ArticleJournal of robotic surgery2022
The successful implementation of the Navio robotic technology required 29 cases.
Article in Journal of robotic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Platform-Specific Learning Curves in Robotic-Assisted Total Knee Arthroplasty: A Systematic Review.Orthopaedic surgery · 2026Pooled it
- The learning curve of robotic-assisted total knee arthroplasty: a systematic review and meta-analysis.Journal of robotic surgery · 2025Pooled it
- Learning curve of robotic-assisted total knee arthroplasty: a literature review.Journal of robotic surgery · 2025Pooled it
- The evolution of robotic systems for total knee arthroplasty, each system must be assessed for its own value: a systematic review of clinical evidence and meta-analysis.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Robotic-Assisted Total Knee Arthroplasty Utilizing NAVIO, CORI Imageless Systems and Manual TKA Accurately Restore Femoral Rotational Alignment and Yield Satisfactory Clinical Outcomes: A Randomized Controlled Trial.Medicina (Kaunas, Lithuania) · 2023Trial
- Learning curve of a robotic knee system in total knee arthroplasty.Scientific reports · 2026Article
- Learning curve for robotic-assisted total knee arthroplasty.Journal of orthopaedic surgery and research · 2026Article
- Does Resident Rotation Affect the Learning Curve of Active Robotic TKA? A Study of Surgical Efficiency and Radiographic Precision.Medicina (Kaunas, Lithuania) · 2026Article
- Artificial intelligence and robotic technologies redefining precision and personalization in orthopedic surgery: a narrative review.Frontiers in bioengineering and biotechnology · 2026Review
- Robotic Guided Knee Arthroplasty - Group Learning Curve and Early Outcomes.Arthroplasty today · 2025Article
- Evaluation of the learning curve in robot-assisted knee arthroplasty: A Systematic review.Journal of experimental orthopaedics · 2025Review
- Operative Time Learning Curve for an Image-Free Robotic Arm Assisted Total Knee Arthroplasty: A Cumulative Sum Analysis.Arthroplasty today · 2025Article
- Analysis of the Initial Learning Curve for Robotic-Assisted Total Knee Arthroplasty Using the ROSAJournal of clinical medicine · 2024Article
- Robotic Total Knee Arthroplasty: An Update.Journal of personalized medicine · 2024Review
- Operating room efficiency for a high-volume surgeon in simultaneous bilateral robotic-assisted total knee arthroplasty: a prospective cohort study.Journal of robotic surgery · 2024Article
- Revolutionizing orthopedics: a comprehensive review of robot-assisted surgery, clinical outcomes, and the future of patient care.Journal of robotic surgery · 2023Review
- Initial Learning Curve for Robot-Assisted Total Knee Arthroplasty in a Dedicated Orthopedics Center.Journal of clinical medicine · 2023Article
- Learning curve for imageless robotic-assisted total knee arthroplasty in non-fellowship trained joint replacement surgeons.Journal of orthopaedics · 2023Article
- NAVIO RATKA shows similar rates of hemoglobin-drop, adverse events, readmission and early revision vs conventional TKA: a single centre retrospective cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- A comparison of robotic-assisted and manual techniques in restricted kinematically aligned total knee arthroplasty: coronal alignment improvement with no significant clinical differences.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Robotic-assisted total knee arthroplasty (RA-TKA) has potential benefits of improved restoration of mechanical alignment, accuracy of bony resection, and balancing. The purpose of this study was to determine the number of cases necessary for a single surgeon to achieve a constant, steady-state surgical time. The secondary purpose was to identify which steps demonstrated the most time reduced. This was a prospective study assessing intraoperative time for 60 RA-TKA with the Navio surgical system. Overall arthroplasty time and duration for each step were recorded. Statistical analysis included a nonlinear regression and survival regression. Successful implementation required 29 cases to achieve a steady-state. The average time decreased from 41.8 min for the first cohort to 31.1 min for the last cohort, a 26% decrease. The step with the greatest reduction was the "Review of Intraoperative Plan" with a reduction of 2.1 min. This study demonstrates surgical times averaging below 60 min and a learning curve that is complete in 29 cases with the surgeon reporting a high level of confidence with the system at 10 cases. Though Navio assisted TKA showed a significantly slower operative time, we are hopeful that future generations of robotic technology will be more efficiently implemented by surgeons.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.