Orthopaedic Center, Clinica San Francesco, Verona (Italy).
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Acta Biomed. 2020 May 30;91(4-S):21-30. doi: 10.23750/abm.v91i4-S.9659.
In the last decades many innovations have improved the hip replacement and the hip reconstruction surgery such as the introduction of the robotic-arm assisted surgery associated with the direct anterior approach (DAA). This surgical approach for total hip arthroplasty (THA) is growing in popularity and its effectiveness has been demonstrated to improve patients' outcomes, especially regarding more accurate implant placement, less post operative pain, faster recovery and lower of prosthesis dislocation risk. The robotic-arm assisted surgery is another really great innovation for the orthopedic surgeons. It allows to create a patient-specific THA pre-operative planning and to perform a much more accurate surgical procedure. This article outlines authors' surgical technique of performing accurate pre-operative planning and robotic-assisted THA using direct anterior approach based on the experience of 534 patients and to discuss details of this technique.
在过去的几十年中，许多创新改进了髋关节置换和髋关节重建手术，例如引入了与直接前入路（DAA）相关的机器人辅助手术。这种全髋关节置换术（THA）的手术入路越来越受欢迎，其有效性已被证明可以改善患者的治疗效果，特别是在更精确的植入物放置、更少的术后疼痛、更快的恢复和更低的假体脱位风险方面。机器人辅助手术是骨科医生的另一项重大创新。它允许为患者创建特定的 THA 术前规划，并进行更精确的手术。本文概述了作者使用直接前入路进行准确的术前规划和机器人辅助 THA 的手术技术，该技术基于 534 名患者的经验，并讨论了该技术的详细信息。
