Coden Gloria, Greenwell Patrick, Niu Ruijia, Fang Christopher, Talmo Carl, Smith Eric L
Department of Orthopaedic Surgery, New England Baptist Hospital, Boston, Massachusetts, USA.
Int J Med Robot. 2023 Nov 20:e2592. doi: 10.1002/rcs.2592.
Little information is known regarding the energy expenditure of the surgeon during total hip arthroplasty (THA). We sought to compare the energy expenditure associated with femoral broaching using two techniques: manual and automated.
We recorded energy expenditure, minute ventilation, heart rate, and total broaching time of a single surgeon while broaching the femoral canal during direct anterior THA using two different techniques: Manual broaching (n = 26) and automated broaching (n = 20).
Manual broaching required a longer time than automated broaching (6.1 ± 1.1 vs. 3.7 ± 0.9 min; p < 0.001) with an increase in energy expenditure (32.6 ± 7.0 vs. 16.0 ± 7.1 Calories; p < 0.001). Heart rate was higher with manual broaching (99.4 ± 9.8 vs. 90.1 ± 9.8 beats per min; p = 0.003), along with minute ventilation (36.5 ± 7.0 vs. 30.3 ± 5.8 L/min; p = 0.003). There were no intraoperative complications.
Automated femoral broaching during THA can decrease the energy expenditure of broaching by 50% and time of broaching by 40%, when compared to manual technique.
This research was not a clinical trial.
关于全髋关节置换术（THA）中外科医生的能量消耗，目前所知甚少。我们试图比较使用两种技术进行股骨扩髓时的能量消耗：手动和自动。
我们记录了一名外科医生在直接前路THA中使用两种不同技术扩髓股骨髓腔时的能量消耗、分钟通气量、心率和总扩髓时间：手动扩髓（n = 26）和自动扩髓（n = 20）。
与自动扩髓相比，手动扩髓所需时间更长（6.1±1.1 vs. 3.7±0.9分钟；p < 0.001），能量消耗增加（32.6±7.0 vs. 16.0±7.1卡路里；p < 0.001）。手动扩髓时心率更高（99.4±9.8 vs. 90.1±9.每次分钟；p = 0.003），分钟通气量也更高（36.5±7.0 vs. 30.3±5.8升/分钟；p = 0.003）。术中无并发症。
与手动技术相比，THA期间自动股骨扩髓可使扩髓能量消耗降低50%，扩髓时间缩短40%。
本研究并非临床试验。
