Robot-assisted total hip arthroplasty.
Identifieur interne : 003D70 ( Ncbi/Curation ); précédent : 003D69; suivant : 003D71Robot-assisted total hip arthroplasty.
Auteurs : Samik Banerjee [États-Unis] ; Jeffery J. Cherian [États-Unis] ; Randa K. Elmallah [États-Unis] ; Todd P. Pierce [États-Unis] ; Julio J. Jauregui [États-Unis] ; Michael A. Mont [États-Unis]Source :
- Expert review of medical devices [ 1745-2422 ] ; 2016.
Abstract
Precise and accurate biomechanical reconstruction during total hip arthroplasty (THA) is essential for durable long-term survivorship. Accurate fit of cementless hip implants is also crucial to reduce micromotion between the bone-implant interfaces to allow for stable osseointegration. Robotic technology aims to minimize potential human errors and improve implant alignment and fit, and address persisting concerns with modern-day cementless THA. Although robotic THA dates back to the early 1990s, concerns with increased operating times, costs, and complications led to its withdrawal. However, semi-active systems have renewed interest in robot-assisted joint arthroplasty. We reviewed the current technology, its potential benefits, and the reported clinical and radiographic outcomes. Early evidence suggests that robotic use may lead to more accurate reconstruction of radiographic parameters, such as implant positioning, fit, center-of-rotation, and leg-length discrepancy. Further research is needed to determine if these will translate into better outcomes and improved implant longevity to justify increased costs.
DOI: 10.1586/17434440.2016.1124018
PubMed: 26592900
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Mont</name><affiliation wicri:level="2"><nlm:affiliation>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD </wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:26592900</idno><idno type="pmid">26592900</idno><idno type="doi">10.1586/17434440.2016.1124018</idno><idno type="wicri:Area/PubMed/Corpus">000189</idno><idno type="wicri:Area/PubMed/Curation">000189</idno><idno type="wicri:Area/PubMed/Checkpoint">000042</idno><idno type="wicri:Area/Ncbi/Merge">003D70</idno><idno type="wicri:Area/Ncbi/Curation">003D70</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Robot-assisted total hip arthroplasty.</title><author><name sortKey="Banerjee, Samik" sort="Banerjee, Samik" uniqKey="Banerjee S" first="Samik" last="Banerjee">Samik Banerjee</name><affiliation wicri:level="2"><nlm:affiliation>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD </wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Cherian, Jeffery J" sort="Cherian, Jeffery J" uniqKey="Cherian J" first="Jeffery J" last="Cherian">Jeffery J. Cherian</name><affiliation wicri:level="2"><nlm:affiliation>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD </wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Elmallah, Randa K" sort="Elmallah, Randa K" uniqKey="Elmallah R" first="Randa K" last="Elmallah">Randa K. Elmallah</name><affiliation wicri:level="2"><nlm:affiliation>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD </wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Pierce, Todd P" sort="Pierce, Todd P" uniqKey="Pierce T" first="Todd P" last="Pierce">Todd P. Pierce</name><affiliation wicri:level="2"><nlm:affiliation>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD </wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Jauregui, Julio J" sort="Jauregui, Julio J" uniqKey="Jauregui J" first="Julio J" last="Jauregui">Julio J. Jauregui</name><affiliation wicri:level="2"><nlm:affiliation>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD </wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Mont, Michael A" sort="Mont, Michael A" uniqKey="Mont M" first="Michael A" last="Mont">Michael A. Mont</name><affiliation wicri:level="2"><nlm:affiliation>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement , Sinai Hospital of Baltimore , Baltimore , MD </wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author></analytic><series><title level="j">Expert review of medical devices</title><idno type="eISSN">1745-2422</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Precise and accurate biomechanical reconstruction during total hip arthroplasty (THA) is essential for durable long-term survivorship. Accurate fit of cementless hip implants is also crucial to reduce micromotion between the bone-implant interfaces to allow for stable osseointegration. Robotic technology aims to minimize potential human errors and improve implant alignment and fit, and address persisting concerns with modern-day cementless THA. Although robotic THA dates back to the early 1990s, concerns with increased operating times, costs, and complications led to its withdrawal. However, semi-active systems have renewed interest in robot-assisted joint arthroplasty. We reviewed the current technology, its potential benefits, and the reported clinical and radiographic outcomes. Early evidence suggests that robotic use may lead to more accurate reconstruction of radiographic parameters, such as implant positioning, fit, center-of-rotation, and leg-length discrepancy. Further research is needed to determine if these will translate into better outcomes and improved implant longevity to justify increased costs.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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