Khalik Hassaan Abdel, Selznick Asher, Bali Kamal, Amini Yasaman, Tate Isabelle, Wood Thomas J
Division of Orthopaedic Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8N 3Z5, Canada.
Complex Care and Orthopaedics Program, Hamilton Health Sciences Juravinski Hospital, McMaster University, 711 Concession St, Hamilton, ON, L8V 1C3, Canada.
J Robot Surg. 2024 Dec 12;19(1):22. doi: 10.1007/s11701-024-02172-6.
To describe the attitudes and preferences of patients pertaining to robotic-assisted total hip arthroplasty (RA-THA) with the long-term objective of designing a prospective randomized-controlled trial (RCT) to evaluate the efficacy of RA-THA compared to conventional technique. A cross-sectional survey of patients attending an outpatient high-volume academic arthroplasty clinic chosen was administered from December 2023 to May 2024. The survey comprised 31 items including patient demographic, patient reported factors of significance and perceptions surrounding RA-THA. Ninety-seven patients completed the survey with a mean age of 67.5 ± 9.1 years and with 63% of patients being female. The majority of respondents were not at all familiar with RA-THA (69%). Common perceptions of RA-THA compared to conventional technique included a smaller incision (41%), lower chance of developing infection (47%), shorter length of surgery (41%), less blood loss (41%), lower cost (22%), shorter length of stay (30%), more precise implant positioning (46.8%), lower post-operative pain (29%), and lower post-operative complications (36%). Very important outcomes to be assessed in future investigations included post-operative range of motion (91%), implant longevity (91%), dislocation risk (90%), post-operative pain (89%), and infection risk (87%). Patient familiarity with robotic-assisted total hip arthroplasty is low. Patient perceptions regarding RA-THA compared to conventional technique are favorable, despite limited evidence to date. Important factors to be assessed in future RCTs include range of motion, implant longevity, dislocation risk, and infection risk. Findings of this study can inform a clinically relevant RCT assessing RA-THA compared to conventional technique.
描述患者对机器人辅助全髋关节置换术（RA-THA）的态度和偏好，长期目标是设计一项前瞻性随机对照试验（RCT），以评估RA-THA与传统技术相比的疗效。2023年12月至2024年5月，对一家高流量学术关节置换门诊的患者进行了横断面调查。该调查包括31个项目，涵盖患者人口统计学、患者报告的重要因素以及对RA-THA的看法。97名患者完成了调查，平均年龄为67.5±9.1岁，63%为女性。大多数受访者对RA-THA完全不熟悉（69%）。与传统技术相比，对RA-THA的普遍看法包括切口更小（41%）、感染几率更低（47%）、手术时间更短（41%）、失血更少（41%）、成本更低（22%）、住院时间更短（30%）、植入物定位更精确（46.8%）、术后疼痛更低（29%）以及术后并发症更低（36%）。未来研究中非常重要的待评估结果包括术后活动范围（91%）、植入物寿命（91%）、脱位风险（90%）、术后疼痛（89%）和感染风险（87%）。患者对机器人辅助全髋关节置换术的熟悉程度较低。尽管目前证据有限，但患者对RA-THA与传统技术相比的看法是积极的。未来RCT中待评估的重要因素包括活动范围、植入物寿命、脱位风险和感染风险。本研究结果可为一项评估RA-THA与传统技术相比的临床相关RCT提供参考。
