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Related Experiment Video

Updated: Oct 3, 2025

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
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Robotic-Assisted Total Knee Arthroplasty Allows for Trainee Involvement and Teaching Without Lengthening Operative

David G Deckey1, Jens T Verhey2, Christian S Rosenow2

  • 1Department of Orthopedics, Mayo Clinic in Arizona, Phoenix, AZ.

The Journal of Arthroplasty
|February 21, 2022
PubMed
Summary

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Articles linked to this work by shared authors, journal, and citation graph.

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Preoperative Sepsis Is Associated with an Elevated Rate of Periprosthetic Joint Infection and Mortality Following Total Hip Arthroplasty in a Time-Dependent Manner.

The Journal of arthroplasty·2026
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Preoperative Pneumonia and Its Association With Periprosthetic Joint Infection and Postoperative Complications After Total Hip and Knee Arthroplasty.

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A New Perspective On Manual Versus Technology-Assisted Total Knee Arthroplasty: Complications Stratified by Surgeon Subspecialty Designation.

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Declining Medicaid Reimbursement for Total Hip and Knee Arthroplasty From 2014 to 2022: A Comparison of Expansion and Nonexpansion States.

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No increased risk of complications with dissolvable antibiotic beads in aseptic revision total hip arthroplasty.

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Risk and Benefit Profile with Concurrent Nonsteroidal Anti-Inflammatory Drugs and Direct Oral Anticoagulants Following Total Knee Arthroplasty.

The Journal of arthroplasty·2026

Robot-assisted total knee arthroplasty (RA-TKA) takes longer than mechanical total knee arthroplasty (M-TKA), but trainees do not add extra surgical time. This allows for effective robotic surgical education without compromising efficiency.

Area of Science:

  • Orthopedic Surgery
  • Robotics in Medicine
  • Surgical Education

Background:

  • Robot-assisted total knee arthroplasty (RA-TKA) offers enhanced accuracy and real-time feedback for alignment and soft-tissue balancing.
  • Both robotic assistance and trainee involvement may prolong surgical duration.
  • This study investigates the impact of RA-TKA and trainee participation on surgical time compared to traditional methods.

Purpose of the Study:

  • To compare surgical times between robot-assisted total knee arthroplasty (RA-TKA) and mechanical total knee arthroplasty (M-TKA).
  • To determine if trainee involvement increases surgical time in RA-TKA procedures.
  • To assess the feasibility of using RA-TKA for trainee education without compromising efficiency.

Main Methods:

  • A retrospective cohort study of 220 primary total knee arthroplasties (TKAs): 110 M-TKAs and 110 RA-TKAs.
Keywords:
academic surgeryresident educationrobotic surgeryrobotic training curriculumtotal knee arthroplasty

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  • MAKO robotic system used for all RA-TKAs; measured resection technique for M-TKAs.
  • Tourniquet time served as the primary measure of surgical duration, comparing trainee-led vs. consultant-led procedures.
  • Main Results:

    • RA-TKAs had significantly longer tourniquet times (100 minutes) compared to M-TKAs (89 minutes) (P < .0001).
    • No significant difference in tourniquet times was observed between trainee-performed and consultant-performed surgeries for either M-TKA (P = .3452) or RA-TKA (P = .6724).

    Conclusions:

    • Robot-assisted total knee arthroplasty procedures are associated with increased surgical time.
    • Orthopedic trainees do not add significant extra surgical time when performing RA-TKA.
    • RA-TKA can be utilized for trainee education, providing benefits of robotic technology without sacrificing surgical efficiency or increasing patient risk.