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Peer-Reviewed Publication
Int J Comput Assist Radiol Surg2026;21(4):827-836.April 1, 2026Journal Article

Statistical shape model-based estimation of registration error in computer-assisted total knee arthroplasty.

Behnaz Gheflati1, Morteza Mirzaei2, Joel Zuhars2, Sunil Rottoo2, Hassan Rivaz3
1Department of Electrical and Computer Engineering, Concordia University, Montreal, QC, Canada. b_ghefla@encs.concordia.ca.
2Think Surgical Inc., Montreal, QC, Canada.
3Department of Electrical and Computer Engineering, Concordia University, Montreal, QC, Canada.

Abstract

PURPOSE: Computer-assisted surgical navigation systems have been developed to improve the precision of total knee arthroplasty (TKA) by providing real-time guidance on implant alignment relative to patient anatomy. However, surface registration remains a key source of error that can propagate through the surgical workflow. This study investigates how patient-specific femoral bone geometry influenc…

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