Comparison of Utilization and Short-term Complications Between Technology-assisted and Conventional Total Hip Arthroplasty

Simcox, Trevor; Singh, Vivek; Oakley, Christian T; Koenig, Jan; Schwarzkopf, Ran; Rozell, Joshua C.

doi:10.5435/jaaos-d-21-00698

Cited by 8 publications

(14 citation statements)

References 36 publications

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“…Several recent studies have evaluated national utilization trends of technology-assisted TJA. 1-8 Bendich et al 4 reported a 32% increase in computer-assisted navigation and 2,204% increase in robotic-assisted TKA utilization in the United States between 2010 and 2018, with 9.7% of all TKAs conducted in 2018 using some form of technology. Similar trends have been documented for THA (4.0% technology-assisted).…”

Section: Discussionmentioning

confidence: 99%

“…Several recent studies have evaluated national utilization trends of technology-assisted TJA. [1][2][3][4][5][6][7][8] Bendich et al 4 reported a 32% increase in computer-assisted navigation and 2,204% increase in robotic-assisted TKA utilization in the United States between 2010 and 2018, with 9.7%…”

Section: Discussionmentioning

confidence: 99%

“…Despite a lack of long-term outcomes data for TA-TJA, multiple studies have demonstrated a definitive increase in adoption of TA-TJA among orthopaedic surgeons. 1-8…”

mentioning

confidence: 99%

“…Despite a lack of long-term outcomes data for TA-TJA, multiple studies have demonstrated a definitive increase in adoption of TA-TJA among orthopaedic surgeons. [1][2][3][4][5][6][7][8] All orthopaedic surgery residents are expected to learn and become competent in conducting both total hip arthroplasty (THA) and total knee arthroplasty (TKA), as demonstrated by inclusion of these procedures in the Accreditation Council for Graduate Medical Education (ACGME) Milestones program. 9 Furthermore, THA and TKA are among the highest mean number of procedures documented in case logs by graduating orthopaedic residents annually.…”

mentioning

confidence: 99%

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Technology-Assisted Hip and Knee Arthroplasty in Orthopaedic Residency Training: A National Survey

Sweet

Miladore

Bovid

et al. 2023

J Am Acad Orthop Surg

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Introduction: The adoption of technology-assisted total joint arthroplasty (TA-TJA) is increasing; however, the extent to which TA-TJA is used among orthopaedic trainees is unknown. The purpose of this study was to assess the current use of TA total knee arthroplasty (TKA) and total hip arthroplasty (THA) by orthopaedic residents and to evaluate resident perceptions toward TA-TJA in their surgical training. Methods: In this cross-sectional study, an anonymous electronic survey was sent to all Accreditation Council for Graduate Medical Education–accredited orthopaedic surgery residency program coordinators to distribute to their PGY-2 to PGY-5 residents. The survey consisted of 24 questions, including resident demographics, utilization of TA-TJA in their training, and perceptions regarding TA-TJA. Results: A total of 103 orthopaedic residents completed the survey, of whom 68.0% reported using TA-TJA at their institution. Of the residents using TA-TJA, 28.6% used TA for total TKA only, 71.4% used TA for both TKA and THA, and none used TA solely for THA. One-third of residents (33.3%) use TA for more than half of all TKAs conducted, whereas 57.0% use TA for <10% of all THAs conducted. Approximately half of all residents (49.5%) thought that training in TA-TJA should be required during residency, with no significant differences between junior and senior level residents (P = 0.24). Most (82.0%) thought that trainees should be required to learn conventional TJA before learning TA-TJA. 63.0% thought that technology had a positive effect on their primary TJA training experience; however, 26.0% reported concern that their training conducting conventional TJA may be inadequate. Discussion: This study demonstrates that most orthopaedic residents currently conduct TA-TJA and highlights notable differences in TJA training experiences. These results provide a platform for future work aimed at further optimizing TJA training in residency, particularly as technology continues to rapidly evolve and utilization of TA-TJA is projected to grow exponentially. Level of Evidence: N/A, survey-based study.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Despite a lack of long-term outcomes data for TA-TJA, multiple studies have demonstrated a definitive increase in adoption of TA-TJA among orthopaedic surgeons. 1-8…”

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Technology-Assisted Hip and Knee Arthroplasty in Orthopaedic Residency Training: A National Survey

Sweet

Miladore

Bovid

et al. 2023

J Am Acad Orthop Surg

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“…Using the American College of Surgeons (ACS) NSQIP database, Simcox et al recently investigated the real-world application of technology-assisted THA 25 . Among the 238,755 patients in the database who underwent THA, 3,149 cases (1.3%) were found to have been performed using either computer navigation or robotics.…”

Section: Complicationsmentioning

confidence: 99%

What’s New in Hip Replacement

Morgan

2022

Journal of Bone and Joint Surgery

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Implant Design and Related Outcomes Dual MobilityDual-mobility cups do not reduce the revision risk for patients with acute femoral neck fracture, as concluded by Rogmark and Nauclér in an observational cohort of 2,242 patients with dual-mobility cups compared with a matched cohort of 6,726 patients treated with a conventional total hip implant 1 . The authors reported that, with implant revision surgery as the outcome, they "could not detect any differences between a total hip arthroplasty with a dual mobility cup and one with conventional bearing." Outcomes were similar and independent of whether the implants were inserted via a direct lateral or posterior approach as well as for subgroup analyses of revision for dislocation and infection. The authors concluded that improvements in the care of patients with hip fracture are most likely to come from elsewhere in the care pathway and "not in design variations of contemporary orthopedic implants."Cnudde et al. reported similar findings when they investigated patients with neurologic disease undergoing arthroplasty for femoral neck fracture 2 . Comparing hemiarthroplasty, conventional total hip arthroplasty (THA), and dual-mobility THA performed in 9,638 patients with conditions such as Alzheimer and Parkinson diseases, the authors found that there was an increased risk of dislocation when comparing hemiarthroplasty and THA with a <32-mm head but not with conventional THA with a 32-mm head (hazard ratio [HR], 1.54 [95% confidence interval (CI), 0.94 to 2.51]; p = 0.083) and THA with a dual-mobility implant (HR, 0.68 [95% CI, 0.26 to 1.84]; p = 0.451). Overall, the authors found no difference in the rate of reoperation or revision-free survival between any of the different prostheses or sizes of the femoral head. Cobalt-ChromiumUsing data from the National Joint Registry linked to U.K. National Health Service (NHS) English hospital inpatient episodes for 374,359 primary THAs, Deere et al. investigated 158,677 hips (42.4%) containing an implant with cobaltchromium 3 . With a maximum 14.5-year follow-up (mean [and Disclosure: The Disclosure of Potential Conflicts of Interest form is provided with the online version of the article (http://links.lww.com/JBJS/H172).

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Improved short-term outcomes for a novel, fluoroscopy-based robotic-assisted total hip arthroplasty system compared to manual technique with fluoroscopic assistance

Buchan,

Hecht,

Sculco

et al. 2023

Arch Orthop Trauma Surg

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Comparison of Utilization and Short-term Complications Between Technology-assisted and Conventional Total Hip Arthroplasty

Cited by 8 publications

References 36 publications

Technology-Assisted Hip and Knee Arthroplasty in Orthopaedic Residency Training: A National Survey

Technology-Assisted Hip and Knee Arthroplasty in Orthopaedic Residency Training: A National Survey

What’s New in Hip Replacement

Improved short-term outcomes for a novel, fluoroscopy-based robotic-assisted total hip arthroplasty system compared to manual technique with fluoroscopic assistance

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