{"id":"https://openalex.org/W7225569552","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8556","title":"Mixed Reality and Augmented Reality in Complex Revision Shoulder Arthroplasty: Head-mounted Displays for Glenoid Baseplate Positioning.","display_name":"Mixed Reality and Augmented Reality in Complex Revision Shoulder Arthroplasty: Head-mounted Displays for Glenoid Baseplate Positioning.","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7225569552","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8556","pmid":"https://pubmed.ncbi.nlm.nih.gov/42997109","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13741007"},"language":"en","primary_location":{"id":"pmid:42997109","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8556","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42997109","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic case reports","raw_type":"Journal Article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13741007/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030379085","display_name":"Sanjeevi Bharadwaj","orcid":"https://orcid.org/0009-0006-4507-8727","observed_orcids":["https://orcid.org/0009-0006-4507-8727"]},"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":false,"raw_author_name":"Sanjeevi Bharadwaj","raw_affiliation_strings":["Department of Trauma and Orthopaedic, National Health Service Trust, Hereford, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Trauma and Orthopaedic, National Health Service Trust, Hereford, United Kingdom","institution_ids":["https://openalex.org/I125671874"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113145009","display_name":"Naveen Jeyaraman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I19926482","display_name":"Dr. M.G.R. Educational and Research Institute","ror":"https://ror.org/053hsst90","country_code":"IN","type":"education","lineage":["https://openalex.org/I19926482"]},{"id":"https://openalex.org/I4210086035","display_name":"ACS Medical College and Hospital","ror":"https://ror.org/00cztqj29","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210086035"]},{"id":"https://openalex.org/I4210128379","display_name":"Orthopaedic Research Group","ror":"https://ror.org/02pfaex92","country_code":"IN","type":"nonprofit","lineage":["https://openalex.org/I4210128379"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Naveen Jeyaraman","raw_affiliation_strings":["Department of Orthopaedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, Tamil Nadu, India","Department of Regenerative Medicine, Agathisha Institute of Stemcell and Regenerative Medicine, Chennai, Tamil Nadu, India","Department of Orthopaedics, Orthopaedic Research Group, Coimbatore, Tamil Nadu, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, Tamil Nadu, India","institution_ids":["https://openalex.org/I19926482","https://openalex.org/I4210086035"]},{"raw_affiliation_string":"Department of Regenerative Medicine, Agathisha Institute of Stemcell and Regenerative Medicine, Chennai, Tamil Nadu, India","institution_ids":[]},{"raw_affiliation_string":"Department of Orthopaedics, Orthopaedic Research Group, Coimbatore, Tamil Nadu, India","institution_ids":["https://openalex.org/I4210128379"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147068384","display_name":"Subasri Balasubramanian","orcid":null,"observed_orcids":[]},"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":false,"raw_author_name":"Subasri Balasubramanian","raw_affiliation_strings":["Department of Emergency Medicine, National Health Service, England, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, National Health Service, England, United Kingdom","institution_ids":["https://openalex.org/I125671874"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159247791","display_name":"Aadithya Siddarth Sridhar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I19926482","display_name":"Dr. M.G.R. Educational and Research Institute","ror":"https://ror.org/053hsst90","country_code":"IN","type":"education","lineage":["https://openalex.org/I19926482"]},{"id":"https://openalex.org/I2800701874","display_name":"Tamil Nadu Dr. M.G.R. Medical University","ror":"https://ror.org/00b3mhg89","country_code":"IN","type":"education","lineage":["https://openalex.org/I2800701874"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Aadithya