{"id":"https://openalex.org/W2110246586","doi":"https://doi.org/10.4172/2161-0533.1000153","title":"Computer Assisted Knee Replacement Surgery: Is the Movement Mainstream?","display_name":"Computer Assisted Knee Replacement Surgery: Is the Movement Mainstream?","publication_year":2014,"publication_date":"2014-01-01","ids":{"openalex":"https://openalex.org/W2110246586","doi":"https://doi.org/10.4172/2161-0533.1000153","mag":"2110246586"},"language":"en","primary_location":{"id":"doi:10.4172/2161-0533.1000153","doi":"https://doi.org/10.4172/2161-0533.1000153","is_oa":false,"landing_page_url":"https://doi.org/10.4172/2161-0533.1000153","pdf_url":null,"source":{"id":"https://openalex.org/S4210196156","display_name":"Orthopedic & Muscular System","issn_l":"2161-0533","issn":["2161-0533"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320466","host_organization_name":"OMICS Publishing Group","host_organization_lineage":["https://openalex.org/P4310320466"],"host_organization_lineage_names":["OMICS Publishing Group"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopedic & Muscular System","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://strathprints.strath.ac.uk/49748/1/Picard_etal_OMS2014_computer_assisted_knee_replacement_surgery.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008976908","display_name":"F. Picard","orcid":"https://orcid.org/0000-0003-1409-2754","observed_orcids":["https://orcid.org/0000-0003-1409-2754"]},"institutions":[{"id":"https://openalex.org/I125671874","display_name":"National Health Service","ror":"https://ror.org/02wnqcb97","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I125671874","https://openalex.org/I1311074006"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Frederic Picard","raw_affiliation_strings":["National Health Service"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Health Service","institution_ids":["https://openalex.org/I125671874"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5008976908"],"corresponding_institution_ids":["https://openalex.org/I125671874"],"apc_list":null,"apc_paid":null,"fwci":0.939,"has_fulltext":true,"cited_by_count":24,"citation_normalized_percentile":{"value":0.76698437,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"03","issue":"02","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14512","display_name":"Technology and Human Factors in Education and Health","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/computer-assisted-surgery","display_name":"computer-assisted surgery","score":0.9459999799728394},{"id":"https://openalex.org/keywords/total-knee-arthroplasty","display_name":"total knee arthroplasty","score":0.9919999837875366},{"id":"https://openalex.org/keywords/surgical-navigation-systems","display_name":"surgical navigation systems","score":0.703000009059906},{"id":"https://openalex.org/keywords/barriers-to-adoption","display_name":"barriers to adoption","score":0.6570000052452087},{"id":"https://openalex.org/keywords/surgeon-age","display_name":"surgeon age","score":0.40799999237060547},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.7829999923706055},{"id":"https://openalex.org/keywords/cost-analysis","display_name":"cost analysis","score":0.6200000047683716},{"id":"https://openalex.org/keywords/disruptive-innovation","display_name":"disruptive innovation","score":0.9869999885559082}],"concepts":[{"id":"https://openalex.org/C2777617010","wikidata":"https://www.wikidata.org/wiki/Q18957","display_name":"Mainstream","level":2,"score":0.7038795351982117},{"id":"https://openalex.org/C2780226923","wikidata":"https://www.wikidata.org/wiki/Q929848","display_name":"Movement (music)","level":2,"score":0.6616460084915161},{"id":"https://openalex.org/C3020573985","wikidata":"https://www.wikidata.org/wiki/Q37425","display_name":"Knee