[Robotics in knee arthroplasty : Current status and developments]

Robotic-assisted total knee arthroplasty (rTKA) represents a technological advancement aiming to improve implant alignment and soft tissue balancing. Current evidence confirms increased precision and reproducibility; however, no significant benefits have been shown compared to manual TKA (mTKA) regarding functional outcomes, patient satisfaction, or implant longevity. Challenges such as longer operative time and workflow complexity can be mitigated with structured training and process optimization. Registry data and clinical studies so far do not indicate a survival benefit. Nevertheless, robotic systems offer promising advantages in complex anatomies, and individualized alignment strategies. High-quality long-term studies are needed to definitively assess the clinical value of rTKA.