Siddarth Sridhar","raw_affiliation_strings":["Department of Regenerative Medicine, Agathisha Institute of Stemcell and Regenerative Medicine, Chennai, Tamil Nadu, India","Department of Orthopaedics, Faculty of Medicine - Sri Lalithambigai Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, Tamil Nadu, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Regenerative Medicine, Agathisha Institute of Stemcell and Regenerative Medicine, Chennai, Tamil Nadu, India","institution_ids":[]},{"raw_affiliation_string":"Department of Orthopaedics, Faculty of Medicine - Sri Lalithambigai Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, Tamil Nadu, India","institution_ids":["https://openalex.org/I19926482","https://openalex.org/I2800701874"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038989817","display_name":"Sathish Muthu","orcid":"https://orcid.org/0000-0002-7143-4354","observed_orcids":["https://orcid.org/0000-0002-7143-4354"]},"institutions":[{"id":"https://openalex.org/I290407205","display_name":"Meenakshi Academy of Higher Education and Research","ror":"https://ror.org/04jdy5g59","country_code":"IN","type":"education","lineage":["https://openalex.org/I290407205"]},{"id":"https://openalex.org/I4210128379","display_name":"Orthopaedic Research Group","ror":"https://ror.org/02pfaex92","country_code":"IN","type":"nonprofit","lineage":["https://openalex.org/I4210128379"]},{"id":"https://openalex.org/I4210133582","display_name":"Meenakshi Medical College Hospital and Research Institute","ror":"https://ror.org/030ag6b74","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210133582"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Sathish Muthu","raw_affiliation_strings":["Department of Regenerative Medicine, Agathisha Institute of Stemcell and Regenerative Medicine, Chennai, Tamil Nadu, India","Department of Orthopaedics, Orthopaedic Research Group, Coimbatore, Tamil Nadu, India","Central Research Laboratory, Meenakshi Medical College Hospital and Research Institute, Meenakshi Academy of Higher Education and Research, Chennai, Tamil Nadu, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Regenerative Medicine, Agathisha Institute of Stemcell and Regenerative Medicine, Chennai, Tamil Nadu, India","institution_ids":[]},{"raw_affiliation_string":"Department of Orthopaedics, Orthopaedic Research Group, Coimbatore, Tamil Nadu, India","institution_ids":["https://openalex.org/I4210128379"]},{"raw_affiliation_string":"Central Research Laboratory, Meenakshi Medical College Hospital and Research Institute, Meenakshi Academy of Higher Education and Research, Chennai, Tamil Nadu, India","institution_ids":["https://openalex.org/I290407205","https://openalex.org/I4210133582"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5161274017","display_name":"Madahan Jeyaraman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I19926482","display_name":"Dr. M.G.R. Educational and Research Institute","ror":"https://ror.org/053hsst90","country_code":"IN","type":"education","lineage":["https://openalex.org/I19926482"]},{"id":"https://openalex.org/I4210086035","display_name":"ACS Medical College and Hospital","ror":"https://ror.org/00cztqj29","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210086035"]},{"id":"https://openalex.org/I4210128379","display_name":"Orthopaedic Research Group","ror":"https://ror.org/02pfaex92","country_code":"IN","type":"nonprofit","lineage":["https://openalex.org/I4210128379"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Madahan Jeyaraman","raw_affiliation_strings":["Department of Orthopaedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, Tamil Nadu, India","Department of Regenerative Medicine, Agathisha Institute of Stemcell and Regenerative Medicine, Chennai, Tamil Nadu, India","Department of Orthopaedics, Orthopaedic Research Group, Coimbatore, Tamil Nadu, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, Tamil Nadu, India","institution_ids":["https://openalex.org/I19926482","https://openalex.org/I4210086035"]},{"raw_affiliation_string":"Department of Regenerative Medicine, Agathisha Institute of Stemcell and Regenerative Medicine, Chennai, Tamil Nadu, India","institution_ids":[]},{"raw_affiliation_string":"Department of Orthopaedics, Orthopaedic