Evidence map›Paper›PMID 42182893›Full record

ArticleArthroplasty today2026

Mixed-Reality Guidance for Total Knee Arthroplasty Is Associated With More Accurate Femoral Resection but Longer Operative Time Compared to Accelerometer-Based Guidance.

Michael A Hewitt, Catelyn A Woelfle, Anthony H Zou, Wyatt H Buchalter, Alexander L Neuwirth, Carl L Herndon, H John Cooper, Nana O Sarpong

Abstract read
In one paragraph

Article in Arthroplasty today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Michael A HewittDepartment of Orthopedic Surgery, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, New York, NY, USA.
Catelyn A WoelfleDepartment of Orthopedic Surgery, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, New York, NY, USA.
Anthony H ZouDepartment of Orthopedic Surgery, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, New York, NY, USA.
Wyatt H BuchalterDepartment of Orthopedic Surgery, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, New York, NY, USA.
Alexander L NeuwirthDepartment of Orthopedic Surgery, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, New York, NY, USA.
Carl L HerndonDepartment of Orthopedic Surgery, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, New York, NY, USA.
H John CooperDepartment of Orthopedic Surgery, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, New York, NY, USA.
Nana O SarpongDepartment of Orthopedic Surgery, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center and NewYork-Presbyterian Hospital, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mixed-reality guidance for total knee arthroplasty (MR-TKA) offers a novel approach that may enhance intraoperative planning and surgical site tracking compared to established techniques, such as accelerometer-based guidance (AB-TKA). This study investigates operative time, resection accuracy, and short-term clinical outcomes of MR-TKA compared with AB-TKA. Methods: MR-TKA procedures were performed at a single institution and retrospectively matched 1:1 with an AB-TKA cohort based on age (±5 years), sex, and body mass index (±5 kg/m Results: A total of 94 cases were included (47 MR-TKA, 47 AB-TKA). There was no difference in age (74 ± 7.6 years; range, 53.0-88.7), body mass index (28.7 ± 4.6; range, 19.0-42.0), or sex (74.5% women, 25.5% men) between groups. Mean operative time was longer for MR-TKA compared to AB-TKA (109 ± 21 vs 90 ± 13 minutes, Conclusions: Mixed-reality guidance was associated with improved femoral resection accuracy but may require longer operative time compared to accelerometer-based guidance. Both techniques demonstrate comparable short-term range of motion and complication rates.

Indexed as

Accelerometer-based TKAFemoral resectionMixed-reality TKAOperative time

Identifiers

PMID42182893
PMCPMC13197700

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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.