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Record W4414889180 · doi:10.1016/j.artd.2025.101837

Surgical Technique for Imageless Robotic-Assisted Revision Total Knee Arthroplasty

2025· article· en· W4414889180 on OpenAlexaff
Sebastian Braun, Kristen I. Barton, Brent A. Lanting, James L. Howard

Bibliographic record

VenueArthroplasty Today · 2025
Typearticle
Languageen
FieldMedicine
TopicTotal Knee Arthroplasty Outcomes
Canadian institutionsLondon Health Sciences CentreWestern University
Fundersnot available
KeywordsSoft tissueTotal knee arthroplastyImplantArthroplastyComputer-assisted surgeryKnee Joint

Abstract

fetched live from OpenAlex

Success in total knee arthroplasty (TKA) depends on restoring proper joint alignment and implant positioning. While robotic-assisted systems enhance precision in primary TKA, their use in revision TKA is limited due to challenges like bone loss, soft tissue contractures, and metal artifacts. This manuscript presents an imageless robotic navigation technique for revision TKA, eliminating the need for preoperative imaging and allowing intraoperative flexibility. After registering anatomical landmarks and implant removal, the system reassesses anatomy for iterative adjustments based on bone and soft tissue conditions. Unlike traditional canal-referenced methods, this approach aligns components relative to the joint line, enabling individualized positioning. Real-time feedback guides accurate bone cuts and soft tissue balancing. A case example illustrates the procedure. Further studies are needed to confirm long-term clinical benefits.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.629
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.012
GPT teacher head0.285
Teacher spread0.273 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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