Laser Bone Shaping: Current Capabilities and Future Applications in Knee Arthroplasty.

Withers, Sam; Khan, Riaz Jk; Pavlos, Nathan; Robertson, Brett · JB JS Open Access · 2026

review · Level V

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Abstract

» Arthroplasty outcomes are fundamentally tied to the accuracy of bone preparation and subsequent implant positioning. » Laser bone shaping represents a paradigm shift from mechanical cutting to controlled thermomechanical ablation. » Integration with real-time optical sensing and robotic targeting enables execution of patient-specific surgical plans with unprecedented accuracy and a pathway to autonomous procedures. » Clinical adoption is dependent on achieving clinically relevant bone removal rates and seamless surgical workflow integration. » These capabilities enable bone-preserving resurfacing procedures that move beyond conventional planar reconstruction.

Anatomy