Research Group, Coimbatore, Tamil Nadu, India","institution_ids":["https://openalex.org/I4210128379"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":7,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.64197531,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"11","first_page":"574","last_page":"584"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10888","display_name":"Augmented Reality Applications","score":0.8363999724388123,"subfield":{"id":"https://openalex.org/subfields/1707","display_name":"Computer Vision and Pattern Recognition"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10888","display_name":"Augmented Reality Applications","score":0.8363999724388123,"subfield":{"id":"https://openalex.org/subfields/1707","display_name":"Computer Vision and Pattern Recognition"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":0.1477999985218048,"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/T11984","display_name":"Anatomy and Medical Technology","score":0.002899999963119626,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C153715457","wikidata":"https://www.wikidata.org/wiki/Q254183","display_name":"Augmented reality","level":2,"score":0.7225000262260437},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6270999908447266},{"id":"https://openalex.org/C206776904","wikidata":"https://www.wikidata.org/wiki/Q1758389","display_name":"Mixed reality","level":3,"score":0.4636000096797943},{"id":"https://openalex.org/C194969405","wikidata":"https://www.wikidata.org/wiki/Q170519","display_name":"Virtual reality","level":2,"score":0.4277999997138977},{"id":"https://openalex.org/C117455697","wikidata":"https://www.wikidata.org/wiki/Q190149","display_name":"Photogrammetry","level":2,"score":0.4205999970436096},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.38830000162124634},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3774999976158142},{"id":"https://openalex.org/C158154518","wikidata":"https://www.wikidata.org/wiki/Q7310970","display_name":"Relevance (law)","level":2,"score":0.34380000829696655},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.33009999990463257},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.3147999942302704},{"id":"https://openalex.org/C107551265","wikidata":"https://www.wikidata.org/wiki/Q1458245","display_name":"Displacement (psychology)","level":2,"score":0.31029999256134033},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.30300000309944153},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.299699991941452},{"id":"https://openalex.org/C199033989","wikidata":"https://www.wikidata.org/wiki/Q1318295","display_name":"Narrative","level":2,"score":0.2935999929904938},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.2786000072956085},{"id":"https://openalex.org/C48007421","wikidata":"https://www.wikidata.org/wiki/Q676252","display_name":"Motion capture","level":3,"score":0.26440000534057617},{"id":"https://openalex.org/C2776478404","wikidata":"https://www.wikidata.org/wiki/Q1105187","display_name":"Cochrane Library","level":3,"score":0.2632000148296356}],"mesh":[],"locations_count":2,"locations":[{"id":"pmid:42997109","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8556","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42997109","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic case reports","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13741007","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8556","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13741007/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Orthop Case Rep","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:13741007","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8556","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13741007/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Orthop Case