Academic Journal
Clinical efficacy of robot-assisted total hip arthroplasty for developmental dysplasia of the hip: A meta-analysis.
| Τίτλος: | Clinical efficacy of robot-assisted total hip arthroplasty for developmental dysplasia of the hip: A meta-analysis. |
|---|---|
| Συγγραφείς: | Yin HT, Zhang YX, Yang T, Fu X, Wang L, Liu J; Department of Joints, Tianjin University Tianjin Hospital (Tianjin Hospital), Tianjin, China. liujun1968tju@163.com. |
| Πηγή: | Joint diseases and related surgery [Jt Dis Relat Surg] 2026 Jan 01; Vol. 37 (1), pp. 3-15. Date of Electronic Publication: 2025 Sep 23. |
| Τύπος έκδοσης: | Journal Article; Meta-Analysis |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Turkish Joint Diseases Foundation Country of Publication: Turkey NLM ID: 101764223 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2687-4792 (Electronic) Linking ISSN: 26874792 NLM ISO Abbreviation: Jt Dis Relat Surg Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Ankara, Turkey : Turkish Joint Diseases Foundation, [2020]- |
| Ιατρικοί όροι (MeSH): | Arthroplasty, Replacement, Hip*/methods , Arthroplasty, Replacement, Hip*/adverse effects , Developmental Dysplasia of the Hip*/surgery , Robotic Surgical Procedures*/adverse effects , Robotic Surgical Procedures*/methods, Postoperative Complications/etiology ; Humans ; Treatment Outcome |
| Περίληψη: | Objectives: The aim of this meta-analysis was to compare the clinical efficacy of robot-assisted total hip arthroplasty (R-THA) versus conventional total hip arthroplasty (C-THA) for the treatment of developmental dysplasia of the hip (DDH). Materials and Methods: Eligible articles published until May 2025 were searched from the Cochrane Library, Web of Science, PubMed, Embase, ScienceDirect, and Springer. Search terms included "robot-assisted", "developmental dysplasia of the hip", "total hip arthroplasty", using mean differences (MDs) and risk differences (RDs) as combined variables, and selecting 95% as the confidence interval (CI). Results: Seven clinical studies with a total of 876 patients were finally included in this study. There were no significant differences between the two groups in terms of cup inclination (MD=0.07; 95% CI: -0.95 ~ 1.10; p=0.89), cup anteversion (MD=-4.02; 95% CI: -9.59 ~ 1.55; p=0.16), intraoperative bleeding (MD=11.25; 95% CI: -56.02 ~ 78.52; p=0.74), operative time (MD=3.03; 95% CI: -15.66 ~ 21.72; p=0.75), postoperative complications (dislocation [RD=-0.01; 95% CI: -0.03 ~ 0.01; p=0.26], deep infection [RD=0.01; 95% CI: -0.01 ~ 0.02; p=0.37] and nerve injury [RD=0.01; 95% CI: -0.01 ~ 0.03; p=0.56], revision/reoperation [RD=-0.00; 95% CI: -0.03 ~ 0.03; p=1.00], and absolute vertical distance of center of rotation [COR] [MD=-0.50; 95% CI: -1.07 ~ 0.06; p=0.08]). However, compared to the C-THA group, the R-THA group showed significantly higher Harris Hip Score (HHS) (MD=2.17, 95% CI: 0.11 ~ 4.22, p=0.04) and more accurate placement of the horizontal COR (MD=-0.77; 95% CI: -1.21 ~ -0.32; p=0.0008). Conclusion: In the R-THA group, the accuracy of horizontal placement of the COR was moderately improved, and the postoperative HHS was higher than that in the C-THA group, although such differences might not be obviously perceived by patients. Additionally, no significant differences were found between the two groups in other surgery-related parameters and safety. |
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| Entry Date(s): | Date Created: 20251214 Date Completed: 20251214 Latest Revision: 20260111 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC12788775 |
| DOI: | 10.52312/jdrs.2026.2408 |
| PMID: | 41391114 |
| Βάση Δεδομένων: | MEDLINE |
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