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The Current Role of Robotics in Total Hip Arthroplasty

Overview
Journal EFORT Open Rev
Specialty Orthopedics
Date 2019 Nov 23
PMID 31754468
Citations 31
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Abstract

Robotic total hip arthroplasty (THA) improves accuracy in achieving the planned acetabular cup positioning compared to conventional manual THA.Robotic THA improves precision and reduces outliers in restoring the planned centre of hip rotation compared to conventional manual THA.Improved accuracy in restoring hip biomechanics and acetabular cup positioning in robotic THA have not translated to any differences in early functional outcomes, correction of leg-length discrepancy, or postoperative complications compared to conventional manual THA.Limitations of robotic THA include substantive installation costs, additional radiation exposure, steep learning curves for gaining surgical proficiency, and compatibility of the robotic technology with a limited number of implant designs.Further higher quality studies are required to compare differences in conventional versus robotic THA in relation to long-term functional outcomes, implant survivorship, time to revision surgery, and cost-effectiveness. Cite this article: 2019;4:618-625. DOI: 10.1302/2058-5241.4.180088.

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References
1.
Archbold H, Mockford B, Molloy D, McConway J, Ogonda L, Beverland D . The transverse acetabular ligament: an aid to orientation of the acetabular component during primary total hip replacement: a preliminary study of 1000 cases investigating postoperative stability. J Bone Joint Surg Br. 2006; 88(7):883-6. DOI: 10.1302/0301-620X.88B7.17577. View

2.
Mahmood S, Mukka S, Crnalic S, Wretenberg P, Sayed-Noor A . Association between changes in global femoral offset after total hip arthroplasty and function, quality of life, and abductor muscle strength. A prospective cohort study of 222 patients. Acta Orthop. 2015; 87(1):36-41. PMC: 4940589. DOI: 10.3109/17453674.2015.1091955. View

3.
Meermans G, van Doorn J, Kats J . Restoration of the centre of rotation in primary total hip arthroplasty: the influence of acetabular floor depth and reaming technique. Bone Joint J. 2016; 98-B(12):1597-1603. DOI: 10.1302/0301-620X.98B12.BJJ-2016-0345.R1. View

4.
Berry D, Harmsen W, Cabanela M, Morrey B . Twenty-five-year survivorship of two thousand consecutive primary Charnley total hip replacements: factors affecting survivorship of acetabular and femoral components. J Bone Joint Surg Am. 2002; 84(2):171-7. DOI: 10.2106/00004623-200202000-00002. View

5.
Siebel T, Kafer W . [Clinical outcome following robotic assisted versus conventional total hip arthroplasty: a controlled and prospective study of seventy-one patients]. Z Orthop Ihre Grenzgeb. 2005; 143(4):391-8. DOI: 10.1055/s-2005-836776. View