Haptic Robotics in Total Hip Arthroplasty

Jahng, Kenneth H.; Kamara, Eli; Hepinstall, Matthew S.

doi:10.1007/978-3-319-34109-5_131

Cited by 3 publications

(2 citation statements)

References 46 publications

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“…Robotic-arm guidance was used in 266 hips, more commonly in the NHPT group than in the CaP-coated ( P < .001) or the HA-coated ( P < .001) cups. Our technique for use of the robotic arm has also been described [ 12 ].…”

Section: Methodsmentioning

confidence: 99%

Impact of Acetabular Implant Design on Aseptic Failure in Total Hip Arthroplasty

et al. 2021

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Section: Methodsmentioning

confidence: 99%

Impact of Acetabular Implant Design on Aseptic Failure in Total Hip Arthroplasty

et al. 2021

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“…5 La IA se fundamenta en algoritmos que permiten tomar decisiones obtenidas por medio del aprendizaje. 6,7 Existen dos enfoques en el aprendizaje de máquinas: uno implica la participación humana para etiquetar, categorizar y establecer algoritmos de decisión basados en un «entrenamiento». El segundo proporciona a la máquina experiencia propia mediante algoritmos iniciales y entrenamiento supervisado.…”

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El rol de la inteligencia artificial en el campo de la ortopedia

Garín-Zertuche,

Vílchez-Cavazos

2023

Ortho-Tips

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Adoption of Robotic Arm-Assisted Total Hip Arthroplasty Results in Reliable Clinical and Radiographic Outcomes at Minimum Two-Year Follow Up

Hepinstall

Zucker

Matzko³

et al. 2021

Surg Technol Int.

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Introduction: Longevity and success of total hip arthroplasty (THA) is largely dependent on component positioning. While use of robotic platforms can improve this positioning, published evidence on its clinical benefits is limited. Therefore, the aim of this study was to assess the clinical outcomes of THA with robotic surgical assistance. Materials and Methods: We conducted an analysis of robotic arm-assisted primary THAs performed by a single surgeon utilizing a posterior approach. A total of 99 patients (107 cases) who had a minimum two-year follow up were identified. Their mean age was 61 years (range, 33 to 84 years), and their mean body mass index was 30.5 kg/m2 (range, 18.5 to 49.1 kg/m2). There were 56% female patients and primary osteoarthritis was the principal hip diagnosis in 88.8%. Operative times, lengths of hospital stay, and discharge dispositions were recorded, along with any complications. Modified Harris Hip Scores (HHS) were calculated to quantify clinical outcomes. Results: Mean postoperative increases in HHS at 2- to 5.7-year follow up was 33 points (range, 6 to 77 points). There were no complications attributable to the use of robotic assistance. Surgical-site complications were rare; one case underwent a revision for prosthetic joint infection (0.93%) but there were no dislocations, periprosthetic fractures, or cases of mechanical implant loosening. There was no evidence of progressive radiolucencies or radiographic failure. Discussion: Robotic arm-assisted THA resulted in low complication rates at minimum two-year follow up, with clinical outcomes comparable to those reported with manual surgery.1–4 The haptically-guided acetabular bone preparation enabled reliable cementless acetabular fixation and there were no adverse events related to the use of the robot. Dislocations were avoided in this case series. Randomized controlled clinical trials are needed to compare manual to robotic surgery and to investigate whether the precision found with this functional planning will reliably reduce the incidence of dislocations.

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Haptic Robotics in Total Hip Arthroplasty

Cited by 3 publications

References 46 publications

Impact of Acetabular Implant Design on Aseptic Failure in Total Hip Arthroplasty

Impact of Acetabular Implant Design on Aseptic Failure in Total Hip Arthroplasty

El rol de la inteligencia artificial en el campo de la ortopedia

Adoption of Robotic Arm-Assisted Total Hip Arthroplasty Results in Reliable Clinical and Radiographic Outcomes at Minimum Two-Year Follow Up

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