{
  "abstract": "BACKGROUND: Robotic-assisted total joint arthroplasty (rTJA) has witnessed rapid adoption across the Asia-Pacific region. However, practice heterogeneity and conflicting evidence regarding its clinical value necessitate standardized guidance. Therefore, this expert consensus aims to establish consensus-based recommendations to guide and standardize the clinical application of rTJA. METHODS: The Arthroplasty Society in Asia (ASIA) convened a panel of 45 experts. A modified Delphi technique was employed across three rounds. A systematic literature review informed the generation of consensus statements, which were finalized through anonymous voting. Consensus was defined as ≥ 75% agreement. RESULTS: The panel reached consensus on 18 critical clinical questions spanning general principles, total hip arthroplasty, and total knee arthroplasty. Key consensus points include: (1) rTJA demonstrates superior accuracy in implant positioning and alignment restoration compared to manual techniques (98%); (2) current evidence does not yet support a definitive superiority in long-term survivorship or PROMs (77%); (3) robotic platforms are enabling technologies that make personalized alignment philosophies technically reproducible (100%); and (4) soft-tissue balancing should take precedence over rigid mechanical alignment targets in rTKA when conflicts arise(91%). CONCLUSION: This consensus statement provides a comprehensive framework for the application of robotic technology in hip and knee arthroplasty, emphasizing safety, precision, and the need for rigorous training.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 42,
  "authors": [
    {
      "name": "Guoqiang Zhang"
    },
    {
      "name": "Yixin Zhou"
    },
    {
      "name": "Yunsu Chen"
    },
    {
      "name": "Nicolaas Budhiparama"
    },
    {
      "name": "Chun Hoi Yan"
    },
    {
      "name": "Seung Jae Lim"
    },
    {
      "name": "Lincoln Ming Han Liow"
    },
    {
      "name": "Nobuhiko Sugano"
    },
    {
      "name": "Andrew Tang"
    },
    {
      "name": "Hong Cai"
    },
    {
      "name": "Dirk van Bavel"
    },
    {
      "name": "Wei Chai"
    },
    {
      "name": "Ping Keung Chan"
    },
    {
      "name": "Xinyu Fang"
    },
    {
      "name": "Eryou Feng"
    },
    {
      "name": "Henry Fu"
    },
    {
      "name": "Takafumi Hiranaka"
    },
    {
      "name": "Zongke Zhou"
    },
    {
      "name": "Kang-Il Kim"
    },
    {
      "name": "Andrew Kurmis"
    },
    {
      "name": "Huiwu Li"
    },
    {
      "name": "David Liu"
    },
    {
      "name": "Xianzhe Liu"
    },
    {
      "name": "Sébastien Lustig"
    },
    {
      "name": "Xinzhan Mao"
    },
    {
      "name": "Tomoyuki Matsumoto"
    },
    {
      "name": "Ming Ni"
    },
    {
      "name": "Michael Ong"
    },
    {
      "name": "Sang Eun Park"
    },
    {
      "name": "Wenwei Qian"
    },
    {
      "name": "Hongyi Shao"
    },
    {
      "name": "Chandeep Singh"
    },
    {
      "name": "Hao Tang"
    },
    {
      "name": "Yukihide Minoda"
    },
    {
      "name": "Haobo Wu"
    },
    {
      "name": "Jie Xie"
    },
    {
      "name": "Seng-Jin Yeo"
    },
    {
      "name": "Xiaogang Zhang"
    },
    {
      "name": "Aree Tanavalee"
    },
    {
      "name": "Li Cao"
    },
    {
      "name": "Myung Chul Yoo"
    },
    {
      "name": "Yan Wang"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/94v79mkvg2wtv.bib",
  "cited_by": 0,
  "doi": "10.1186/s42836-026-00427-1",
  "fulltext_url": null,
  "id": "94v79mkvg2wtv",
  "issns": [
    "2352-3441"
  ],
  "landing_url": "https://hal.science/hal-05735265v1",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "hal",
      "0.sdv"
    ],
    [
      "openalex",
      "2746|Total Knee Arthroplasty Outcomes"
    ]
  ],
  "openalex": "W7202390991",
  "pdf_url": "https://link.springer.com/content/pdf/10.1186/s42836-026-00427-1.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-08-13",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/94v79mkvg2wtv.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:24Z",
      "native_id": "hal-05735265",
      "source": "hal",
      "url": "https://hal.science/hal-05735265v1"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Total Knee Arthroplasty Outcomes",
      "subfield": "surgery"
    }
  ],
  "title": "Asia-Pacific expert consensus on robotic-assisted hip and knee arthroplasty",
  "title_text": "Asia-Pacific expert consensus on robotic-assisted hip and knee arthroplasty",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:24Z",
  "url": "https://research.draconitic.com/paper/94v79mkvg2wtv",
  "venue": "Arthroplasty Today",
  "versions": []
}