Open Access

Table 3

Advantages and disadvantages of the use of the image-based robotic system in total knee arthroplasty in patients with previous anterior cruciate ligament reconstruction.

Advantages Disadvantages
Precise detection of residual hardware Radiation exposure (preoperative CT)
Targeted hardware management Use of additional implants (pins) that could lead to system-specific complications (fractures, infections)
Individualized functional alignment (FA) High cost
Improved soft tissue balance Learning curve
Dynamic evaluation of the anterior compartment Limited long-term data
Bone preservation Closed implant system (compatible only with the manufacturer’s specific implant e.g., Triathlon from Stryker)
Improved implant positioning accuracy Infrastructure and resource dependency (not available in every hospital)

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