Patient perceptions of robotic-assisted hip and knee arthroplasty among orthopaedic outpatient attendees: A cross-sectional survey in an Irish tertiary center

Farrell, Conor; Hennessy, Orla; Akinyemi, Dunamis; Faustino, Angela; Rowan, Fiachra; Cleary, May S.

Patient perceptions of robotic-assisted hip and knee arthroplasty among orthopaedic outpatient attendees: A cross-sectional survey in an Irish tertiary center

dc.contributor.author	Farrell, Conor	en
dc.contributor.author	Hennessy, Orla	en
dc.contributor.author	Akinyemi, Dunamis	en
dc.contributor.author	Faustino, Angela	en
dc.contributor.author	Rowan, Fiachra	en
dc.contributor.author	Cleary, May S.	en
dc.date.accessioned	2026-10-21T10:01:03Z
dc.date.available	2026-10-21T10:01:03Z
dc.date.issued	2026-06	en
dc.description.abstract	Background: Robotic-assisted arthroplasty has been introduced to improve the precision and reproducibility of implant positioning in joint replacement surgery. While clinical and economic evaluations continue to expand, little is known about patient perceptions of this technology, and no Irish data currently exist. This study evaluates patient awareness, attitudes, and expectations regarding robotic-assisted joint replacement in an Irish tertiary orthopaedic center. Methods: A cross-sectional paper-based survey was administered to adult patients attending elective orthopaedic outpatient clinics between August and November 2025. The questionnaire assessed awareness, perceived risks and benefits, willingness to undergo robotic-assisted surgery, and views on surgeon vs robot control using yes/no questions and 0–10 Likert scales. Descriptive and comparative analyses were performed. Results: A total of 117 patients participated. Awareness of robotic-assisted arthroplasty was modest, with 38.5% reporting prior knowledge of the technology. Most patients (87.2%) wished to be informed if a robot were involved in their operation, yet only 11.1% would change surgeons to access robotic-assisted surgery. Awareness significantly influenced expectations: those who had heard of robotics anticipated better outcomes (6.5 ± 1.8 vs 5.0 ± 2.1, P < .001), less postoperative pain (4.8 ± 1.5 vs 5.7 ± 1.8, P = .006), and lower risk (4.7 ± 2.1 vs 5.8 ± 2.3, P = .019) than those unaware. Perceptions of invasiveness, operative time, cost, recovery, and robot independence did not significantly differ. Age did not influence awareness or perception across any domain. Conclusions: This first Irish study demonstrates low awareness and mixed optimism toward robotic arthroplasty. Prior awareness is associated with more favorable expectations, while trust in the surgeon remains central.	en
dc.description.status	Peer reviewed	en
dc.format.mimetype	application/pdf	en
dc.identifier.articleid	S2352344126001111	en
dc.identifier.citation	Farrell, C. et al. (2026) “Patient Perceptions of Robotic-Assisted Hip and Knee Arthroplasty Among Orthopaedic Outpatient Attendees: A Cross-Sectional Survey in an Irish Tertiary Center,” Arthroplasty Today, 39, (6pp), https://doi.org/10.1016/j.artd.2026.102062	en
dc.identifier.doi	10.1016/j.artd.2026.102062	en
dc.identifier.endpage	6	en
dc.identifier.issn	2352-3441	en
dc.identifier.journaltitle	Arthroplasty Today	en
dc.identifier.startpage	1	en
dc.identifier.uri	https://hdl.handle.net/10468/19472
dc.identifier.volume	39	en
dc.language.iso	en	en
dc.publisher	Elsevier BV	en
dc.rights	© 2026, authors. Published by Elsevier Inc. on behalf of American Association of Hip and Knee Surgeons. This is an open access article under the CC BY license.	en
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	en
dc.subject	Robotic-assisted arthroplasty	en
dc.subject	Patient perceptions	en
dc.subject	Hip arthroplasty	en
dc.subject	Knee arthroplasty	en
dc.subject	Shared decision-making	en
dc.subject	[Dental]	en
dc.title	Patient perceptions of robotic-assisted hip and knee arthroplasty among orthopaedic outpatient attendees: A cross-sectional survey in an Irish tertiary center	en
dc.type	Article (peer-reviewed)	en
dc.type	journal-article	en