{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:16:49Z","timestamp":1791825409360,"version":"4.3.4"},"reference-count":64,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T00:00:00Z","timestamp":1733184000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Background: Robotic-assisted unicompartmental arthroplasty (rUKA) is gradually gaining more popularity than its conventional counterpart (cUKA). Current studies are highly heterogenic in terms of methodology and the reported results; therefore, establishing the optimal recommendation for patients becomes less straightforward. For this reason, this meta-analysis aims to provide an up-to-date evidence-based analysis on current evidence regarding clinical outcomes and complication rates following rUKA and cUKA. Methods: A meta-analysis was conducted following PRISMA guidelines. Five databases were searched, PubMed via MEDLINE, Epistemonikos, Cochrane Library, Web of Science, and Scopus. The relevant inclusion criteria were as follows: comparative clinical studies in which medial rUKA was compared to medial cUKA (prospective or retrospective designs), (2) human studies, (3) meta-analyses for cross-referencing, and (4) English language. The relevant extracted data were patient demographics, patient-reported outcome measures (PROMs), range of motion, and complications. A random-effects meta-analysis and subgroup analysis were conducted. The results include mean differences (MDs) and odds ratios (ORs), along with 95% confidence intervals (CIs) for continuous and binary variables, respectively. Results: rUKA showed a higher overall FJS-12 score compared to cUKA, with MD = 6.02 (95%CI: \u22120.07 to 12.1), p = 0.05. At 6 months postoperatively, the MD increased to 10.31 (95%CI: 5.14 to 15.49), p &lt; 0.01. At a minimum 36-month follow-up, cUKA had a higher all-cause revision rate, with OR = 3.31 (95%CI: 1.25 to 8.8), p = 0.02, and at a minimum 60-month follow-up, a higher aseptic loosening rate, with OR = 3.86 (95%CI: 1.51 to 9.91), p &lt; 0.01, compared to rUKA. Conclusions: rUKA provides better FJS-12 results compared to cUKA, as well as lower all-cause revision and aseptic loosening rates at 36- and 60-month follow-up, respectively. However, long-term follow-up is still pending.<\/jats:p>","DOI":"10.3390\/jpm14121137","type":"journal-article","created":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T04:01:29Z","timestamp":1733198489000},"page":"1137","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Robotic-Assisted Medial Unicompartmental Knee Arthroplasty Provides Better FJS-12 Score and Lower Mid-Term Complication Rates Compared to Conventional Implantation: A Systematic Review and Meta-Analysis"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0174-1807","authenticated-orcid":false,"given":"George M.","family":"Avram","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, 4101 Bruderholz, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horia","family":"Tomescu","sequence":"additional","affiliation":[{"name":"Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, Bvd. Eroii Sanitari Nr. 8, Sector 5, 050474 Bucuresti, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cicio","family":"Dennis","sequence":"additional","affiliation":[{"name":"Faculty of General Medicine, \u201cIuliu Ha\u021bieganu\u201d University of Medicine and Pharmacy, Str. Victor Babe\u015f Nr. 8, 400012 Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vlad","family":"Rusu","sequence":"additional","affiliation":[{"name":"Faculty of General Medicine, University of Medicine, Pharmacy, Sciences and Technology \u201cGeorge Emil Palade\u201d of T\u00e2rgu Mure\u015f, 540139 T\u00e2rgu Mure\u015f, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Mengis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, 4101 Bruderholz, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0860-2666","authenticated-orcid":false,"given":"Elias","family":"Ammann","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, 4101 Bruderholz, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9718-8027","authenticated-orcid":false,"given":"Giacomo","family":"Pacchiarotti","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Legal Medicine, and Orthopaedics, Sapienza University of Rome, Piazzale Aldo Moro, 5, 00185 Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4014-424X","authenticated-orcid":false,"given":"Michael T.","family":"Hirschmann","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, 4101 Bruderholz, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vlad","family":"Predescu","sequence":"additional","affiliation":[{"name":"Orthopaedics and Traumatology Department, Ponderas Academic Hospital, 014142 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5482-6866","authenticated-orcid":false,"given":"Octav","family":"Russu","sequence":"additional","affiliation":[{"name":"Faculty of General Medicine, University of Medicine, Pharmacy, Sciences and Technology \u201cGeorge Emil Palade\u201d of T\u00e2rgu Mure\u015f, 540139 T\u00e2rgu Mure\u015f, Romania"},{"name":"Orthopaedic and Traumatology Department, University of Medicine, Pharmacy, Science, and Technology, 540139 Targu Mures, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Diquattro, E., Lettner, J., Adriani, M., Prill, R., Salzmann, M., and Becker, R. 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