{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:28:47Z","timestamp":1790404127892,"version":"4.1.0"},"reference-count":28,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"name":"MAKO Surgical Corp., USA"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Advances in Orthopedics"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p>Unicompartmental knee arthroplasty (UKA) allows replacement of a single compartment in patients with limited disease. However, UKA is technically challenging and relies on accurate component positioning and restoration of natural knee kinematics. This study examined the accuracy of dynamic, real-time ligament balancing using a robotic-assisted UKA system. Surgical data obtained from the computer system were prospectively collected from 51 patients (52 knees) undergoing robotic-assisted medial UKA by a single surgeon. Dynamic ligament balancing of the knee was obtained under valgus stress prior to component implantation and then compared to final ligament balance with the components in place. Ligament balancing was accurate up to 0.53\u2009mm compared to the preoperative plan, with 83% of cases within 1\u2009mm at 0\u00b0, 30\u00b0, 60\u00b0, 90\u00b0, and 110\u00b0 of flexion. Ligamentous laxity of<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mn>1.31<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn>0.13<\/mml:mn><\/mml:math>\u2009mm at 30\u00b0 of flexion was corrected successfully to<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mn>0.78<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn>0.17<\/mml:mn><\/mml:math>\u2009mm (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn>0.05<\/mml:mn><\/mml:math>). Robotic-assisted UKA allows accurate and precise reproduction of a surgical balance plan using dynamic, real-time soft-tissue balancing to help restore natural knee kinematics, potentially improving implant survival and functional outcomes.<\/jats:p>","DOI":"10.1155\/2013\/837167","type":"journal-article","created":{"date-parts":[[2013,3,24]],"date-time":"2013-03-24T21:01:04Z","timestamp":1364158864000},"page":"1-6","source":"Crossref","is-referenced-by-count":85,"title":["Achieving Accurate Ligament Balancing Using Robotic-Assisted Unicompartmental Knee Arthroplasty"],"prefix":"10.1155","volume":"2013","author":[{"given":"Johannes F.","family":"Plate","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1070, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Mofidi","sequence":"additional","affiliation":[{"name":"Morriston Hospital, Swansea SA6-6NL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Mannava","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1070, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth P.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1070, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason E.","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1070, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary G.","family":"Poehling","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1070, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Conditt","sequence":"additional","affiliation":[{"name":"MAKO Surgical Corp., 2555 Davie Road, Fort Lauderdale, FL 33317, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riyaz H.","family":"Jinnah","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1070, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"98","reference":[{"key":"24","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2008.09.024"},{"issue":"2, supplement","key":"26","first-page":"10","volume":"38","year":"2009","journal-title":"American Journal of Orthopedics"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2005.05.001"},{"issue":"1","key":"3","doi-asserted-by":"crossref","first-page":"9","DOI":"10.5435\/00124635-200801000-00003","volume":"16","year":"2008","journal-title":"Journal of the American Academy of Orthopaedic Surgeons"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01372"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1097\/BLO.0b013e318126c077"},{"issue":"2, suplement","key":"17","first-page":"3","volume":"38","year":"2009","journal-title":"American Journal of Orthopedics"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01510"},{"issue":"2","key":"1","first-page":"37","volume":"84","year":"2002","journal-title":"Journal of Bone and Joint Surgery. 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