Evidence map›Paper›PMID 41939124›Full record

ReviewAnnals of medicine and surgery (2012)2026

Robotic-assisted total knee replacement: a narrative review of evolution, clinical impact, and future prospects in AI-driven precision surgery.

Mohamed Baklola, Naji Al-Bawah, Alaa Jaffar Mohammed, Abdullah Bader Y Aljaffar, Hind Yahya Alyousef, Meshal Saud Alanazi, Amer Ahmed Alotaibi, Yazeed Melwah Alanzi, Reham Nasser Alsaud, Sami Mohammed Alanezi and 1 more

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Mohamed BaklolaFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Naji Al-BawahFaculty of Medicine, Sana'a University, Sana'a, Yemen.ORCID https://orcid.org/0009-0001-3519-6985
Alaa Jaffar MohammedFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Abdullah Bader Y AljaffarCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Hind Yahya AlyousefCollege of Medicine, Al Jouf university, Al Jouf, Saudi Arabia.
Meshal Saud AlanaziCollege of Medicine, Vision Colleges, Riyadh, Saudi Arabia.
Amer Ahmed AlotaibiCollege of Medicine, Vision Colleges, Riyadh, Saudi Arabia.
Yazeed Melwah AlanziCollege of Medicine, Vision Colleges, Riyadh, Saudi Arabia.
Reham Nasser AlsaudCollege of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Sami Mohammed AlaneziCollege of Medicine, Vision Colleges, Riyadh, Saudi Arabia.
Abdullah AlmothebyDepartment of Orthopaedic, Ad Diriyah Hospital, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Robotic-assisted total knee replacement (RA-TKR) has established a new standard for surgical precision. However, the translation of this mechanical accuracy into consistently superior long-term clinical outcomes remains debated. This has shifted focus toward the integration of artificial intelligence (AI) and machine learning (ML), not as separate tools, but as synergistic partners to robotics. Aim: This narrative review proposes a conceptual framework for an AI-driven robotic ecosystem in total knee arthroplasty. We examine the evidence supporting the independent contributions of robotic precision and AI-based analytics and explore how their integration may support a data-informed, adaptive surgical workflow. Materials and methods: A structured narrative review of peer-reviewed literature on RA-TKR and AI/ML applications in orthopedics was conducted. Evidence was synthesized to support the proposed ecosystem framework. Results: The evidence confirms that robotic platforms consistently improve implant alignment and reduce outliers, though their impact on long-term patient-reported outcomes is less clear. In parallel, AI/ML applications demonstrate significant capabilities across the surgical workflow, including predictive analytics for preoperative planning, real-time intraoperative guidance, and personalized postoperative outcome forecasting. Our synthesis reveals that the synergy of these technologies creates a feedback loop where surgical and outcomes data continuously refine predictive models. Conclusion: The future of knee arthroplasty is likely to depend not solely on enhanced mechanical precision but on the judicious integration of robotics with data-driven intelligence. An AI-driven robotic ecosystem offers a promising conceptual model for advancing personalized, predictive care; however, its clinical value and economic sustainability require validation through robust prospective studies.

Indexed as

artificial intelligenceknee arthroplastymachine learningrobotic-assisted TKRsurgical precision

Identifiers

PMID41939124
PMCPMC13048686

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.