Evidence map›Paper›PMID 42079475›Full record

ArticleJournal of experimental orthopaedics2026

Reduced workload demand with handheld robotic-assisted revision knee arthroplasty: A multi-centre NASA Task Load Index analysis.

Andrew Porteous, James Murray, Max Ettinger, Peter Savov, Matteo Innocenti, Gijs van Hellemondt, Koen DeFoort, Juan Carlos Martinez-Pastor, Peter Bollars, Francesco Zambianchi and 2 more

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Andrew PorteousSouthmead Hospital Bristol UK.ORCID https://orcid.org/0000-0002-4364-8822
James MurraySouthmead Hospital Bristol UK.
Max EttingerPius Hospital Oldenburg Germany.ORCID https://orcid.org/0000-0003-0909-9097
Peter SavovPius Hospital Oldenburg Germany.ORCID https://orcid.org/0000-0003-4791-6051
Matteo InnocentiAzienda Ospedaliero-Universitaria Careggi, Università degli Studi di Firenze Florence Italy.
Gijs van HellemondtSint Marteenskliniek Nijmegen The Netherlands.ORCID https://orcid.org/0000-0002-3720-8927
Koen DeFoortSint Marteenskliniek Nijmegen The Netherlands.ORCID https://orcid.org/0000-0002-6933-205X
Juan Carlos Martinez-PastorHospital Clinic Barcelona Spain.ORCID https://orcid.org/0000-0002-5092-8144
Peter BollarsSint-Trudo Ziekenhuis Sint-Truiden Belgium.ORCID https://orcid.org/0000-0002-8611-2876
Francesco ZambianchiAzienda Ospedaliero-Universitaria di Modena Università degli Studi di Modena e Reggio-Emilia Modena Italia.ORCID https://orcid.org/0000-0002-7634-5692
Alberto BelluatiOspedale S. Maria delle Croci Ravenna Italy.ORCID https://orcid.org/0000-0002-1923-2712
Catherine WhittallSmith and Nephew Watford UK.ORCID https://orcid.org/0000-0003-4859-4293

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Revision total knee arthroplasty is a complex and technically demanding procedure, with an increasing global incidence. This complexity heightens the cognitive and physical demands of surgical teams, contributing to elevated burnout, musculoskeletal injuries and psychological stress. This European wide multi-centre observational evaluation assessed the impact of a handheld robotic-assisted surgical system on intra-operative workload using the NASA Task Load Index instrument to compare robotic-assisted and manual instrumentation approaches during revision knee arthroplasty. Methods: Data were collected from 212 surveys following 100 revision knee arthroplasty procedures, capturing subjective workload measures across six NASA Task Load Index domains from surgeons and peri-operative theatre staff. Results: The results demonstrated a significant reduction in the overall workload with robotic-assistance compared with manual instrumentation (median overall workload score 0.0 vs. 8.5 respectively, Conclusions: This evaluation underscores the potential of robotic-assisted technology to enhance surgical ergonomics, reduce surgeon fatigue and improve well-being, which may translate into sustained surgical performance. Future work should incorporate objective ergonomic measures, expand participant roles and explore long-term impacts on clinical outcomes and staff welfare. Level of Evidence: Level II.

Indexed as

cognitive demandNASA‐TLXrevision knee surgeryrobotic‐assisted knee arthroplastysurgical workload reduction

Identifiers

PMID42079475
PMCPMC13129687

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Registered trials

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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.