Clinical efficacy of OrthoPilot navigation system versus conventional manual total hip arthroplasty: A systematic review and meta‐analysis

Abstract

Objective This study was performed to compare the clinical efficacy between the OrthoPilot navigation system and conventional manual surgery in patients undergoing total hip arthroplasty. Methods The Embase, PubMed, CINAHL, and Cochrane databases were searched for clinical trials. The outcome measurements were the anteversion angle, inclination angle, and complications. Review Manager 5.3 statistical software was used for the data analysis. Results Significant differences were found in the femoral offset and overall complication rate between the conventional and navigation groups. Additionally, the conventional group had significantly less anteversion than the navigation group. However, the navigation group had significantly better inclination. The operation time was significantly shorter in the conventional than navigation group. Conclusion Both the OrthoPilot navigation system and conventional total hip arthroplasty result in significant improvements in patient function with similar overall complication rates and have their own advantages in achieving good cup position. The conventional procedure has a shorter operation time than does use of a navigation system.

Accuracy of acetabular cup placement using an angle-adjusting alignment guide with laser pointer in total hip arthroplasty

“…Approximately 25.7–85% of cases are placed in the safe zone. 12 , 20 –22 There are also reports that the cup placement accuracy differs depending on patients’ BMI and surgeons’ experience. Callanan et al reported that while cup placement in the safe zone among experienced surgeons was 51.1%, the rate was 34.1% for inexperienced surgeons.…”

A review of computer‐assisted orthopaedic surgery systems

“…Every year, more than 1 million people worldwide have hip arthritis with refractory or permanent pain and dysfunction, and this number is expected to double in the next 20 years 5 . A number of clinical studies have shown that, compared with traditional THA, the use of surgery navigation systems can improve the accuracy of prosthesis placement, 139,140 hence reducing the incidence of postoperative displacement‐related complications.…”

“…By detecting markers and displaying them in a virtual scene, the surgery instruments can be tracked in real time, and the information is transmitted to the orthopaedic surgeon in real time. A number of clinical studies have shown that compared with traditional THA, imageless navigation can improve the accuracy of prosthesis placement, thereby reducing the occurrence of complications such as postoperative shift 5 . However, the use of surgical navigation systems tends to increase the time of surgery, making some doctors more inclined to perform traditional surgery 167 .…”

“…Bone and muscle are important components of the human body, and any damage to bones and muscles can affect the human body 1 . In addition, different orthopaedic operations are aimed at restoring the function of the surgery site as much as possible 2‐5 . In the past two decades, to reduce or avoid the risk of surgery, various medical devices and surgery methods have been developed to help orthopaedic surgeons successfully complete operations 6,7 .…”

Computer Navigation vs. Conventional Overlay Methods in Direct Anterior Total Hip Arthroplasty: A Single Surgeon Experience

“…A review of the literature by Rajpaul et al (2018) showed an overall improvement in restoring leg lengths compared to conventional techniques, but without strong functional benefits in the long term [15]. Despite these differences, the use of CN in THA has overall demonstrated the potential to streamline the procedure via reducing trialing, interruptions for repeat fluoroscopy, and decreased operative times compared to conventional techniques [13,16].…”