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Xiang-Dong Wu Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Beijing, China

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Yixin Zhou Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Beijing, China

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Hongyi Shao Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Beijing, China

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Dejin Yang Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Beijing, China

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Sheng-Jie Guo Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Beijing, China

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Wei Huang Department of Orthopaedic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China

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components ( 1 , 2 , 3 , 4 , 5 , 6 ). Therefore, during the past decades, robotic-assisted total joint arthroplasty (TJA) has extensively been explored in this domain, with the expectation that robotic-assisted technology would significantly improve the

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Nanne Kort CortoClinics, Nederweert, Netherlands

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Patrick Stirling ReSurg SA, Nyon, Switzerland

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Peter Pilot IMUKA, Roosteren, The Netherlands

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Jacobus Hendrik Müller ReSurg SA, Nyon, Switzerland

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as computer-assisted navigation systems, or robot-assisted systems. 2 Robotic systems, which are utilized across many surgical subspecialties, 3 can be classified as either active systems, which work autonomously to perform the planned bone

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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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Introduction Robotic-arm-assisted knee arthroplasty has been shown to enable more accurate implant positioning for both unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA) when compared to manual surgery. 1 , 2

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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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, with satisfaction rates ranging between 82% and 89%. 3 , 4 This can be attributed to poorer function, lower implant survivorship and need for revision surgery, resulting from component malalignment or soft tissue imbalance. 5 – 10 Robotic-assisted

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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 Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK

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Zameer Shah Department of Trauma and Orthopaedics, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

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that suboptimal component positioning leads to joint instability, 9 increased wear, 10 and poorer function. 11 – 14 Robotic-assisted orthopaedic surgery has the potential to improve the accuracy of component positioning in THA, thus

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Wen-xi Sun State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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Wei-qiang Huang State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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Hua-yang Li State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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Hong-shen Wang State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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Sheng-li Guo State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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Jie Dong Huizhou Hospital of Guangzhou University of Chinese Medicine, Huizhou, China

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Bo-lai Chen State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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Yong-peng Lin State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China

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other complications ( 7 , 8 ). The pedicle screw misplacement rates of conventional techniques are 30% and 55% in the lumbar and thoracic spines, respectively ( 9 , 10 , 11 ). This contrasts the reported high success rate of robot-assisted pedicle

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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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over traditional human operators with added procedural value. 27 Robotic-assisted TKA (RA-TKA) has gained momentum within the past 10 years to better control surgical variables by mitigating technical errors caused by insecure cutting guides and

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Dominic Davenport Department of Trauma & Orthopaedics, Princess Royal University Hospital & King’s College Hospital, UK

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Venu Kavarthapu Department of Trauma & Orthopaedics, Princess Royal University Hospital & King’s College Hospital, UK

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.5% of all revisions and 33% of acetabular revisions. 10 We outline the currently available methods of acetabular navigation, comparing freehand techniques with computer- and robotic-assisted navigation of the acetabular component. Acetabular

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Mark Anthony Roussot Department of Trauma and Orthopaedics, University College London Hospitals, London, UK
Department of Orthopaedic Surgery, University of Cape Town, South Africa

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Georges Frederic Vles Department of Trauma and Orthopaedics, University College London Hospitals, London, UK

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Sam Oussedik Department of Trauma and Orthopaedics, University College London Hospitals, London, UK

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Operative plan for a robotic-assisted, kinematically aligned TKA. Note that the implant alignment is based on symmetrical 8 mm distal and posterior resections of the femoral condyles. The tibial resection is aligned to the native proximal tibial joint line

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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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, increased knee flexion at discharge, and reduced need for inpatient physiotherapy compared to conventional jig-based TKA. Median time to hospital discharge in robotic-arm-assisted TKA was 77 hours (interquartile range (IQR) 74 to 81) compared with 105 hours

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