Perets Itay, Walsh John P, Close Mary R, Mu Brian H, Yuen Leslie C, Domb Benjamin G
American Hip Institute, Westmont, Illinois, USA.
Hinsdale Orthopaedics, Westmont, Illinois, USA.
Int J Med Robot. 2018 Aug;14(4):e1912. doi: 10.1002/rcs.1912. Epub 2018 May 15.
The purpose of this study was to report minimum 2-year outcomes and complications for robotic-arm-assisted total hip arthroplasty (THA).
Data were prospectively collected and retrospectively reviewed between June 2011 and April 2014. Inclusion criteria were primary robotic-arm-assisted THAs treating idiopathic osteoarthritis with ≥ 2-year follow-up. Demographics, operating time, complications, 2-year outcome scores and satisfaction, and subsequent surgeries were recorded.
There were 181 cases eligible for inclusion, of which 162 (89.5%) had minimum 2-year follow-up. At the latest follow-up, the mean visual analogue scale was 0.7, satisfaction was 9.3, Harris hip score was 91.1 and forgotten joint score was 83.1. Six (3.7%) intraoperative complications and six (3.7%) postoperative complications were reported. No leg length discrepancies (LLDs) or dislocations were reported.
Robotic-arm-assisted THA demonstrates favourable short-term outcomes and does not result in a higher complication rate compared to non-robotic THA as reported by the literature.
本研究旨在报告机器人手臂辅助全髋关节置换术（THA）至少2年的疗效及并发症情况。
前瞻性收集2011年6月至2014年4月的数据并进行回顾性分析。纳入标准为采用机器人手臂辅助的原发性全髋关节置换术治疗特发性骨关节炎且随访时间≥2年。记录人口统计学资料、手术时间、并发症、2年疗效评分及满意度以及后续手术情况。
共有181例符合纳入标准，其中162例（89.5%）有至少2年的随访。在最近一次随访时，视觉模拟量表平均评分为0.7，满意度为9.3，Harris髋关节评分为91.1，遗忘关节评分为83.1。报告了6例（3.7%）术中并发症和6例（3.7%）术后并发症。未报告下肢长度差异（LLD）或脱位情况。
机器人手臂辅助全髋关节置换术显示出良好的短期疗效，且与文献报道的非机器人全髋关节置换术相比，并发症发生率并未更高。
