The August 2026 Knee Roundup 360 looks at: Robotic-assisted surgery and functional alignment in total knee arthroplasty: the RASKAL registry-nested 2 × 2 factorial randomized trial; Towards understanding the differences between satisfaction and improvement after unicondylar and primary total knee arthroplasty; What is the population effect of opioid use on complications following total knee arthroplasty?; Glucagon-like peptide-1 receptor agonists a problem following arthroplasty; Perioperative repetitive transcranial magnetic stimulation reduces postoperative cognitive dysfunction and inflammation in elderly patients undergoing total knee arthroplasty; Primary versus salvage distal femoral endoprosthetic replacement following native distal femur fracture; Inverse kinematic alignment outperforms adjusted mechanical alignment in varus total knee arthroplasty at five years; Functional alignment: can we balance the knee without soft-tissue releases?