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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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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
Department of Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK
South West of London Orthopaedic Elective Centre, Epsom, UK
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improved outcomes, relative to TKA, and lower early revisions costs when compared to manually performed UKA. 7 A disadvantage of robotically assisted knee arthroplasty is that some systems, such as the robotic-arm-assisted Mako (Stryker) knee, need a
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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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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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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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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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.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
Department of Orthopaedic Surgery, University of Cape Town, South Africa
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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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. They found that 15.5% of conventional cases were associated with more aggressive tibial resection with tibial inserts greater than 9 mm used, compared with only 6.4% of robotic-assisted cases (p < 0.001). 34 Despite this, caution should be taken in