R.Du Hyun RoOrthopedics & Research
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TKAroboticsfunctional alignmentmechanical alignmentgait

2026 · Journal of Knee Surgery

Does Better Balance in Robotic Surgery Translate into Patient-reported Benefits?

Varus–valgus range of motion decreased after surgery in all 3 groups. Postoperative range was greatest in the manual MA group, at 3.7° ± 1.4° (P = 0.048).

It's a comparison of research.

Robot FA
22 The TKA.
Functional alignment
The robot MA
22 The TKA.
Mechanical alignment
Manual MA
20 The TKA.
Mechanical alignment

64 procedures using the same implant were compared across 3 groups. Coronal range of motion was smaller in the robot-assisted groups, but between-group differences in 1-year WOMAC and FJS were not demonstrated.

Explanatory schematic

Evidence & Original Source

Abstract commentary

Participants and Methods

Prospectively collected data were analyzed retrospectively at a single institution. Gait, WOMAC and FJS were compared through 1 year after surgery across 3 groups using the same implant. 64 TKA: robot-FA 22, robot-MA 22 and manual-MA 20.

Main Findings

Varus–valgus range of motion decreased after surgery in all 3 groups. Postoperative range was greatest in the manual MA group, at 3.7° ± 1.4° (P = 0.048). Postoperative WOMAC and FJS did not differ significantly between groups. Gait also did not differ significantly between FA and MA.

The point of reading on surgery

Improvements in coronal balance with robotics should be distinguished from outcomes experienced by patients. This study did not establish clinical superiority of functional alignment.

Limitations

This is a small, nonrandomized comparison with 1-year results. Improvement in symmetry, a surrogate measure, does not establish long-term clinical superiority.

Let's put it briefly.

What did this study confirm?

Varus–valgus range of motion decreased after surgery in all 3 groups. Postoperative range was greatest in the manual MA group, at 3.7° ± 1.4° (P = 0.048).

Can it be applied directly to individual patients' treatment decisions?

This is a small, nonrandomized comparison with 1-year results. Improvement in symmetry, a surrogate measure, does not establish long-term clinical superiority.

Keywords

Abstract · Original text

Do Weon Lee, Joon Young Lee, Hyuk-Soo Han, Du Hyun Ro. Robotic Arm-Assisted Total Knee Arthroplasty Achieves More Symmetrical Mediolateral Balance without Significant Clinical Differences in the Short Term. The journal of knee surgery. 2026. doi:10.1055/a-2851-0619.

Excerpt from the original abstract

With the advent of robotic arm-assisted total knee arthroplasty (TKA), a different approach known as the functional alignment (FA) has been newly suggested. Studies have…

The original paper.

Robotic Arm-Assisted Total Knee Arthroplasty Achieves More Symmetrical Mediolateral Balance without Significant Clinical Differences in the Short Term

Do Weon Lee, Joon Young Lee, Hyuk-Soo Han, Du Hyun Ro
Journal of Knee Surgery · 2026

Reviewed academic journal articles