surgery","level":4,"score":0.5622481107711792},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4657939672470093},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.4446038603782654},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3744222819805145},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.11665478348731995},{"id":"https://openalex.org/C142362112","wikidata":"https://www.wikidata.org/wiki/Q735","display_name":"Art","level":0,"score":0.11083614826202393},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.09812018275260925},{"id":"https://openalex.org/C107038049","wikidata":"https://www.wikidata.org/wiki/Q35986","display_name":"Aesthetics","level":1,"score":0.06108614802360535},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.4172/2161-0533.1000153","doi":"https://doi.org/10.4172/2161-0533.1000153","is_oa":false,"landing_page_url":"https://doi.org/10.4172/2161-0533.1000153","pdf_url":null,"source":{"id":"https://openalex.org/S4210196156","display_name":"Orthopedic & Muscular System","issn_l":"2161-0533","issn":["2161-0533"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320466","host_organization_name":"OMICS Publishing Group","host_organization_lineage":["https://openalex.org/P4310320466"],"host_organization_lineage_names":["OMICS Publishing Group"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopedic & Muscular System","raw_type":"journal-article"},{"id":"pmh:oai:strathprints.strath.ac.uk:49748","doi":null,"is_oa":true,"landing_page_url":"https://strathprints.strath.ac.uk/view/author/921337.html>","pdf_url":"https://strathprints.strath.ac.uk/49748/1/Picard_etal_OMS2014_computer_assisted_knee_replacement_surgery.pdf","source":{"id":"https://openalex.org/S4306402226","display_name":"Strathprints: The University of Strathclyde institutional repository (University of Strathclyde)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I181647926","host_organization_name":"University of Strathclyde","host_organization_lineage":["https://openalex.org/I181647926"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"mag:2186203734","doi":null,"is_oa":false,"landing_page_url":"https://strathprints.strath.ac.uk/49748/1/Picard_etal_OMS2014_computer_assisted_knee_replacement_surgery.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:strathprints.strath.ac.uk:49748","doi":null,"is_oa":true,"landing_page_url":"https://strathprints.strath.ac.uk/view/author/921337.html>","pdf_url":"https://strathprints.strath.ac.uk/49748/1/Picard_etal_OMS2014_computer_assisted_knee_replacement_surgery.pdf","source":{"id":"https://openalex.org/S4306402226","display_name":"Strathprints: The University of Strathclyde institutional repository (University of Strathclyde)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I181647926","host_organization_name":"University of Strathclyde","host_organization_lineage":["https://openalex.org/I181647926"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"},"sustainable_development_goals":[{"score":0.8048999905586243,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2110246586.pdf","grobid_xml":"https://content.openalex.org/works/W2110246586.grobid-xml"},"referenced_works_count":52,"referenced_works":["https://openalex.org/W104921219","https://openalex.org/W1480553355","https://openalex.org/W1575359273","https://openalex.org/W1586069835","https://openalex.org/W1898394333","https://openalex.org/W1926193358","https://openalex.org/W1965051407","https://openalex.org/W1965338866","https://openalex.org/W1966155560","https://openalex.org/W1971966570","https://openalex.org/W1975381839","https://openalex.org/W1980528892","https://openalex.org/W1989260135","https://openalex.org/W2000057843","https://openalex.org/W2007842927","https://openalex.org/W2017744195","https://openalex.org/W2019377169","https://openalex.org/W2020648651","https://openalex.org/W2020842346","https://openalex.org/W2022087213","https://openalex.org/W2028005492","https://openalex.org/W2040962589","https://openalex.org/W2044365141","https://openalex.org/W2045877593","https://openalex.org/W2056068954","https://openalex.org/W2059399192","https://openalex.org/W2059622452","https://openalex.org/W2061557805","https://openalex.org/W2062247196","https://openalex.org/W2065571757