ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
The learning curve in robotic assisted knee arthroplasty is flattened by the presence of a surgeon experienced with robotic assisted surgery.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06507046 (Robotic Assisted Surgery Comparing Personalized Alignment Versus Mechanical Alignment of Total Knee Arthroplasty - A Randomized Controlled Trial), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Robotic Assisted Surgery Comparing Personalized Alignment Versus Mechanical Alignment of Total Knee Arthroplasty - A Randomized Controlled Trial
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- 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
- Failure modes of robotic-assisted arthroplasty platforms in Australia: a descriptive analysis of TGA adverse event reports.Journal of robotic surgery · 2026Article
- Comparative study on the performance and early clinical outcomes of senior and junior orthopaedic surgeons in traditional versus robot-assisted total hip arthroplasty.Journal of robotic surgery · 2026Article
- Artificial intelligence and robotic technologies redefining precision and personalization in orthopedic surgery: a narrative review.Frontiers in bioengineering and biotechnology · 2026Review
- Physical and mental stress assessment during robotic-arm assisted total knee arthroplasty.Journal of robotic surgery · 2025Article
- Comment on: "The learning curve of robotic-assisted total knee arthroplasty: a systematic review and meta-analysis".Journal of robotic surgery · 2025Article
- Short learning curve associated with robotic total knee arthroplasty: A retrospective study.Journal of experimental orthopaedics · 2025Article
- Modified Macroscopic Soft Tissue Injury (Modified MASTI) Classification for Bone and Soft Tissue Integrity in Cruciate Retaining Total Knee Arthroplasty.Indian journal of orthopaedics · 2025Article
- Early Learning Curve in Robotic-Assisted Total Knee Arthroplasty: A Single-Center Experience.Journal of clinical medicine · 2024Article
- No difference in surgical time and total theatre time between robotically assisted and computer assisted total knee arthroplasty.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Article
- Adverse events related to robotic-assisted knee arthroplasty: a cross-sectional study from the MAUDE database.Archives of orthopaedic and trauma surgery · 2024Article
- Analysis of the Initial Learning Curve for Robotic-Assisted Total Knee Arthroplasty Using the ROSAJournal of clinical medicine · 2024Article
- An evaluation of factors influencing the adoption and usage of robotic surgery in lower limb arthroplasty amongst orthopaedic trainees: a clinical survey.Journal of robotic surgery · 2024Article
- Image-based robotic-arm assisted unicompartmental knee arthroplasty provides high survival and good-to-excellent clinical outcomes at minimum 10 years follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- High degree of alignment precision associated with total knee arthroplasty performed using a surgical robot or handheld navigation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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
- Image-free handheld robotic-assisted technology improved the accuracy of implant positioning compared to conventional instrumentation in patients undergoing simultaneous bilateral total knee arthroplasty, without additional benefits in improvement of clinical outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Learning curve for imageless robotic-assisted total knee arthroplasty in non-fellowship trained joint replacement surgeons.Journal of orthopaedics · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to investigate the learning curve associated with robotic assisted knee arthroplasty (RAS KA). Therefore, the evaluation of the influence of an experienced surgeon on the overall team performance of three surgeons regarding the learning curve in RAS KA was investigated. It was hypothesized that the presence of an experienced surgeon flattens the learning curve and that there was no inflection point for the learning curve of the surgical team.
methodsFifty-five cases consisting of 31 total knee arthroplasties (TKA) and 24 unicompartmental arthroplasties (UKA) performed by three surgeons during 2021 were prospectively investigated. Single surgeon and team performance for operation time learning curve and inflection points were investigated using cumulative sum analysis (CUSUM).
resultsA downward trend line for individual surgeons and the team performance regarding the operation time learning curve was observed. No inflexion point was observed for the overall team performance regarding TKA and UKA. The surgeon that performed all cases with the assistance of the experienced surgeon had significantly shorter surgical times than the surgeon that only occasionally received assistance from the experienced surgeon (p = 0.004 TKA; p = 0.002 UKA).
conclusionThe presence of an experienced surgeon in robotically assisted knee arthroplasty can flatten the learning curve of the surgical team formerly unexperienced in robotic assisted systems. Manufacturers should provide expanded support during initial cases in centres without previous experience to robotic assisted knee arthroplasty. LEVEL OF EVIDENCE: III.
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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.