Does robotic-assisted surgery improve outcomes of total hip arthroplasty compared to manual technique? A systematic review and meta-analysis

医学 荟萃分析 全髋关节置换术 关节置换术 外科 髋关节置换术 系统回顾 髋关节手术 梅德林 内科学 法学 政治学
作者
Vishal Kumar,Sandeep Patel,Vishnu Baburaj,Rajesh Kumar Rajnish,Sameer Aggarwal
出处
期刊:Postgraduate Medical Journal [Oxford University Press]
卷期号:99 (1171): 375-383 被引量:9
标识
DOI:10.1136/postgradmedj-2021-141135
摘要

Robot-assisted total hip arthroplasty (THA) is an emerging technology that claims to position implants with very high accuracy. However, there is currently limited data in literature on whether this improved accuracy leads to better long-term clinical outcomes. This systematic review compares the outcomes of THA done with the help of robotic assistance (RA) to those done with conventional manual techniques (MTs).Four electronic databases were searched for eligible articles that directly compared robot-assisted THA to manual THA and had data on the radiological or clinical outcomes of both. Data on various outcome parameters were collected. Meta-analysis was conducted using a random-effects model with 95% CIs.A total of 17 articles were found eligible for inclusion, and 3600 cases were analysed. Mean operating time in the RA group was significantly longer than in the MT group. RA resulted in significantly more acetabular cups being placed inside Lewinnek's and Callanan's safe zones (p<0.001) and had significantly reduced limb length discrepancy compared with MT. There were no statistically significant differences in the two groups in terms of incidence of perioperative complications, need for revision surgery and long-term functional outcome.RA leads to highly accurate implant placement and leads to significantly reduced limb length discrepancies. However, the authors do not recommend robot-assisted techniques for routine THAs due to lack of adequate long-term follow-up data, prolonged surgical times and no significant differences in the rate of complications and implant survivorship compared with conventional MTs.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
unique发布了新的文献求助10
5秒前
深情安青应助点点采纳,获得10
7秒前
秀丽笑容发布了新的文献求助10
9秒前
12秒前
wuxunxun2015发布了新的文献求助10
14秒前
光轮2000完成签到 ,获得积分10
15秒前
科研通AI2S应助如如采纳,获得10
15秒前
黛宝完成签到,获得积分10
16秒前
谢謝发布了新的文献求助10
16秒前
17秒前
17秒前
17秒前
devin578632发布了新的文献求助10
20秒前
lv发布了新的文献求助10
20秒前
点点发布了新的文献求助10
22秒前
茱萸发布了新的文献求助10
22秒前
欣喜电脑给欣喜电脑的求助进行了留言
22秒前
依依n发布了新的文献求助10
22秒前
可乐完成签到,获得积分10
23秒前
wxy21完成签到 ,获得积分10
24秒前
ti完成签到,获得积分10
25秒前
25秒前
lyt发布了新的文献求助10
29秒前
30秒前
六初完成签到 ,获得积分10
34秒前
36秒前
sure发布了新的文献求助10
37秒前
GJL完成签到,获得积分10
37秒前
39秒前
悲凉的黎云完成签到,获得积分10
40秒前
研友_VZG7GZ应助发发发采纳,获得10
41秒前
43秒前
AARON发布了新的文献求助10
45秒前
46秒前
善学以致用应助噜噜噜采纳,获得30
47秒前
48秒前
axiao发布了新的文献求助10
49秒前
机灵的幻灵完成签到 ,获得积分10
49秒前
茱萸完成签到,获得积分20
49秒前
Orange应助消烦员采纳,获得10
50秒前
高分求助中
【此为提示信息,请勿应助】请按要求发布求助,避免被关 20000
Production Logging: Theoretical and Interpretive Elements 3000
CRC Handbook of Chemistry and Physics 104th edition 1000
Izeltabart tapatansine - AdisInsight 600
Introduction to Comparative Public Administration Administrative Systems and Reforms in Europe, Third Edition 3rd edition 500
Distinct Aggregation Behaviors and Rheological Responses of Two Terminally Functionalized Polyisoprenes with Different Quadruple Hydrogen Bonding Motifs 450
THE STRUCTURES OF 'SHR' AND 'YOU' IN MANDARIN CHINESE 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 物理 生物化学 纳米技术 计算机科学 化学工程 内科学 复合材料 物理化学 电极 遗传学 量子力学 基因 冶金 催化作用
热门帖子
关注 科研通微信公众号,转发送积分 3761895
求助须知:如何正确求助?哪些是违规求助? 3305631
关于积分的说明 10135016
捐赠科研通 3019709
什么是DOI,文献DOI怎么找? 1658368
邀请新用户注册赠送积分活动 792029
科研通“疑难数据库(出版商)”最低求助积分说明 754766