","https://openalex.org/W2067003172","https://openalex.org/W2068668754","https://openalex.org/W2070372712","https://openalex.org/W2075966395","https://openalex.org/W2078143941","https://openalex.org/W2080083872","https://openalex.org/W2083081780","https://openalex.org/W2088265830","https://openalex.org/W2098727995","https://openalex.org/W2106420730","https://openalex.org/W2112401645","https://openalex.org/W2129341979","https://openalex.org/W2148874691","https://openalex.org/W2149705384","https://openalex.org/W2157004106","https://openalex.org/W2158067616","https://openalex.org/W2160981834","https://openalex.org/W2162281953","https://openalex.org/W2235532147","https://openalex.org/W2256458398","https://openalex.org/W2266443806","https://openalex.org/W4243892612"],"related_works":["https://openalex.org/W4285117181","https://openalex.org/W4392211762","https://openalex.org/W2079241993","https://openalex.org/W2784735081","https://openalex.org/W2149705384","https://openalex.org/W2974121716","https://openalex.org/W7171145693","https://openalex.org/W2081329425","https://openalex.org/W2795210762","https://openalex.org/W3001351351"],"abstract_inverted_index":{"The":[0,11,197],"first":[1],"computer-assisted":[2,53],"Total":[3],"Knee":[4],"Arthroplasty":[5],"(TKA)":[6],"was":[7],"performed":[8],"in":[9,20,45,75,194,224],"1997.":[10],"FDA":[12],"approved":[13],"computer":[14,40],"assisted":[15,232],"knee":[16,117,233],"arthroplasty":[17,234],"systems":[18],"used":[19],"the":[21,31,36,39,46,60,64,89,103,155,177,195,225],"early":[22],"2000s.":[23],"Since":[24],"then,":[25],"surgeons":[26,185,206],"and":[27,128,132,143,157,160,209,218],"institutions":[28],"all":[29,51],"over":[30],"world":[32],"have":[33],"gradually":[34],"adopted":[35],"technology.":[37],"While":[38],"holds":[41],"an":[42],"importance":[43],"place":[44],"majority":[47],"of":[48,63,91,115,162,227],"workspaces":[49],"across":[50],"industries,":[52],"surgical":[54],"technique":[55,189],"has":[56,68],"yet":[57,71,238],"to":[58,106,110,165,186],"become":[59],"preferred":[61],"tool":[62],"orthopaedic":[65,77,205],"surgeon.":[66],"Why":[67],"\"e-instrumentation\"":[69],"not":[70,151,169,237,243],"substituted":[72],"conventional":[73],"instrumentation":[74],"TKA":[76,201,216,241],"surgery?":[78],"In":[79],"this":[80,92,111,163,170,188],"article,":[81],"we":[82,175],"argue":[83],"that":[84],"main":[85,198],"reasons":[86,178],"which":[87],"oppose":[88],"use":[90,187],"technology":[93,164,182],"are":[94,150,207,221],"based":[95],"on":[96],"inaccurate":[97],"or":[98,168,190],"misleading":[99],"observations.":[100],"We":[101,153],"isolated":[102],"factors":[104,136,199],"likely":[105],"explain":[107],"such":[108,137,180,213],"opposition":[109,171],"innovation:":[112],"current":[113,215],"results":[114],"total":[116],"replacement,":[118],"surgeon":[119,139],"age,":[120],"operative":[121],"time,":[122],"system":[123,229],"ergonomics,":[124],"cost":[125,129],"for":[126,130,146],"users,":[127],"suppliers":[131],"\"disruptive\"":[133],"innovations.":[134],"Other":[135,211],"as":[138,214],"habits,":[140],"hospital":[141],"environment":[142],"available":[144],"assistance":[145],"support,":[147],"although":[148],"relevant,":[149],"discussed.":[152],"assessed":[154],"advantages":[156],"drawbacks,":[158],"costs":[159],"benefits":[161],"assess":[166],"whether":[167],"is":[172,236],"justified.":[173],"Finally,":[174],"explored":[176],"why":[179],"a":[181],"may":[183],"impel":[184],"any":[191],"\"related":[192],"technologies\"":[193],"future.":[196],"limiting":[200],"navigation":[202],"spreading":[203],"amongst":[204],"ergonomics":[208],"economics.":[210],"factors,":[212],"outcomes":[217],"surgeon's":[219],"age":[220],"fallacious":[222],"arguments":[223],"rebuttal":[226],"CAS":[228],"use.":[230],"Computer":[231],"surgery":[235],"mainstream,":[239],"but":[240],"will":[242],"escape":[244],"technological":[245],"progress.":[246]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":4},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}