HealthDay News — Robotic-assisted total hip arthroplasty (R-THA) shows benefits in terms of dislocation rates and related revisions compared with manual total hip arthroplasty (M-THA), according to a study recently published online in The Journal of Arthroplasty.
Jonathan H. Shaw, MD, from Henry Ford Hospital in Detroit, and colleagues compared dislocation rates and related revisions between R-THA and M-THA. The analysis included 2247 consecutive patients (1724 M-THA and 523 R-THA) who received a primary THA between January 2014 and June 2020 at a single hospital (3 surgeons).
The researchers observed significantly lower rates of dislocation in R-THA (0.6%) vs M-THA (2.5%). All cases of unstable R-THA were successfully treated conservatively, while 46% of unstable M-THA were revised for recurrent instability. In the R-THA group, cup anteversion was greater (25.6 degrees for R-THA vs 20.6 degrees for M-THA), while cup inclination was lower (42.5 degrees for R-THA vs 47.0 degrees for M-THA). There were no significant differences seen for patient-reported outcome measures or other complications.
“Patients, in consultation with their joint replacement surgeon, should decide which surgical option is best for them,” Davis said in a statement. “Robotic surgery for hip replacement surgery continues to evolve and more larger studies are needed to better define the advantages.”