{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T19:03:22Z","timestamp":1789499002295,"version":"build-2803163510"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a2 This review examines the contemporary evidence surrounding robotic-assisted joint replacement, including its effects on surgical precision, clinical outcomes, and implant survivorship, and the broader implications for innovation in arthroplasty.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Current evidence consistently demonstrates that robotic-assisted arthroplasty improves the precision and reproducibility of component positioning. However, systematic reviews, meta-analyses, randomized trials, and national registry data have not demonstrated consistent improvements in patient-reported outcomes, complication rates, or implant survivorship.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The existing literature is limited by statistical fragility, heterogeneity among robotic platforms, and a disconnect between scientific evidence and public enthusiasm.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Future value may lie in the integration of robotics with large-scale data acquisition and data-driven personalization, although these concepts remain largely unproven.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The experience of robotic-assisted arthroplasty highlights the need for a more rigorous evidence-based framework for innovation in orthopaedic surgery, with adoption guided by demonstrable improvements in patient outcomes and health-care value rather than technical precision alone.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.26.00706","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T18:08:41Z","timestamp":1789495721000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Robotic Arthroplasty in Context"],"prefix":"10.2106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1578-5563","authenticated-orcid":false,"given":"Andrew","family":"Fraval","sequence":"first","affiliation":[{"name":"Melbourne Orthopaedic Group, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6106-6140","authenticated-orcid":false,"given":"Ashok","family":"Rajgopal","sequence":"additional","affiliation":[{"name":"Institute of Musculoskeletal Disorders and Orthopaedics, Medanta \u2013 The Medicity, Gurgaon, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9398-1239","authenticated-orcid":false,"given":"Kevin J.","family":"Bozic","sequence":"additional","affiliation":[{"name":"Dell Medical School, The University of Texas at Austin, Austin, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7115-4966","authenticated-orcid":false,"given":"Mohit","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Department of Surgery, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6985-5870","authenticated-orcid":false,"given":"Javad","family":"Parvizi","sequence":"additional","affiliation":[{"name":"Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"issue":"9597","key":"bib1-20260915","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1016\/S0140-6736(07)60457-7","article-title":"The operation of the century: total hip replacement","volume":"370","author":"Learmonth","year":"2007","journal-title":"Lancet."},{"issue":"8","key":"bib2-20260915","first-page":"1719","article-title":"The functional outcomes of total knee arthroplasty","volume":"87","author":"Kane","year":"2005","journal-title":"J Bone Joint Surg 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