Rep","raw_type":"Text"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Introduction:":[0],"Revision":[1],"shoulder":[2,44,163,299,326],"arthroplasty,":[3],"when":[4],"performed":[5,99],"in":[6,41,162,166,274,284,301,305,317,324],"the":[7,17,29,34,66,80,157,170,183,186,199,276,285,302,318,321,332,341,349,357,364,367],"context":[8],"of":[9,16,28,48,71,85,121,169,188,218,229,278,287,320,359,363,366],"severe":[10],"glenoid":[11,30,167,288,322],"bone":[12,141],"loss,":[13],"is":[14,338],"one":[15],"most":[18],"technically":[19],"challenging":[20],"reconstructive":[21],"upper-limb":[22],"procedures.":[23],"Version,":[24],"inclination,":[25],"and":[26,52,68,74,82,87,91,105,114,144,172,221,225,240,254,280,379],"precision":[27],"base":[31],"plate":[32],"are":[33,291,310,382],"main":[35],"risk":[36],"factors":[37],"for":[38,185,201,296,298,384],"implant":[39],"survivorship":[40],"reverse":[42],"total":[43],"arthroplasty.":[45,327],"The":[46,176,246],"use":[47],"mixed":[49],"reality":[50,54],"(MR)":[51],"augmented":[53],"(AR)":[55],"head-mounted":[56],"displays":[57],"(HMDs)":[58],"has":[59,352],"become":[60],"a":[61,179,292],"promising":[62],"solution":[63],"to":[64,111,159,197,215,262,271,315,340,348],"overcome":[65],"ergonomic":[67,313],"line-of-sight":[69],"constraints":[70],"conventional":[72],"navigation":[73,343],"patient-specific":[75],"instrumentation":[76],"(PSI),":[77],"while":[78,355],"connecting":[79],"virtual":[81],"real":[83],"worlds":[84],"pre-planning":[86],"intra-operative":[88],"execution.":[89],"Materials":[90],"Methods:":[92],"A":[93],"systematic":[94],"narrative":[95],"literature":[96],"search":[97,150],"was":[98,207,231,237,242,269],"on":[100,156],"PubMed/MEDLINE,":[101],"Embase,":[102],"Cochrane":[103],"Library":[104],"Scopus":[106],"databases":[107],"from":[108],"January":[109],"2010":[110],"September":[112],"2026,":[113],"reference-chain":[115],"searches":[116],"were":[117,147,153,195,259],"conducted":[118],"manually.":[119],"Combinations":[120],"terms":[122],"such":[123],"as":[124,149],"\"mixed":[125],"reality,\"":[126,128],"\"augmented":[127],"\"head-mounted":[129],"display,\"":[130],"\"HoloLens,\"":[131],"\"Magic":[132],"Leap,\"":[133],"\"shoulder":[134],"arthroplasty,\"":[135,139],"\"glenoid":[136,140],"baseplate,\"":[137],"\"revision":[138],"loss,\"":[142],"\"navigation,\"":[143],"\"patient-specific":[145],"instrumentation\"":[146],"used":[148],"terms.":[151],"Studies":[152],"chosen":[154],"based":[155],"relevance":[158],"AR/MR":[160,308],"technology":[161],"surgery,":[164],"accuracy":[165,203,265,333],"positioning":[168,286,319],"component,":[171],"revision":[173,325],"arthroplasty":[174,300],"outcomes.":[175],"review":[177],"follows":[178],"framework":[180],"developed":[181],"by":[182],"Scale":[184],"Assessment":[187],"Narrative":[189],"Review":[190],"Articles.":[191],"Results:":[192],"Eight":[193],"studies":[194],"found":[196,261],"meet":[198],"criteria":[200],"quantitative":[202],"synthesis.":[204],"Version":[205],"deviation":[206,228],"always":[208],"kept":[209],"within":[210],"0.9\u00b0-2.5\u00b0":[211],"using":[212],"AR-HMD,":[213,234],"compared":[214],"an":[216,226],"average":[217],"5.1\u00b0":[219],"freehand":[220,239,350],"3.5\u00b0-8\u00b0":[222,241],"with":[223,233,244,335,346,373],"PSI,":[224],"inclination":[227],"0.9\u00b0-4.1\u00b0":[230],"achieved":[232,334],"whereas":[235],"5.1\u00b0-17\u00b0":[236],"obtained":[238,243],"PSI.":[245],"Pixee":[247],"Medical":[248],"HMD,":[249],"navigated":[250],"AR":[251,297],"Shoulder":[252],"(Medacta),":[253],"Stryker":[255],"Blue":[256],"MR":[257,267],"Guidance":[258],"all":[260],"have":[263],"similar":[264],"profiles.":[266],"guidance":[268],"demonstrated":[270],"be":[272],"effective":[273],"making":[275],"performance":[277],"experienced":[279],"junior":[281],"surgeons":[282],"equal":[283],"pins.":[289],"There":[290],"few":[293],"regulatory":[294,380],"clearances":[295],"market,":[303],"primarily":[304],"Europe.":[306],"Conclusion:":[307],"HMDs":[309],"clinically":[311],"proven,":[312],"tools":[314],"assist":[316],"baseplate":[323],"Initial":[328],"results":[329],"demonstrate":[330],"that":[331],"this":[336],"approach":[337],"comparable":[339],"optical":[342],"method":[344],"and,":[345],"respect":[347],"technique,":[351],"better":[353],"accuracy,":[354],"ensuring":[356],"democratization":[358],"surgical":[360],"skill,":[361],"regardless":[362],"experience":[365],"operator.":[368],"Additional":[369],"randomized":[370],"controlled":[371],"trials":[372],"patient-reported":[374],"outcomes,":[375],"prospective":[376],"cost-utility":[377],"analyses,":[378],"expansion":[381],"needed":[383],"universal":[385],"adoption.":[386]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-09T00:00:00"}
