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Nicholas D. Clement Department of Orthopaedics, Freeman Hospital, Newcastle, UK
Department of Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK
South West of London Orthopaedic Elective Centre, Epsom, UK

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Marwan Al-Zibari South West of London Orthopaedic Elective Centre, Epsom, UK

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Irrum Afzal South West of London Orthopaedic Elective Centre, Epsom, UK

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David J. Deehan Department of Orthopaedics, Freeman Hospital, Newcastle, UK

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Deiary Kader South West of London Orthopaedic Elective Centre, Epsom, UK

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aware of any published review reporting the evidence for this in isolation from image-based systems. The aim of this systematic review was to present and assess the quality of evidence for learning curve, component positioning, functional outcomes and

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Babar Kayani University College Hospital, London, UK
Princess Grace Hospital, London, UK

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Sujith Konan University College Hospital, London, UK
Princess Grace Hospital, London, UK

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Atif Ayuob University College Hospital, London, UK
Princess Grace Hospital, London, UK

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Elliot Onochie University College Hospital, London, UK

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Talal Al-Jabri University College Hospital, London, UK

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

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patient satisfaction, greater stability, and improved kinematics through the arc of motion following TKA. 14 – 16 Learning curve of robotic TKA The learning curve of robotic TKA is important for understanding the impact of this procedure on the

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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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alignment in robotic UKA translates to long-term functional and implant survivorship compared to conventional manual UKA. Learning curve of robotic UKA Studies have shown well-established learning curves for UKA, with the introduction of new

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Jean-Pierre St Mart Department of Trauma and Orthopaedics, King’s College Hospital, London, UK

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En Lin Goh Oxford University Clinical Academic Graduate School, Medical Sciences Division, University of Oxford, Oxford, UK

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robotic TKA compared to conventional TKA is currently underway. 76 However, more long-term studies are required to fully appraise and assess this and other newer robotic systems. Clinical application Learning curve The learning curve

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Sohrab Keyhani Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Mohammad Movahedinia Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Arash Sherafat Vaziri Center of Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran

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Mehran Soleymanha Orthopedic Surgery, Poursina Hospital Orthopaedic Research Center, Guilan University of Medical Sciences, Rasht, Iran

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Fardis Vosoughi Department of Orthopaedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

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Mohammad Tahami Bone and Joint Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

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Robert F LaPrade Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA

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structures enables the surgeon to create a stronger biomechanical repair using vertical mattress sutures. Despite the high learning curve, vertical mattress sutures to repair the posterior meniscus are only possible with posterior arthroscopy. These sutures

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Gareth G. Jones MSk Lab, Imperial College London, UK.

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Susannah Clarke MSk Lab, Imperial College London, UK.

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Martin Jaere MSk Lab, Imperial College London, UK.

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Justin Cobb MSk Lab, Imperial College London, UK.

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, but one explanation is that UKA is a technically demanding procedure with a significant learning curve. 17 Over- or under-correction of leg alignment is associated with an increased risk of failure, and the tolerances for tibial component

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Ahmed Siddiqi Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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Timothy Horan Philadelphia College of Osteopathic Medicine, Department of Orthopedics, Philadelphia, Pennsylvania, USA

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Robert M. Molloy Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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Michael R. Bloomfield Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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Preetesh D. Patel Cleveland Clinic Florida, Department of Orthopedics, Weston, Florida, USA

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Nicolas S. Piuzzi Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA

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investigates the advent of robotic navigation, historical and commercially available systems, learning curve, clinical outcomes, cost-analysis and limitations to better understand the value of RA-TKA. Robotic total knee arthroplasty systems History

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James R. Berstock Musculoskeletal Research Unit, University of Bristol, UK

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James R. Murray Avon Orthopaedic Centre, Southmead Hospital, Bristol, UK

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Michael R. Whitehouse Musculoskeletal Research Unit, University of Bristol, UK

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Ashley W. Blom Musculoskeletal Research Unit, University of Bristol, UK

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Andrew D. Beswick Musculoskeletal Research Unit, University of Bristol, UK

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approach. The heterogeneity between studies was I 2 = 88%, suggesting significant variation exists. To investigate the potential effect of a learning curve, we repeated the meta-analysis with the exclusion of studies which did not report prior surgical

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Laura Walthert Department of Orthopaedic and Traumatology, CHUV, Lausanne, Switzerland

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Michael Ris Department of Orthopaedic and Traumatology, CHUV, Lausanne, Switzerland

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Kevin Moerenhout Department of Orthopaedic and Traumatology, CHUV, Lausanne, Switzerland

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Sébastien Déglise Department of Vascular Surgery, CHUV, Lausanne, Switzerland

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Pietro Giovanni Di Summa Department of Plastic and Hand Surgery, CHUV, Lausanne, Switzerland

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Sylvain Steinmetz Department of Orthopaedic and Traumatology, CHUV, Lausanne, Switzerland

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prosthetist. During the learning curve, we propose verifying the achieved patella-femoral bone position with X-ray (anterior and lateral views) imaging ( Figs. 11 and 12 ). Figure 11 Postoperative X-ray image femur AP after modified Gritti

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Philippe Beaufils Department of Orthopaedics and Traumatology, Centre Hospitalier de Versailles, 78150 Le Chesnay, France

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Roland Becker Department of Orthopaedics and Traumatology, Hospital Brandenburg, Medical School Theodor Fontane, Hochstrasse 26, 14770 Brandburg/Havel, Germany

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Sebastian Kopf Center for Musculoskeletal Surgery, Charité University Medicine, Berlin, Charitéplatz 1, 10117 Berlin, Germany

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Ollivier Matthieu Department of Orthopaedics and Traumatology, Centre Hospitalier de Versailles, 78150 Le Chesnay, and Aix Marseille Univ, CNRS, ISM, Inst Movement Sci, 13000 Marseille, France

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Nicolas Pujol Department of Orthopaedics and Traumatology, Centre Hospitalier de Versailles, 78150 Le Chesnay, France

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meniscectomy in degenerative meniscal lesions (DMLs). It is interesting to note the considerable gap between these publications and daily practice. The reasons are numerous: The myth: I always did this operation so it works. 7 The learning

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