger M, Pocock SJ, G\u00f8tzsche PC, Vandenbroucke JP (2007) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med 147(8):573\u2013577. https:\/\/doi.org\/10.7326\/0003-4819-147-8-200710160-00010","journal-title":"Ann Intern Med"},{"key":"3705_CR19","doi-asserted-by":"publisher","first-page":"1098504","DOI":"10.3389\/fsurg.2022.1098504","volume":"9","author":"V Mass\u00e9","year":"2023","unstructured":"Mass\u00e9 V, Cholewa J, Shahin M (2023) Personalized alignment for total knee arthroplasty using the ROSA Knee and Persona knee systems: surgical technique. Front Surg 9:1098504. https:\/\/doi.org\/10.3389\/fsurg.2022.1098504","journal-title":"Front Surg"},{"issue":"1","key":"3705_CR20","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1302\/0301-620X.80B1.0800063","volume":"80","author":"J Dawson","year":"1998","unstructured":"Dawson J, Fitzpatrick R, Murray D, Carr A (1998) Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg Br 80(1):63\u201369. https:\/\/doi.org\/10.1302\/0301-620X.80B1.0800063","journal-title":"J Bone Joint Surg Br"},{"key":"3705_CR21","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1097\/00003086-198911000-00004","volume":"248","author":"JN Insall","year":"1989","unstructured":"Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 248:13\u201314","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"3705_CR22","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s11999-011-2135-0","volume":"470","author":"GR Scuderi","year":"2012","unstructured":"Scuderi GR, Bourne RB, Noble PC, Benjamin JB, Lonner JH, Scott WN (2012) The new Knee Society Knee Scoring System. Clin Orthop Relat Res 470(1):3\u201319. https:\/\/doi.org\/10.1007\/s11999-011-2135-0","journal-title":"Clin Orthop Relat Res"},{"issue":"7","key":"3705_CR23","doi-asserted-by":"publisher","first-page":"930","DOI":"10.1302\/0301-620X.100B7.BJJ-2017-1449.R1","volume":"100\u2013B","author":"B Kayani","year":"2018","unstructured":"Kayani B, Konan S, Tahmassebi J, Pietrzak JRT, Haddad FS (2018) 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 100\u2013B(7):930\u2013937. https:\/\/doi.org\/10.1302\/0301-620X.100B7.BJJ-2017-1449.R1","journal-title":"Bone Joint J"},{"issue":"5","key":"3705_CR24","doi-asserted-by":"publisher","first-page":"2701","DOI":"10.1007\/s00402-022-04560-9","volume":"143","author":"F Mancino","year":"2023","unstructured":"Mancino F, Rossi SMP, Sangaletti R, Lucenti L, Terragnoli F, Benazzo F (2023) A new robotically assisted technique can improve outcomes of total knee arthroplasty comparing to an imageless navigation system. Arch Orthop Trauma Surg 143(5):2701\u20132711. https:\/\/doi.org\/10.1007\/s00402-022-04560-9","journal-title":"Arch Orthop Trauma Surg"},{"issue":"7","key":"3705_CR25","doi-asserted-by":"publisher","first-page":"1699","DOI":"10.1016\/j.arth.2024.01.001","volume":"39","author":"LA Smith","year":"2024","unstructured":"Smith LA, LaCour MT, Cates HE, Komistek RD (2024) Can asymmetry in total knee arthroplasty design lead to more normal-like postoperative kinematics? A multi-implant evaluation. J Arthroplasty 39(7):1699\u20131706. https:\/\/doi.org\/10.1016\/j.arth.2024.01.001","journal-title":"J Arthroplasty"},{"issue":"15","key":"3705_CR26","doi-asserted-by":"publisher","first-page":"5205","DOI":"10.3390\/jcm14155205","volume":"14","author":"S Petrillo","year":"2025","unstructured":"Petrillo S, Migliorini F, Moretti G, Romagnoli S (2025) Accuracy of ROSA Knee System in bone cuts orientation during total knee arthroplasty: an observational study. J Clin Med 14(15):5205. https:\/\/doi.org\/10.3390\/jcm14155205","journal-title":"J Clin Med"},{"issue":"10","key":"3705_CR27","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1302\/2058-5241.4.190022","volume":"4","author":"B Kayani","year":"2019","unstructured":"Kayani B, Konan S, Ayuob A, Onochie E, Al-Jabri T, Haddad FS (2019) Robotic technology in total knee arthroplasty: a systematic review. EFORT Open Rev 4(10):611\u2013617. https:\/\/doi.org\/10.1302\/2058-5241.4.190022","journal-title":"EFORT Open Rev"},{"issue":"4","key":"3705_CR28","doi-asserted-by":"publisher","first-page":"1231","DOI":"10.1007\/s00590-022-03274-3","volume":"33","author":"E Kenanidis","year":"2023","unstructured":"Kenanidis E, Paparoidamis G, Milonakis N, Potoupnis M, Tsiridis E (2023) Comparative outcomes between a new robotically assisted and a manual technique for total knee arthroplasty in patients with osteoarthritis: a prospective matched comparative cohort study. Eur J Orthop Surg Traumatol 33(4):1231\u20131236. https:\/\/doi.org\/10.1007\/s00590-022-03274-3","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"4","key":"3705_CR29","doi-asserted-by":"publisher","first-page":"1334","DOI":"10.1007\/s00167-022-06995-4","volume":"31","author":"S Parratte","year":"2023","unstructured":"Parratte S, Van Overschelde P, Bandi M, Ozturk BY, Batailler C (2023) An anatomo-functional implant positioning technique with robotic assistance for primary TKA allows the restoration of the native knee alignment and a natural functional ligament pattern, with a faster recovery at 6 months compared to an adjusted mechanical technique. Knee Surg Sports Traumatol Arthrosc 31(4):1334\u20131346. https:\/\/doi.org\/10.1007\/s00167-022-06995-4","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"3705_CR30","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.70266","author":"J O\u2019Brien","year":"2026","unstructured":"O\u2019Brien J, Parker D, Raval P, Ahedi H, Coolican M (2026) Patient-reported outcomes are comparable between imageless robotic-assisted and computer-navigated total knee arthroplasty: a retrospective cohort study. Knee Surg Sports Traumatol Arthrosc. https:\/\/doi.org\/10.1002\/ksa.70266","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"3","key":"3705_CR31","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1016\/j.arth.2011.06.035","volume":"27","author":"H Behrend","year":"2012","unstructured":"Behrend H, Giesinger K, Giesinger JM, Kuster MS (2012) The forgotten joint as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplasty 27(3):430\u2013436. https:\/\/doi.org\/10.1016\/j.arth.2011.06.035","journal-title":"J Arthroplasty"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-03705-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-026-03705-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-03705-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T01:47:21Z","timestamp":1785116841000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11701-026-03705-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,27]]},"references-count":31,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3705"],"URL":"https:\/\/doi.org\/10.1007\/s11701-026-03705-x","relation":{},"ISSN":["1863-2491"],"issn-type":[{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,27]]},"assertion":[{"value":"16 June 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This retrospective study was approved by the Institutional Ethics Committee of LIV Private Hospital Ankara (approval number: 2026\/037) and was conducted in accordance with the Declaration of Helsinki.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":2,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Patients signed informed consent regarding the publication of their data and de-identified radiographic images.","order":3,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","label":"Conflicts of interest","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"762"}}