Robotic-assisted Total Hip Arthroplasty in Secondary Osteoarthritis of The Hip Joint Due to Developmental Hip Dysplasia: A Systematic Review And Meta-analysis

7 pages•Published: March 8, 2024

Guntarat Chinvattanachot, Jithayut Sueajui, Urawit Piyapromdee, Tana Rattanakitkoson and Yingyong Suksathien

Abstract

Robotic-assisted total hip arthroplasty (raTHA) was introduced in recent decades, offering proven advantages in improving the acetabular cup placement. However, the use of raTHA requires specific equipment and additional cost of $1,788 per case, raising the question of its cost-effectiveness. We believe that the use of raTHA may be substantially advantageous in complicated cases such as developmental dysplasia of the hip (DDH) with deformed anatomy, where proper prosthesis alignment is hard to achieve. Therefore, we conducted a systematic review and meta-analysis in accordance with the 2020 PRISMA to evaluate the benefits of raTHA over conventional total hip arthroplasty in DDH patients. From 80 studies that we found, only three were eligible. We primarily focused on the radiological outcomes and complications. However, functional outcomes were not compared and analyzed due to differences in reporting formats among the original studies. The analyses proved that raTHA was associated with a significantly increased rate of cup placement within Lewinnek's and Callanan’s safe zone. All studies had no report of any complications and revisions during the short term follow-up. Although statistical precision may have been affected by a limited number of studies, our review offers the first and most recent evidence-based analysis of the use of raTHA in secondary osteoarthritis caused by DDH. This meta-analysis revealed the potential benefits of the raTHA in improving radiological outcomes, which may outweigh the total costs in such well-selected cases.

Keyphrases: ddh, developmental hip dysplasia, hip dysplasia, robotic assisted total hip arthroplasty, robotic total hip arthroplasty

In: Joshua W Giles (editor). Proceedings of The 22nd Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery, vol 6, pages 13-19.

Links:	https://easychair.org/publications/paper/62G8
	https://doi.org/10.29007/hhd6

BibTeX entry

@inproceedings{CAOS2023:Robotic_assisted_Total_Hip,
  author    = {Guntarat Chinvattanachot and Jithayut Sueajui and Urawit Piyapromdee and Tana Rattanakitkoson and Yingyong Suksathien},
  title     = {Robotic-assisted Total Hip Arthroplasty in Secondary Osteoarthritis of The Hip Joint Due to Developmental Hip Dysplasia: A Systematic Review And Meta-analysis},
  booktitle = {Proceedings of The 22nd Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery},
  editor    = {Joshua W Giles},
  series    = {EPiC Series in Health Sciences},
  volume    = {6},
  publisher = {EasyChair},
  bibsource = {EasyChair, https://easychair.org},
  issn      = {2398-5305},
  url       = {/publications/paper/62G8},
  doi       = {10.29007/hhd6},
  pages     = {13-19},
  year      = {2024}}

Download PDF Open PDF in browser