Robotic-arm assisted versus manual total hip arthroplasty : Systematic review and meta-analysis of radiographic accuracy

© 2021 John Wiley & Sons Ltd..

BACKGROUND: We systematically reviewed the radiological outcomes of studies comparing robotic-assisted (RA-THA) and manual total hip arthroplasty (mTHA).

METHODS: The PubMed, Embase, and Cochrane databases were queried from 1994-2021 for articles comparing radiographic outcomes between RA-THA and mTHA cohorts. A meta-analysis was conducted whenever sufficient data was present for common outcomes.

RESULTS: Our analysis included 20 articles reporting on 4140 patients (RA-THA: n = 1228; mTHA: n = 2912). No differences were demonstrated for acetabular inclination or anteversion. However, RA-THA demonstrated higher rates of cup orientation within the Lewinnek and Callanan safe zones, improved femoral stem alignment, and lower global offset difference (GOD) and limb length discrepancy (all p-values <0.05). Superior femoral canal fill and combined offset were seen among RA-THA patients.

CONCLUSION: Our review found that the use of RA-THA yields superior radiographic outcomes compared to mTHA counterparts. This information can inform healthcare systems considering investing in and implementing these technologies.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

The international journal of medical robotics + computer assisted surgery : MRCAS - 17(2021), 6 vom: 21. Dez., Seite e2332

Sprache:

Englisch

Beteiligte Personen:

Emara, Ahmed K [VerfasserIn]
Samuel, Linsen T [VerfasserIn]
Acuña, Alexander J [VerfasserIn]
Kuo, Andy [VerfasserIn]
Khlopas, Anton [VerfasserIn]
Kamath, Atul F [VerfasserIn]

Links:

Volltext

Themen:

Implant placement
Journal Article
Meta-Analysis
Meta-analysis
Radiographic outcomes
Review
Robotic-arm assisted total hip arthroplasty
Semi-active robotic systems
Systematic Review
Systematic review

Anmerkungen:

Date Completed 09.11.2021

Date Revised 09.11.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/rcs.2332

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM33070365X