CT-based, robotic-arm assisted total hip arthroplasty (Mako) through anterior accuracy but no difference in clinical outcomes when compared to conventional technique


İNCESOY M. A., Yildiz F., Pulatkan M. A., Yesiller O. F., TOLUK Ö., ERDEM A. C., ...Daha Fazla

TECHNOLOGY AND HEALTH CARE, cilt.32, sa.5, ss.3681-3691, 2024 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 5
  • Basım Tarihi: 2024
  • Doi Numarası: 10.3233/thc-231111
  • Dergi Adı: TECHNOLOGY AND HEALTH CARE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.3681-3691
  • Trakya Üniversitesi Adresli: Hayır

Özet

BACKGROUND: With the restoration of the natural hip biomechanics, a successful total hip arthroplasty (THA) and long-term survival is pursued. Although robotic THA (rTHA) has been developed to increase accuracy of implant positioning, leg lengths and offsets, discussions about its radiological and clinical advantages over conventional THA (cTHA) continues. OBJECTIVE: The aim of this study was to compare clinical and radiological outcomes of robotic and conventional THA. METHODS: This retrospective study compares functional and radiological outcomes of 82 rTHA with a matched group of 82 cTHA in terms of age, sex, body mass index and preoperative functional scores. The minimum follow up was 12 months for all patients. Functional outcomes were Harris Hip Score (HHS) and the Western Ontario and McMaster University Osteoarthritis index (WOMAC) evaluated pre- and postoperatively. Radiological evaluations included position of cup placement according to RESULTS: In the rTHA group, 91.5% (75 out of 82) of the acetabular cups were positioned within the safe zone whereas it was 63.4% (52 out of 82) for the cTHA group (p <0.001). According to Callanan, they were 84.1% and 50%, respectively (p < and major complication rates. CONCLUSION: rTHA is superior to cTHA in terms of accuracy and reproducibility of the cup placement, however no apparent clinical benefit was found in short term follow.