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Fahima A. Begum University College Hospital, London, UK

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Babar Kayani University College Hospital, London, UK

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Samuel D. J. Morgan University College Hospital, London, UK

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Syed S. Ahmed University College Hospital, London, UK

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Sandeep Singh University College Hospital, London, UK

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Fares S. Haddad University College Hospital, London, UK

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preoperative CT scan to create a virtual patient-specific computer-aided design model, which the surgeon then uses to plan optimal bone resection and implant positioning. A robotic arm with audio, tactile, and visual feedback assists the surgeon to execute the

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Babar Kayani University College London Hospital, London, UK

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Sujith Konan University College London Hospital, London, UK

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Atif Ayuob University College London Hospital, London, UK

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Salamah Ayyad University College London Hospital, London, UK

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Fares S. Haddad University College London Hospital, London, UK

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Intraoperative photograph showing robotic-arm-assisted acetabular reaming. Fig. 3 Intraoperative photograph showing acetabular reaming through the predefined haptic tunnel (displayed in green). Fig. 4 Intraoperative photograph showing the

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Pierre Hoffmeyer University Hospitals of Geneva, Switzerland

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differentiate between a fresh fracture and a healed one. Orthopaedic surgery, a discipline reliant on meticulous skill and precision, has not remained untouched by the influence of AI. The advent of computer-assisted surgery (CAS) and robotic-assisted surgery

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Benedikt J. Braun Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Germany

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Bernd Grimm Luxembourg Institute of Health, Luxembourg

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Andrew M. Hanflik Los Alamitos Orthopaedics, Los Alamitos, California, USA

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Meir T. Marmor Department of Orthopaedic Surgery, University of California, San Francisco, California, USA

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Peter H. Richter Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Germany

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Andrew K. Sands Weill Cornell Medical College, Foot and Ankle Surgery, Downtown Orthopedic Associates, New York Presbyterian Lower Manhattan Hospital, New York, USA

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Sureshan Sivananthan Orthopaedic Surgery, Pantai Hospital Kuala Lumpur, Malaysia

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Yeo SJ Chin PL . Robot-assisted total knee arthroplasty accurately restores the joint line and mechanical axis: a prospective randomised study . J Arthroplasty 2014 ; 29 : 2373 – 2377 . 37. Bargar WL Parise CA

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Elcil Kaya Bicer Department of Orthopedics and Traumatology, Ege University Faculty of Medicine, Izmir, Turkey

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Heiner Fangerau Department of the History, Philosophy and Ethics of Medicine, Heinrich-Heine-Universität Düsseldorf, Germany

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Hakki Sur Department of Orthopedics and Traumatology, Ege University Faculty of Medicine, Izmir, Turkey

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hip and knee arthroplasties. Robotic technology has also been introduced in arthroplasty procedures ( 14 , 16 ), and more than two decades ago, navigation-assisted arthroplasties entered the surgical arena. The principal goal was to evaluate the

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Agnieszka Halm-Pozniak Department of Orthopaedics, Otto-von-Guericke University Magdeburg, Germany

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Christoph H Lohmann Department of Orthopaedics, Otto-von-Guericke University Magdeburg, Germany

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Luigi Zagra IRCCS Istituto Ortopedico Galeazzi, Hip Department, Milan, Italy

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Benedikt Braun Department of Trauma and Reconstructive Surgery at the Eberhard Karls University Tübingen, BG Unfallklinik Tübingen, Germany

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Max Gordon Department of Clinical Sciences at Danderyd Hospital, Unit of Orthopedics, Karolinska Institutet, Stockholm, Sweden

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Bernd Grimm Department of Precision Health, Luxembourg Institute of Health, Human Motion, Orthopaedics, Sports Medicine, Digital Methods, Luxembourg

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of all-cause complications or revisions ( 23 ). Moreover, a recent systematic review and meta-analysis on RCTs about robotic assisted total knee arthroplasty (RATKA) and conventional total knee arthroplasty (CTKA) concluded that there is no clinically

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, La Paz University Hospital - IdiPaz, Spain

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Primitivo Gómez-Cardero Department of Orthopaedic Surgery, La Paz University Hospital - IdiPaz, Spain

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authors continued to use standard instrumentation for UKA at their centre until further ameliorations to the PSI guides were shown. Notes : PSI, patient-specific instrumentation; UKA, unicompartmental knee arthroplasty. Robot-assisted

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Pierre-Louis Docquier Cliniques universitaires Saint-Luc, Brussels, Belgium

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Laurent Paul 3D Side, Belgium

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Khanh TranDuy 3D Side, Belgium

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Computer-assisted surgery (CAS) is the term used to describe the concept of applying computers to enable pre-operative planning and provide intra-operative assistance or guidance. CAS is also known as computer-aided surgery, computer-assisted

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Lisa Renner Centre for Musculoskeletal Surgery, Charité Universitätsmedizin, Berlin, Germany

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Viktor Janz Centre for Musculoskeletal Surgery, Charité Universitätsmedizin, Berlin, Germany

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Carsten Perka Centre for Musculoskeletal Surgery, Charité Universitätsmedizin, Berlin, Germany

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Georgi I. Wassilew Centre for Musculoskeletal Surgery, Charité Universitätsmedizin, Berlin, Germany

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aforementioned biomechanical parameters, while decreasing the number of outliers. 11 The first clinical use of a CT-assisted surgical robot for femoral canal preparation took place in 1992. 12 In subsequent years, the technique progressed to the use of

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Scott D. Middleton Scott D. Middleton, Department of Orthopaedic Surgery, The Royal Infirmary and University of Edinburgh, United Kingdom

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Ralf Wagner Ralf Wagner, Ligamenta Spine Centre, Frankfurt am Main, Germany

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J. N. Alastair Gibson J. N. Alastair Gibson, Department of Orthopaedic Surgery, The Royal Infirmary and University of Edinburgh, United Kingdom

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thoracic pain. Future developments Surgical endoscopic techniques have rapidly evolved in the last five years and the integration of 3D imaging and robotics are likely to be the next major changes. Robotic-assisted surgeries, for both simple and

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