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Robotics in arthroplasty: how good are they?
Maxim Vanderstappen1, Johannes H M van Ochten1, Olivier Verborgt1,2,3
1Orthopaedic Center Antwerp (ORTHOCA), AZ Monica, Antwerp, Belgium.
JSES International
|June 9, 2025
Summary
Robotic surgery enhances orthopedic procedures, with shoulder arthroplasty emerging as the next frontier. While promising improved accuracy and outcomes, challenges in cost, training, and efficacy require collaborative solutions for successful integration.
Area of Science:
- Orthopedic Surgery
- Medical Robotics
- Surgical Innovation
Background:
- Robotic systems are increasingly used in surgery, assisting surgeons with enhanced precision and control.
- Robotic-assisted knee and hip arthroplasty have seen significant adoption and success.
- Shoulder arthroplasty is the next area targeted for robotic integration to improve surgical outcomes.
Purpose of the Study:
- To explore the potential of digitalization and robotics in shoulder arthroplasty.
- To enhance the accuracy and reproducibility of shoulder replacement procedures.
- To identify and address the challenges associated with robotic-assisted shoulder arthroplasty.
Main Methods:
- Review of current robotic systems in orthopedic surgery.
- Analysis of the application of digital technologies in shoulder arthroplasty.
- Identification of challenges and potential solutions for robotic shoulder replacement.
Main Results:
- Robotic-assisted shoulder arthroplasty aims for greater accuracy and reproducibility in component implantation.
- The technology seeks to benefit both simple and complex cases, as well as surgeons of varying experience levels.
- Significant challenges include cost, implant selection, surgeon training, and long-term efficacy data.
Conclusions:
- Robotic technology holds promise for advancing shoulder arthroplasty.
- Overcoming challenges requires collaboration among surgeons, manufacturers, and regulatory bodies.
- Successful integration is key to realizing the full potential of robotic shoulder replacement for improved patient outcomes.

