Robotic-assisted compared with conventional total hip arthroplasty: systematic review and meta-analysis

Postgraduate Medical Journal
X ChenWenwei Qian

Abstract

Robotic-assisted total hip arthroplasty (THA) allows for accurate preoperative planning and component positioning, potentially enhancing implant survival and long-term outcomes. The relative efficacy and safety of robotic-assisted and conventional THA, however, are unclear. This systematic review and meta-analysis compared the safety and efficacy of robotic-assisted and conventional THA. Medline, Embase and the Cochrane Library were comprehensively searched in September 2017 to identify studies comparing the safety and efficacy of robotic-assisted and conventional THA. Seven studies were included. Data of interest were extracted and analysed using Review Manager 5.3. The seven included studies involved 1516 patients, with 522 undergoing robotic-assisted and 994 undergoing conventional THA. Compared with conventional THA, robotic-assisted THA was associated with longer surgical time (not significant); lower intraoperative complication rates (OR: 0.12, 95% CI: 0.05 to 0.34, p<0.0001 I2); better cup placement, stem placement and global offset and a higher rate of heterotopic ossifications. Functional scores, limb length discrepancy and rates of revision and stress shielding were similar in the two groups. The relative amount of bl...Continue Reading

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Citations

Feb 13, 2019·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Peng-Fei HanXiao-Chun Wei
Nov 5, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·James Randolph OnggoRaphael Hau
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Oct 27, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·James Randolph OnggoRaphael Hau
Jan 1, 2021·Bone & Joint Research·Nicholas D ClementJames T Patton
Jul 23, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Jacob ShapiraBenjamin G Domb
Jan 12, 2021·EFORT Open Reviews·Jean-Pierre St MartZameer Shah
Apr 13, 2021·SICOT-J·Andreas FontalisFares S Haddad
Jun 2, 2021·The Bone & Joint Journal·Nathan NgNicholas D Clement
Jun 1, 2021·The Orthopedic Clinics of North America·Travis R FlickWilliam F Sherman
May 18, 2021·Arthroplasty Today·Ethan A RemilyRonald E Delanois
Sep 30, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Gregory J KirchnerVincent M Moretti

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Methods Mentioned

BETA
total hip arthroplasty

Software Mentioned

CASPAR
MAKO
Review Manager
ROBDOC

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