ArticleArthroplasty today2025
Operative Time Learning Curve for an Image-Free Robotic Arm Assisted Total Knee Arthroplasty: A Cumulative Sum Analysis.
Article in Arthroplasty today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Early clinical outcomes and preliminary radiological observations of VELYS-assisted versus conventional total knee arthroplasty: a meta-analysis.Journal of robotic surgery · 2026Pooled it
- Robot assisted compared to conventional knee arthroplasty: metanalysis and systematic review.Journal of robotic surgery · 2026Pooled it
- Learning curve of robotic-assisted total knee arthroplasty: a literature review.Journal of robotic surgery · 2025Pooled it
- No difference between CT- and MRI-based patient-specific instrumentation for total knee arthroplasty: an updated systematic review and meta-analysis.Frontiers in bioengineering and biotechnology · 2025Pooled it
- Does technology increase the risk of stiffness after Total Knee Arthroplasty ? Evaluating the role of the learning curve.Journal of robotic surgery · 2026Article
- Step-specific learning curve of the TMINI robotic system for total knee arthroplasty: a single-surgeon CUSUM analysis.Journal of robotic surgery · 2026Article
- Cost-utility analysis of robotic and conventional total knee arthroplasty: A 200-patient micro-costing study in a public sector institution.Journal of robotic surgery · 2026Article
- Robotic-Assisted Kinematically Aligned Total Knee Arthroplasty Demonstrated Early Rehabilitation and Select Mental Health-Related Quality of Life Improvements Compared to Conventional MA-TKA.Journal of clinical medicine · 2026Article
- Introduction of robotics into a well-established navigation OR team for TKA does not increase surgical time. A one center evaluation.Journal of robotic surgery · 2026Article
- Use of the VELYS Robotic-Assisted Solution in knee arthroplasty: A scoping review.Journal of experimental orthopaedics · 2026Review
- Article
- Robotic-assisted total knee arthroplasty in the USA: Nationwide adoption trends towards 70 % by 2030.Journal of clinical orthopaedics and trauma · 2025Article
- Short learning curve associated with robotic total knee arthroplasty: A retrospective study.Journal of experimental orthopaedics · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Robotic arm assisted total knee arthroplasty (RA-TKA) aims to improve accuracy in bone resection, implant positioning, and joint alignment compared to manual TKA (M-TKA). However, the learning curve of RA-TKA can disrupt operating room efficiency, increase complications, and raise costs. This study examines the operative time learning curve of RA-TKA using a single robotic system. Methods: The study analyzed the first 80 RA-TKA and the last 80 M-TKA cases performed by a single surgeon using the VELYS robotic system after transitioning from M-TKA. Cases were subdivided into groups of 20 and compared to M-TKA cases. A cumulative summation analysis identified the learning curve phases. Results: Three phases were identified: Phase 1 (initial learning, cases 1-9), Phase 2 (increased competence, plateau from cases 10-52), and Phase 3 (post-learning, optimized performance from cases 53-80). Mean surgical time for RA-TKA was 42.4 ± 8.7 minutes, compared to 35.3 ± 7.0 minutes for M-TKA ( Conclusions: RA-TKA is an enabling surgical tool that can be integrated efficiently into a surgical workflow with a rapid learning curve of 9 cases.
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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.