{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T05:01:34Z","timestamp":1789189294773,"version":"build-2803163510"},"reference-count":15,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T00:00:00Z","timestamp":1729382400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Robotic-assisted total knee arthroplasty (TKA) is gaining popularity worldwide, leading to a potential increase in the number of pin tracker\u2013related complications. This study determined the effectiveness of periarticular pin tracker placement in the distal femur and proximal tibia through a single main incision during robotic-assisted TKA over a minimum follow-up period of 6 months. Materials and Methods: A consecutive series of 149 TKAs was performed in 108 patients using the triathlon posterior-stabilized total knee prosthesis with a robotic-assisted system at our hospital from December 2023 to February 2024. Clinical outcomes and complications associated with pin tracker sites, including pin-site infection, neurovascular injury, hematoma, soft-tissue morbidity, and pin-site fracture, were assessed. Results: The mean Knee Society knee score improved from 42.5 preoperatively to 76.3 points at the final follow-up, whereas the mean Knee Society function score improved from 43.1 preoperatively to 78.1 points at the final follow-up (both p &lt; 0.05). No patient experienced any minor or major complications related to the use of pin trackers in the distal femur and proximal tibia. Conclusions: This periarticular technique that uses pin trackers in the distal femur and proximal tibia through a single main incision could be a useful option for orthopedic surgeons while performing robotic-assisted TKA.<\/jats:p>","DOI":"10.3390\/medicina60101720","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T03:57:09Z","timestamp":1729483029000},"page":"1720","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness of Periarticular Pin Tracker Placement Through a Single Main Incision in Robotic-Assisted Total Knee Arthroplasty: Technical Note and Short-Term Results"],"prefix":"10.3390","volume":"60","author":[{"given":"Ji-Hoon","family":"Baek","sequence":"first","affiliation":[{"name":"Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital, Seoul 07999, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su Chan","family":"Lee","sequence":"additional","affiliation":[{"name":"Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital, Seoul 07999, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taehyeon","family":"Kim","sequence":"additional","affiliation":[{"name":"Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital, Seoul 07999, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juneyoung","family":"Heo","sequence":"additional","affiliation":[{"name":"Joint & Arthritis Research, Department of Neurosurgery, Himchan Hospital, Seoul 07999, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Nyoung","family":"Lee","sequence":"additional","affiliation":[{"name":"Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital, Seoul 07999, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hye Sun","family":"Ahn","sequence":"additional","affiliation":[{"name":"Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital, Seoul 07999, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chang Hyun","family":"Nam","sequence":"additional","affiliation":[{"name":"Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital, Seoul 07999, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1016\/j.arth.2017.11.033","article-title":"Technology-Assisted Hip and Knee Arthroplasties: An Analysis of Utilization Trends","volume":"33","author":"Boylan","year":"2018","journal-title":"J. Arthroplast."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1055\/s-0039-1700570","article-title":"Accuracy of Bone Resection in MAKO Total Knee Robotic-Assisted Surgery","volume":"34","author":"Sires","year":"2021","journal-title":"J. Knee. Surg."},{"key":"ref_3","unstructured":"(2024, September 10). MAKO TKA Surgical Guide. Available online: https:\/\/www.tekno-surgical.com\/uploads\/mako-tka-surgical-technique.pdf."},{"key":"ref_4","unstructured":"ROSA Knee (2024, September 10). User Manual & Surgical Technique V1.4. Available online: https:\/\/www.zimmerbiomet.com\/content\/dam\/zb-corporate\/en\/education-resources\/surgical-techniques\/specialties\/robotics\/2300.9-GLBL-en%20ROSA%20Knee%20System%20User%20Manual%20and%20Surg%20Tech-digital.pdf."},{"key":"ref_5","unstructured":"(2024, September 10). Real Intelligence CORI for Knee Arthroplasty. Available online: https:\/\/s3images.coroflot.com\/user_files\/individual_files\/original_pdf_262183_mdglqzddwnhjoayom09ubarcm.pdf."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1007\/s00167-022-07031-1","article-title":"Complications and downsides of the robotic total knee arthroplasty: A systematic review","volume":"31","author":"Nogalo","year":"2023","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2291","DOI":"10.1016\/j.arth.2022.05.012","article-title":"Pin-Related Complications in Computer Navigated and Robotic-Assisted Knee Arthroplasty: A Systematic Review","volume":"37","author":"Thomas","year":"2022","journal-title":"J. Arthroplast."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2351","DOI":"10.1007\/s00264-024-06234-0","article-title":"Comparison of the efficacy and safety of MAKO robot-assisted total knee arthroplasty versus conventional manual total knee arthroplasty in uncomplicated unilateral total knee arthroplasty a single-centre retrospective analysis","volume":"48","author":"Ma","year":"2024","journal-title":"Int. Orthop."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Dretakis, K., and Koutserimpas, C. (2024). Pitfalls with the MAKO Robotic-Arm-Assisted Total Knee Arthroplasty. Medicina, 60.","DOI":"10.3390\/medicina60020262"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1055\/s-0041-1735462","article-title":"Distal Femoral Pin Tracker Placement Prevents Pin Tract-induced Fracture in Robotic-Assisted Total Knee Arthroplasty","volume":"36","author":"Baek","year":"2023","journal-title":"J. Knee. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1055\/s-0042-1749605","article-title":"Distal Femoral Tracker Pin Placement Prevents Delayed Pin Tract-Induced Fracture in Robotic-Assisted Total Knee Arthroplasty: Results of Minimum 1-Year Follow-Up","volume":"36","author":"Baek","year":"2023","journal-title":"J. Knee. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1097\/00003086-198911000-00004","article-title":"Rationale of the Knee Society clinical rating system","volume":"248","author":"Insall","year":"1989","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e20.00091","DOI":"10.2106\/JBJS.RVW.20.00091","article-title":"Periprosthetic Fractures Through Tracking Pin Sites Following Computer Navigated and Robotic Total and Unicompartmental Knee Arthroplasty: A Systematic Review","volume":"9","author":"Smith","year":"2021","journal-title":"JBJS. Rev."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s42836-021-00082-8","article-title":"Do bicortical diaphyseal array pins create the risk of periprosthetic fracture in robotic-assisted knee arthroplasties?","volume":"3","author":"Yun","year":"2021","journal-title":"Arthroplasty"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e05366","DOI":"10.1002\/ccr3.5366","article-title":"Usefulness of robot-assisted total knee arthroplasty in patients with retained hardware: A report of two cases","volume":"10","author":"Baek","year":"2022","journal-title":"Clin. Case. Rep."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/10\/1720\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:17:10Z","timestamp":1760113030000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/10\/1720"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,20]]},"references-count":15,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["medicina60101720"],"URL":"https:\/\/doi.org\/10.3390\/medicina60101720","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,20]]}}}