{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T19:37:59Z","timestamp":1788205079531,"version":"build-2803163510"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,11]]},"DOI":"10.7759\/cureus.92044","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T11:03:47Z","timestamp":1757588627000},"source":"Crossref","is-referenced-by-count":1,"title":["Benefits of Image-Free Robotic-Assisted Total Knee Arthroplasty in Early Postoperative Recovery and Tibial Alignment Accuracy"],"prefix":"10.7759","author":[{"given":"Kazu","family":"Matsumoto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daichi","family":"Ishimaru","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Sohmiya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuo","family":"Terabayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-1119-9","article-title":"Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?","volume":"468","author":"Bourne RB","year":"2010","unstructured":"Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KD. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?. Clin Orthop Relat Res. 2010, 468:57-63. 10.1007\/s11999-009-1119-9","journal-title":"Clin Orthop Relat Res"},{"key":"ref2","doi-asserted-by":"crossref","DOI":"10.2106\/00004623-197759010-00013","article-title":"Influence of positioning of prosthesis in total knee replacement","volume":"59","author":"Lotke PA","year":"1977","unstructured":"Lotke PA, Ecker ML. Influence of positioning of prosthesis in total knee replacement. J Bone Joint Surg Am. 1977, 59:77-9.","journal-title":"J Bone Joint Surg Am"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B5.1894655","article-title":"Coronal alignment after total knee replacement","volume":"73","author":"Jeffery RS","year":"1991","unstructured":"Jeffery RS, Morris RW, Denham RA. Coronal alignment after total knee replacement. J Bone Joint Surg Br. 1991, 73:709-14. 10.1302\/0301-620X.73B5.1894655","journal-title":"J Bone Joint Surg Br"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.1.000002","article-title":"Coronal alignment after total knee arthroplasty","volume":"1","author":"Lording T","year":"2016","unstructured":"Lording T, Lustig S, Neyret P. Coronal alignment after total knee arthroplasty. EFORT Open Rev. 2016, 1:12-7. 10.1302\/2058-5241.1.000002","journal-title":"EFORT Open Rev"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2533-y","article-title":"Postoperative alignment and ROM affect patient satisfaction after TKA","volume":"471","author":"Matsuda S","year":"2013","unstructured":"Matsuda S, Kawahara S, Okazaki K, Tashiro Y, Iwamoto Y. Postoperative alignment and ROM affect patient satisfaction after TKA. Clin Orthop Relat Res. 2013, 471:127-33. 10.1007\/s11999-012-2533-y","journal-title":"Clin Orthop Relat Res"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/s0968-0160(02)00015-7","article-title":"Technique and first clinical results of robot-assisted total knee replacement","volume":"9","author":"Siebert W","year":"2002","unstructured":"Siebert W, Mai S, Kober R, Heeckt PF. Technique and first clinical results of robot-assisted total knee replacement. Knee. 2002, 9:173-80. 10.1016\/s0968-0160(02)00015-7","journal-title":"Knee"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2022.10.011","article-title":"Are 20% of patients actually dissatisfied following total knee arthroplasty? A systematic review of the literature","volume":"38","author":"DeFrance MJ","year":"2023","unstructured":"DeFrance MJ, Scuderi GR. Are 20% of patients actually dissatisfied following total knee arthroplasty? A systematic review of the literature. J Arthroplasty. 2023, 38:594-9. 10.1016\/j.arth.2022.10.011","journal-title":"J Arthroplasty"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1586\/17434440.2015.1086264","article-title":"Robotic-assisted knee arthroplasty","volume":"12","author":"Banerjee S","year":"2015","unstructured":"Banerjee S, Cherian JJ, Elmallah RK, Jauregui JJ, Pierce TP, Mont MA. Robotic-assisted knee arthroplasty. Expert Rev Med Devices. 2015, 12:727-35. 10.1586\/17434440.2015.1086264","journal-title":"Expert Rev Med Devices"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.6.200052","article-title":"The current state of robotics in total knee arthroplasty","volume":"6","author":"St Mart JP","year":"2021","unstructured":"St Mart JP, Goh EL. The current state of robotics in total knee arthroplasty. EFORT Open Rev. 2021, 6:270-9. 10.1302\/2058-5241.6.200052","journal-title":"EFORT Open Rev"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1641729","article-title":"Robotic-arm assisted total knee arthroplasty demonstrated greater accuracy and precision to plan compared with manual techniques","volume":"32","author":"Hampp EL","year":"2019","unstructured":"Hampp EL, Chughtai M, Scholl LY, Sodhi N, Bhowmik-Stoker M, Jacofsky DJ, Mont MA. Robotic-arm assisted total knee arthroplasty demonstrated greater accuracy and precision to plan compared with manual techniques. J Knee Surg. 2019, 32:239-50. 