Using the KUKA LBR iiwa Robot as Haptic Device for Virtual Reality Training of Hip Replacement Surgery

2019 ◽  
Author(s):  
Dario Panariello ◽  
Teodorico Caporaso ◽  
Stanislao Grazioso ◽  
Giuseppe Di Gironimo ◽  
Antonio Lanzotti ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Hip Replacement ◽  
Haptic Device ◽  
Virtual Reality Training ◽  
Replacement Surgery ◽  
Hip Replacement Surgery

scholarly journals The effects of competition and bundled payment on patient reported outcome measures after hip replacement surgery

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fanny Goude ◽  
Sverre A. C. Kittelsen ◽  
Henrik Malchau ◽  
Maziar Mohaddes ◽  
Clas Rehnberg
Keyword(s):  
Hip Replacement ◽  
Health Gain ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Economic Incentives ◽  
Bundled Payment ◽  
Treatment Groups ◽  
Replacement Surgery ◽  
Hip Replacement Surgery ◽  
Patient Reported

Abstract Background Competition-promoting reforms and economic incentives are increasingly being introduced worldwide to improve the performance of healthcare delivery. This study considers such a reform which was initiated in 2009 for elective hip replacement surgery in Stockholm, Sweden. The reform involved patient choice of provider, free establishment of new providers and a bundled payment model. The study aimed to examine its effects on hip replacement surgery quality as captured by patient reported outcome measures (PROMs) of health gain (as indicated by the EQ-5D index and a visual analogue scale (VAS)), pain reduction (VAS) and patient satisfaction (VAS) one and six years after the surgery. Methods Using patient-level data collected from multiple national registers, we applied a quasi-experimental research design. Data were collected for elective primary total hip replacements that were carried out between 2008 and 2012, and contain information on patient demography, the surgery and PROMs at baseline and at one- and six-years follow-up. In total, 36,627 observations were included in the analysis. First, entropy balancing was applied in order to reduce differences in observable characteristics between treatment groups. Second, difference-in-difference analyses were conducted to eliminate unobserved time-invariant differences between treatment groups and to estimate the causal treatment effects. Results The entropy balancing was successful in creating balance in all covariates between treatment groups. No significant effects of the reform were found on any of the included PROMs at one- and six-years follow-up. The sensitivity analyses showed that the results were robust. Conclusions Competition and bundled payment had no effects on the quality of hip replacement surgery as captured by post-surgery PROMs of health gain, pain reduction and patient satisfaction. The study provides important insights to the limited knowledge on the effects of competition and economic incentives on PROMs.

scholarly journals A bioactive polymethylmethacrylate bone cement for prosthesis fixation in osteoporotic hip replacement surgery

2021 ◽  
pp. 109966
Author(s):  
Zhibo Zheng ◽  
Siyu Chen ◽  
Xudong Liu ◽  
Yingjie Wang ◽  
Yanyan Bian ◽  
...  
Keyword(s):  
Bone Cement ◽  
Hip Replacement ◽  
Replacement Surgery ◽  
Hip Replacement Surgery ◽  
Prosthesis Fixation
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