Use of Robotic‐Arm Assisted Technique in Complex Primary Total Hip Arthroplasty

The developments in hip and knee arthroplasty over recent years have aimed to improve outcomes, reduce complications and improve implant survival. This review describes some of the most interesting trends and developments in this important and fast-moving field. Notable developments have included ceramic hip resurfacing, mini hip stems, cementless knee replacement and the wider adoption of the dual mobility articulation for hip arthroplasty. Advances in additive manufacturing and the surface modification of joint replacements offer increasing options for more challenging arthroplasty cases. Robotic assisted surgery is one of the most interesting developments in hip and knee surgery. The recent growth in the use of this technology is providing data that will help determine whether this approach should become the standard of care for hip and knee arthroplasty in the future.

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“…Stryker Mako Robotic System Chai W, et al Use of Robotic-Arm Assisted Technique in Complex Primary Total Hip Arthroplasty 52. …”

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confidence: 99%

Trends and developments in hip and knee arthroplasty technology

Marsh

Newman

2021

Journal of Rehabilitation and Assistive Technologies Engineerin

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“…Today this concept has been largely replaced with a "functional" model of acetabular positioning which can change depending on sitting or standing postures [4]. Newer studies have elucidated the influence of spinal mechanics on hip function as it relates to dislocation [17]. Researchers are working to incorporate various biomechanical parameters such as lumbar disc disease into next generation software to produce a custom hip replacement experience [3,4,18].…”

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confidence: 99%

Conversion of Hip Arthrodesis Using Robotic Arm Technology

et al. 2021

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Recent advancements in computer-assisted surgery have led to a renewed interest in robotic-assisted hip arthroplasty. This technology assists with component position which is especially useful in prior trauma or dysplasia cases. We present a case of a surgical hip fusion conversion to total hip arthroplasty with the use of robotic-assisted technology. Enhanced preoperative planning with the ability to manipulate implant position before execution can be invaluable during complex procedures. Further research is warranted before revision cases using computerized navigation systems becomes more prevalent.

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“…The operations went uneventfully, with no complications taking place. The postoperative Harris scores were 83/86 (left/right) for hip dysplasia, 87 for post-traumatic hip osteoarthritis and 62 (poor) for ankylosing spondylitis, suggesting that robot-assisted surgery was suitable for complex THA, especially when the bony landmarks were absent [ 21 ] (Table 1 ).…”

Section: Robotic Surgery In Hip Arthroplastymentioning

confidence: 99%

What’s new in artificially intelligent joint surgery in China? The minutes of the 2021 IEEE ICRA and literature review

Yuan

2022

Arthroplasty

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Objective To outline the main results of the 2021 International Conference on Robotics and Automation (ICRA 2021) of the Institute of Electrical and Electronics Engineers (IEEE) and review the advances in artificially intelligent joint surgery in China. Methods The keynote speeches of the 2021 ICRA were summarized in detail, and publications indexed by five core electronic databases (PubMed, Cochrane, Medline, Embase and CNKI) were systematically surveyed (cutoff date: July 30, 2021) in terms of the main topics of the conference. Publications directly related to artificially intelligent joint surgery in China were identified by using the search strategies of (robotic AND arthroplasty OR replacement), (navigation AND arthroplasty OR replacement), (artificial intelligent AND arthroplasty OR replacement), and (mixed reality AND arthroplasty OR replacement) and systemically reviewed. Results While robot-assisted arthroplasty in China is mainly performed using robots made in other countries (e.g., Mako from Stryker, USA), China’s domestic R&D of robots and clinical studies of robotic joint surgery have made some achievements. Although reports on the safety, effectiveness and clinical efficacy of China’s domestic robot-assisted joint surgery were presented at conferences, they have rarely been published in journals. Existing data indicate that, after the learning curve is overcome, robot-assisted hip and knee replacement surgery can fully achieve the established goals of precision and individualization and can significantly improve the accuracy of prosthesis placement angle and the recovery of the mechanical axis as compared with conventional surgery. The downside is that the low level of intelligentization and individualization means that existing designs are not conducive to personalization during surgery, resulting in low cost-effectiveness. Conclusion The safety and efficacy of domestic robot-assisted arthroplasty in China are well documented, and its accuracy and short-term clinical efficacy have been reported. However, the long-term clinical efficacy and the cost-effectiveness of large-scale clinical application of this technique warrants further study. The inadequacies of robot-assisted surgery should be remedied through the deep integration of medicine, engineering and the network.

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Use of Robotic‐Arm Assisted Technique in Complex Primary Total Hip Arthroplasty

Cited by 15 publications

References 11 publications

Trends and developments in hip and knee arthroplasty technology

Trends and developments in hip and knee arthroplasty technology

Conversion of Hip Arthrodesis Using Robotic Arm Technology

What’s new in artificially intelligent joint surgery in China? The minutes of the 2021 IEEE ICRA and literature review

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