10.1055\/s-0038-1641729","journal-title":"J Knee Surg"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-020-02624-3","article-title":"Preliminary experience with an image-free handheld robot for total knee arthroplasty: 77 cases compared with a matched control group","volume":"30","author":"Bollars P","year":"2020","unstructured":"Bollars P, Boeckxstaens A, Mievis J, Kalaai S, Schotanus MG, Janssen D. Preliminary experience with an image-free handheld robot for total knee arthroplasty: 77 cases compared with a matched control group. Eur J Orthop Surg Traumatol. 2020, 30:723-9. 10.1007\/s00590-020-02624-3","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2007.05.036","article-title":"Comparison of robotic-assisted and conventional manual implantation of a primary total knee arthroplasty","volume":"22","author":"Park SE","year":"2007","unstructured":"Park SE, Lee CT. Comparison of robotic-assisted and conventional manual implantation of a primary total knee arthroplasty. J Arthroplasty. 2007, 22:1054-9. 10.1016\/j.arth.2007.05.036","journal-title":"J Arthroplasty"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s42836-025-00304-3","article-title":"Survivorship in robotic total knee arthroplasty compared with conventional total knee arthroplasty: a systematic review and meta-analysis","volume":"7","author":"Chen J","year":"2025","unstructured":"Chen J, Loke RW, Lim KK, Tan BW. Survivorship in robotic total knee arthroplasty compared with conventional total knee arthroplasty: a systematic review and meta-analysis. Arthroplasty. 2025, 7:21. 10.1186\/s42836-025-00304-3","journal-title":"Arthroplasty"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000916","article-title":"Does robotic-assisted TKA result in better outcome scores or long-term survivorship than conventional TKA? A randomized, controlled trial","volume":"478","author":"Kim YH","year":"2020","unstructured":"Kim YH, Yoon SH, Park JW. Does robotic-assisted TKA result in better outcome scores or long-term survivorship than conventional TKA? A randomized, controlled trial. Clin Orthop Relat Res. 2020, 478:266-75. 10.1097\/CORR.0000000000000916","journal-title":"Clin Orthop Relat Res"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.100B7.BJJ-2017-1449.R1","article-title":"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","volume":"100-B","author":"Kayani B","year":"2018","unstructured":"Kayani B, Konan S, Tahmassebi J, Pietrzak JR, Haddad FS. 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. 2018, 100-B:930-7. 10.1302\/0301-620X.100B7.BJJ-2017-1449.R1","journal-title":"Bone Joint J"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1607450","article-title":"Patient satisfaction outcomes after robotic arm-assisted total knee arthroplasty: a short-term evaluation","volume":"30","author":"Marchand RC","year":"2017","unstructured":"Marchand RC, Sodhi N, Khlopas A, Sultan AA, Harwin SF, Malkani AL, Mont MA. Patient satisfaction outcomes after robotic arm-assisted total knee arthroplasty: a short-term evaluation. J Knee Surg. 2017, 30:849-53. 10.1055\/s-0037-1607450","journal-title":"J Knee Surg"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1684014","article-title":"Patient-reported functional and satisfaction outcomes after robotic-arm-assisted total knee arthroplasty: early results of a prospective multicenter investigation","volume":"33","author":"Khlopas A","year":"2020","unstructured":"Khlopas A, Sodhi N, Hozack WJ, et al.. Patient-reported functional and satisfaction outcomes after robotic-arm-assisted total knee arthroplasty: early results of a prospective multicenter investigation. J Knee Surg. 2020, 33:685-90. 10.1055\/s-0039-1684014","journal-title":"J Knee Surg"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1602133","article-title":"Comparative study for alignment of extramedullary guides versus portable, accelerometer-based navigation in total knee arthroplasty","volume":"31","author":"Matsumoto K","year":"2018","unstructured":"Matsumoto K, Ogawa H, Fukuta M, Mori N, Akiyama H. Comparative study for alignment of extramedullary guides versus portable, accelerometer-based navigation in total knee arthroplasty. J Knee Surg. 2018, 31:92-8. 10.1055\/s-0037-1602133","journal-title":"J Knee Surg"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-015-2318-3","article-title":"Accuracy of a novel extramedullary femoral alignment guide system in primary total knee arthroplasty","volume":"135","author":"Matsumoto K","year":"2015","unstructured":"Matsumoto K, Mori N, Ogawa H, Akiyama H. Accuracy of a novel extramedullary femoral alignment guide system in primary total knee arthroplasty. Arch Orthop Trauma Surg. 2015, 135:1743-8. 10.1007\/s00402-015-2318-3","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref20","doi-asserted-by":"crossref","DOI":"10.1097\/00003086-199512000-00005","article-title":"Malrotation associated with implant alignment technique in total knee arthroplasty","volume":"321","author":"Eckhoff DG","year":"1995","unstructured":"Eckhoff DG, Metzger RG, Vandewalle MV. Malrotation associated with implant alignment technique in total knee arthroplasty. Clin Orthop Relat Res. 1995, 321:28-31.","journal-title":"Clin Orthop Relat Res"},{"key":"ref21","article-title":"Measurement of pain","volume":"2(7889)","author":"Huskisson EC","year":"1974","unstructured":"Huskisson EC. Measurement of pain. Lancet. 