Asia-Pacific expert consensus on robotic-assisted hip and knee arthroplasty
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.
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BibTeX
@article{zhang2026asiapacific,
title = {{Asia-Pacific expert consensus on robotic-assisted hip and knee arthroplasty}},
author = {Guoqiang Zhang and Yixin Zhou and Yunsu Chen and Nicolaas Budhiparama and Chun Hoi Yan and Seung Jae Lim and Lincoln Ming Han Liow and Nobuhiko Sugano and Andrew Tang and Hong Cai and Dirk van Bavel and Wei Chai and Ping Keung Chan and Xinyu Fang and Eryou Feng and Henry Fu and Takafumi Hiranaka and Zongke Zhou and Kang-Il Kim and Andrew Kurmis and Huiwu Li and David Liu and Xianzhe Liu and Sébastien Lustig and Xinzhan Mao and Tomoyuki Matsumoto and Ming Ni and Michael Ong and Sang Eun Park and Wenwei Qian and Hongyi Shao and Chandeep Singh and Hao Tang and Yukihide Minoda and Haobo Wu and Jie Xie and Seng-Jin Yeo and Xiaogang Zhang and Aree Tanavalee and Li Cao and Myung Chul Yoo and Yan Wang},
journal = {Arthroplasty Today},
year = {2026},
month = aug,
doi = {10.1186/s42836-026-00427-1},
url = {https://hal.science/hal-05735265v1},
note = {CC BY},
}
RIS
TY - JOUR
TI - Asia-Pacific expert consensus on robotic-assisted hip and knee arthroplasty
AU - Guoqiang Zhang
AU - Yixin Zhou
AU - Yunsu Chen
AU - Nicolaas Budhiparama
AU - Chun Hoi Yan
AU - Seung Jae Lim
AU - Lincoln Ming Han Liow
AU - Nobuhiko Sugano
AU - Andrew Tang
AU - Hong Cai
AU - Dirk van Bavel
AU - Wei Chai
AU - Ping Keung Chan
AU - Xinyu Fang
AU - Eryou Feng
AU - Henry Fu
AU - Takafumi Hiranaka
AU - Zongke Zhou
AU - Kang-Il Kim
AU - Andrew Kurmis
AU - Huiwu Li
AU - David Liu
AU - Xianzhe Liu
AU - Sébastien Lustig
AU - Xinzhan Mao
AU - Tomoyuki Matsumoto
AU - Ming Ni
AU - Michael Ong
AU - Sang Eun Park
AU - Wenwei Qian
AU - Hongyi Shao
AU - Chandeep Singh
AU - Hao Tang
AU - Yukihide Minoda
AU - Haobo Wu
AU - Jie Xie
AU - Seng-Jin Yeo
AU - Xiaogang Zhang
AU - Aree Tanavalee
AU - Li Cao
AU - Myung Chul Yoo
AU - Yan Wang
PY - 2026
DA - 2026/08/13
JO - Arthroplasty Today
DO - 10.1186/s42836-026-00427-1
UR - https://hal.science/hal-05735265v1
AB - 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.
SN - 2352-3441
ER -