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Peer-Reviewed Publication
J Robot Surg2026;20(1)July 20, 2026Journal Article

Step-specific learning curve of the TMINI robotic system for total knee arthroplasty: a single-surgeon CUSUM analysis.

Andres Wong1,2, Jonathan Brutti3,4, Ivan Garces3,4, Trevor Cotter5, Alexander Sah5, Charles Lawrie3,4
1Herbert Wertheim College of Medicine, Florida International University, Miami, USA. awong075@fiu.edu.
2Department of Orthopedic Surgery, Baptist Health South Florida, Miami, USA. awong075@fiu.edu.
3Herbert Wertheim College of Medicine, Florida International University, Miami, USA.
4Department of Orthopedic Surgery, Baptist Health South Florida, Miami, USA.
5Think Surgical (United States), Fremont, USA.

Abstract

Robotic total knee arthroplasty (R-TKA) adoption continues to expand, yet most learning curve analyses focus on global operative time rather than individual procedural steps. The TMINI system is a handheld, imageless robotic platform with limited published data. We evaluated step-specific learning curves in a single surgeon's first 75 consecutive cases with complete intraoperative timing data. We…

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