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It is odd that MAKO just hasn't made much splash in academics.

Knowing nothing about the subject leaves me free to speculate...

I wonder if joint replacements are too mundane to appeal to the academic side of medicine. Knees and hips are generally well-defined high-volume procedures, good for paying the bills but not exotic. In fact, I have heard the part that RIO deals with resembles carpentry, just with bone instead of wood.
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