scholarly journals New technique: practical procedure of robotic arm-assisted (MAKO) total hip arthroplasty

2018 ◽  
Vol 6 (18) ◽  
pp. 364-364 ◽  
Author(s):  
Jianghui Qin ◽  
Zhihong Xu ◽  
Jin Dai ◽  
Dongyang Chen ◽  
Xingquan Xu ◽  
...  
Author(s):  
Matthew Hepinstall ◽  
Harrison Zucker ◽  
Chelsea Matzko ◽  
Morteza Meftah ◽  
Michael Mont

Introduction: Longevity and success of total hip arthroplasty (THA) is largely dependent on component positioning. While use of robotic platforms can improve this positioning, published evidence on its clinical benefits is limited. Therefore, the aim of this study was to assess the clinical outcomes of THA with robotic surgical assistance. Materials and Methods: We conducted an analysis of robotic arm-assisted primary THAs performed by a single surgeon utilizing a posterior approach. A total of 99 patients (107 cases) who had a minimum two-year follow up were identified. Their mean age was 61 years (range, 33 to 84 years), and their mean body mass index was 30.5 kg/m2 (range, 18.5 to 49.1 kg/m2). There were 56% female patients and primary osteoarthritis was the principal hip diagnosis in 88.8%. Operative times, lengths of hospital stay, and discharge dispositions were recorded, along with any complications. Modified Harris Hip Scores (HHS) were calculated to quantify clinical outcomes. Results: Mean postoperative increases in HHS at 2- to 5.7-year follow up was 33 points (range, 6 to 77 points). There were no complications attributable to the use of robotic assistance. Surgical-site complications were rare; one case underwent a revision for prosthetic joint infection (0.93%) but there were no dislocations, periprosthetic fractures, or cases of mechanical implant loosening. There was no evidence of progressive radiolucencies or radiographic failure. Discussion: Robotic arm-assisted THA resulted in low complication rates at minimum two-year follow up, with clinical outcomes comparable to those reported with manual surgery.1–4 The haptically-guided acetabular bone preparation enabled reliable cementless acetabular fixation and there were no adverse events related to the use of the robot. Dislocations were avoided in this case series. Randomized controlled clinical trials are needed to compare manual to robotic surgery and to investigate whether the precision found with this functional planning will reliably reduce the incidence of dislocations.


2020 ◽  
Vol 12 (2) ◽  
pp. 686-691
Author(s):  
Wei Chai ◽  
Ren‐wen Guo ◽  
Ken Lee Puah ◽  
Seth Jerabek ◽  
Ji‐ying Chen ◽  
...  

2018 ◽  
Vol 6 (22) ◽  
pp. 433-433 ◽  
Author(s):  
Matthew S. Hepinstall ◽  
Nipun Sodhi ◽  
Joseph O. Ehiorobo ◽  
Shazaan Hushmendy ◽  
Michael A. Mont

2020 ◽  
Author(s):  
Nao Shibanuma ◽  
Kazunari Ishida ◽  
Tomoyuki Matsumoto ◽  
Koji Takayama ◽  
Yutaro Sanada ◽  
...  

Abstract Background The purpose of this study was to compare the clinical outcomes of total hip arthroplasty (THA) using computer navigation systems (nTHA) and those of robotic arm-assisted THA (rTHA).Methods Thirty prospective subjects who underwent rTHA were clinically compared with 30 subjects who underwent nTHA. Clinical data (the surgical time, intraoperative blood loss, length of hospital stay, pain severity, number of days to independent walking, and Harris Hip Score (HHS) at discharge) and radiographic parameters (the inclination and anteversion angles) were statistically compared between the two groups. Results The surgical time, number of days to independent walking, and postoperative pain were significantly reduced in the rTHA group than in the nTHA group. The rTHA group showed a significantly higher postoperative HHS than did the nTHA group. No statistically significant difference was observed in radiographic parameters between the groups.Conclusion The surgical time, postoperative pain, and number of days to independent walking were significantly shorter, and the HHS at discharge was significantly higher in the rTHA group than in the nTHA group. Thus, as compared to nTHA, rTHA improved early clinical outcomes.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Emeka Oragui ◽  
Will Du-Moulin ◽  
Sam Adie ◽  
Robert Molnar ◽  
Laura Harris

2006 ◽  
Vol 16 (4) ◽  
pp. 250-252 ◽  
Author(s):  
A. Gonzalez Della Valle ◽  
B. Beksac ◽  
M.G.E. Peterson ◽  
E.A. Salvati

Orthopedics ◽  
2020 ◽  
Author(s):  
Itay Perets ◽  
John P. Walsh ◽  
Brian H. Mu ◽  
Yosif Mansor ◽  
Philip J. Rosinsky ◽  
...  

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