1974, 2(7889):1127-1131.","journal-title":"Lancet"},{"key":"ref22","article-title":"Measurement of Joint Motion: A Guide to Goniometry","author":"Norkin CC","year":"2016","unstructured":"Norkin CC, White DJ. Measurement of Joint Motion: A Guide to Goniometry. F. A. Davis Company, Philadelphia; 2016."},{"key":"ref23","article-title":"Muscles: Testing and Function with Posture and Pain","author":"Kendall FP","year":"2005","unstructured":"Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles: Testing and Function with Posture and Pain. Lippincott Williams & Wilkins, Baltimore, MD; 2005."},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-015-2265-z","article-title":"Transdermal fentanyl patch improves post-operative pain relief and promotes early functional recovery in patients undergoing primary total knee arthroplasty: a prospective, randomised, controlled trial","volume":"135","author":"Matsumoto S","year":"2015","unstructured":"Matsumoto S, Matsumoto K, Iida H. Transdermal fentanyl patch improves post-operative pain relief and promotes early functional recovery in patients undergoing primary total knee arthroplasty: a prospective, randomised, controlled trial. Arch Orthop Trauma Surg. 2015, 135:1291-7. 10.1007\/s00402-015-2265-z","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1055\/a-2664-7551","article-title":"Computed tomography-based analysis of implant positioning after total knee arthroplasty: a randomized controlled trial comparing conventional and robotic arm-assisted procedures","author":"Horteur C","year":"2025","unstructured":"Horteur C, Gaulin B, Pascal P, et al.. Computed tomography-based analysis of implant positioning after total knee arthroplasty: a randomized controlled trial comparing conventional and robotic arm-assisted procedures. J Knee Surg. 2025, 10.1055\/a-2664-7551","journal-title":"J Knee Surg"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.12.BJO-2019-0004.R1","article-title":"Robotic-assisted total knee arthroplasty demonstrates decreased postoperative pain and opioid usage compared to conventional total knee arthroplasty","volume":"1","author":"Bhimani SJ","year":"2020","unstructured":"Bhimani SJ, Bhimani R, Smith A, Eccles C, Smith L, Malkani A. Robotic-assisted total knee arthroplasty demonstrates decreased postoperative pain and opioid usage compared to conventional total knee arthroplasty. Bone Jt Open. 2020, 1:8-12. 10.1302\/2633-1462.12.BJO-2019-0004.R1","journal-title":"Bone Jt Open"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.810.BJR-2019-0129.R1","article-title":"Less iatrogenic soft-tissue damage utilizing robotic-assisted total knee arthroplasty when compared with a manual approach: a blinded assessment","volume":"8","author":"Hampp EL","year":"2019","unstructured":"Hampp EL, Sodhi N, Scholl L, Deren ME, Yenna Z, Westrich G, Mont MA. Less iatrogenic soft-tissue damage utilizing robotic-assisted total knee arthroplasty when compared with a manual approach: a blinded assessment. Bone Joint Res. 2019, 8:495-501. 10.1302\/2046-3758.810.BJR-2019-0129.R1","journal-title":"Bone Joint Res"},{"key":"ref28","article-title":"Robotic-arm assisted total knee arthroplasty demonstrated soft tissue protection","volume":"30","author":"Khlopas A","year":"2017","unstructured":"Khlopas A, Chughtai M, Hampp EL, et al.. Robotic-arm assisted total knee arthroplasty demonstrated soft tissue protection. Surg Technol Int. 2017, 30:441-6.","journal-title":"Surg Technol Int"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.04.007","article-title":"Robot-assisted total knee arthroplasty does not improve long-term clinical and radiologic outcomes","volume":"34","author":"Jeon SW","year":"2019","unstructured":"Jeon SW, Kim KI, Song SJ. Robot-assisted total knee arthroplasty does not improve long-term clinical and radiologic outcomes. J Arthroplasty. 2019, 34:1656-61. 10.1016\/j.arth.2019.04.007","journal-title":"J Arthroplasty"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-018-4231-1","article-title":"Robotic versus conventional primary total knee arthroplasty: clinical and radiological long-term results with a minimum follow-up of ten years","volume":"43","author":"Cho KJ","year":"2019","unstructured":"Cho KJ, Seon JK, Jang WY, Park CG, Song EK. Robotic versus conventional primary total knee arthroplasty: clinical and radiological long-term results with a minimum follow-up of ten years. Int Orthop. 2019, 43:1345-54. 10.1007\/s00264-018-4231-1","journal-title":"Int Orthop"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/400488-benefits-of-image-free-robotic-assisted-total-knee-arthroplasty-in-early-postoperative-recovery-and-tibial-alignment-accuracy","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T11:03:49Z","timestamp":1757588629000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/400488-benefits-of-image-free-robotic-assisted-total-knee-arthroplasty-in-early-postoperative-recovery-and-tibial-alignment-accuracy"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,11]]},"references-count":30,"URL":"https:\/\/doi.org\/10.7759\/cureus.92044","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9,11]]}}}