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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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Patrick Butler Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark

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Josef Gorgis Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark

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Bjarke Viberg Department of Orthopaedic Surgery and Traumatology, Kolding Hospital – part of Hospital Lillebaelt, Kolding, Denmark
Department of Regional Health Research, University of Southern Denmark, Odense, Denmark

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Søren Overgaard Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
Department of Clinical Research, University of Southern Denmark, Odense, Denmark

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standard primary THA within a few years. The use of a well-documented implant for a surgeon with no experience regarding this implant will initiate a learning curve which could lead to higher revision rate during the first years. 8 We initiated this

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Georgios Kyriakopoulos Hôpital de la Tour, Geneve, Switzerland

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Lazaros Poultsides New York University Langone Orthopedic Hospital, New York University School of Medicine, USA

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Panayiotis Christofilopoulos Hôpital de la Tour, Geneve, Switzerland

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dislocation rate reported have tempted many surgeons and patients to switch to the anterior approach. This has not been without criticism, however, focusing on the steep learning curve, high rate of perioperative complications, early revision rate and limited

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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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Amer Sebaaly Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.
Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.

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Maroun Rizkallah Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.

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Guillaume Riouallon Department of Orthopedic Surgery, Groupe Hospitalier Paris Saint Joseph, France.

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Zhi Wang Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.

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Pierre Emmanuel Moreau Department of Orthopedic Surgery, Groupe Hospitalier Paris Saint Joseph, France.

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Falah Bachour Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.

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Ghassan Maalouf Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.

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breaches may occur during the learning curve of this navigation-assisted percutaneous instrumentation technique ( Fig. 5 ). To ensure rapid insertion of the screws, we tape all the screws using the navigated tap ( Fig. 4c ). Screw insertion is made easier

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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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Farhan Syed University Hospital of Coventry & Warwickshire (UHCW), Coventry, UK

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Anthony Ugwuoke Warwick Hospital, Warwick, UK

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-morbidities and other variables, which can help in patient selection and improve implant survival. Since ankle arthroplasty surgery has a steep learning curve, the prosthesis choice should be driven by a surgeon’s familiarity with prostheses and the availability

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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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the surgical team to become familiar with the new instruments and workflow. The robotic technology is also only compatible with a select number of implant designs from the manufacturer. There is a steep learning curve for the operating surgeon with

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Hans-Jörg Trnka Foot and Ankle Centre Vienna, Vienna, Austria

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follow-up. Patient-reported satisfaction rate was 95% good/excellent results. Jowett and Bedi 39 reviewed the learning curve of the first 120 minimally invasive Chevron osteotomies by dividing the population into group A (first 60) and group B

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