Titan Medical Inc (TMDIF)

[Bristol19]

Very curious that the study's surgeries were performed in 2010 and the paper finally makes it out in 2014. I could believe a 2 year delay in it seeing print, but 4 years tells me it likely either got a lot of rejections/criticisms initially, or the authors delayed for some political reason involving the company. Typically, academic doctors always want to see their work published sooner rather than later.

Finally, there is the possibility the surgeons were typically bogged down with work.