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Open Access 01-12-2021 | Hip-TEP | Research article

Early postoperative clinical recovery of robotic arm-assisted vs. image-based navigated Total hip Arthroplasty

Authors: Nao Shibanuma, Kazunari Ishida, Tomoyuki Matsumoto, Koji Takayama, Yutaro Sanada, Masahiro Kurosaka, Ryosuke Kuroda, Shinya Hayashi

Published in: BMC Musculoskeletal Disorders | Issue 1/2021

Abstract

Background

This study compared the early clinical recovery of total hip arthroplasty (THA) using computer navigation systems (nTHA) and robotic arm-assisted THA (rTHA).

Methods

Thirty prospective subjects who underwent rTHA were clinically compared to 30 subjects who underwent nTHA. Clinical data (surgical time, intraoperative blood loss, pain severity, number of days to independent walking, and Harris Hip Score (HHS) at discharge), and radiographic parameters (inclination and anteversion angles) were statistically compared between the two groups.

Results

Follow-up times were 24.3 ± 6.0 and 27.0 ± 7.0 days in the rTHA and nTHA groups, respectively. The surgical time (135.1 ± 13.9 min vs. 146.2 ± 12.8 min, p = 0.002), number of days to independent walking (7.2 ± 2.0 vs. 11.5 ± 3.0 days, p < 0.001), and postoperative pain using a numeric rating scale on postoperative days 7, 10,, and 14 (1.4 ± 0.9 vs. 2.2 ± 1.2, p = 0.005; 1.0 ± 0.8 vs. 1.8 ± 1.1, p = 0.002; 0.3 ± 0.5 vs. 1.1 ± 0.9, p < 0.001; respectively) were significantly reduced in the rTHA group compared to the nTHA group. The rTHA group showed a significantly higher postoperative HHS compared to the nTHA group (85.3 ± .3.2 vs. 81.0 ± 8.5, p = 0.014). No statistically significant difference was observed in radiographic parameters between the groups; however, the incidence of intraoperative target angle changes was significantly lower in the rTHA group than in the nTHA group (0/30 subjects [0%] vs. 11/30 subjects [36.7%], p < 0.001).

Conclusion

The surgical time, postoperative pain, and number of days to independent walking were significantly shorter, and the HHS at discharge was significantly higher in the rTHA group than in the nTHA group. Thus, compared to the nTHA group, the rTHA group showed improved early clinical recovery.

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Title: Early postoperative clinical recovery of robotic arm-assisted vs. image-based navigated Total hip Arthroplasty
Authors: Nao Shibanuma
Kazunari Ishida
Tomoyuki Matsumoto
Koji Takayama
Yutaro Sanada
Masahiro Kurosaka
Ryosuke Kuroda
Shinya Hayashi
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Hip-TEP
Hip-TEP
Published in: BMC Musculoskeletal Disorders / Issue 1/2021
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-021-04162-3

At a glance: The STEP trials

Springer Medicine

Early postoperative clinical recovery of robotic arm-assisted vs. image-based navigated Total hip Arthroplasty

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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