Precision of Robotic Guided Instrumentation for Acetabular Component Positioning

Abstract Robotic computerized instrumentation that guides bone preparation and cup implantation in total hip arthroplasty was studied. In 38 patients (43 hips) intraoperative cup inclination and anteversion were validated by postoperative CT scans. Planned inclination was 39.9° ± 0.8° and with robot...

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Veröffentlicht in:The Journal of arthroplasty 2015-03, Vol.30 (3), p.392-397
Hauptverfasser: Kanawade, Vaibhav, MD, Dorr, Lawrence D., MD, Banks, Scott A., PhD, Zhang, Zenan, MS, Wan, Zhinian, MD
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container_end_page 397
container_issue 3
container_start_page 392
container_title The Journal of arthroplasty
container_volume 30
creator Kanawade, Vaibhav, MD
Dorr, Lawrence D., MD
Banks, Scott A., PhD
Zhang, Zenan, MS
Wan, Zhinian, MD
description Abstract Robotic computerized instrumentation that guides bone preparation and cup implantation in total hip arthroplasty was studied. In 38 patients (43 hips) intraoperative cup inclination and anteversion were validated by postoperative CT scans. Planned inclination was 39.9° ± 0.8° and with robotic instrumentation was 38. 0° ± 1.6° with no outliers of 5°; on the postoperative CT scan there were 5 outliers (12%). Planned anteversion was 21.2° ± 2.4° and intraoperatively was 20.7° ± 2.4° with no outlier of 5°; on the CT there were 7 outliers (16%). The center of rotation (COR) was superior by a mean 0.9 ± 4.2 mm and medial by 2.7 ± 2.9 mm. This robotic instrumentation achieved precision of inclination in 88%, anteversion in 84% and COR in 81.5%.
doi_str_mv 10.1016/j.arth.2014.10.021
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In 38 patients (43 hips) intraoperative cup inclination and anteversion were validated by postoperative CT scans. Planned inclination was 39.9° ± 0.8° and with robotic instrumentation was 38. 0° ± 1.6° with no outliers of 5°; on the postoperative CT scan there were 5 outliers (12%). Planned anteversion was 21.2° ± 2.4° and intraoperatively was 20.7° ± 2.4° with no outlier of 5°; on the CT there were 7 outliers (16%). The center of rotation (COR) was superior by a mean 0.9 ± 4.2 mm and medial by 2.7 ± 2.9 mm. 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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Acetabulum - surgery
Aged
Arthroplasty, Replacement, Hip - instrumentation
computer
cup position
Female
Hip Dislocation, Congenital - surgery
Hip Joint - diagnostic imaging
Hip Prosthesis
Humans
MAKO
Male
Middle Aged
Orthopedics
Osteoarthritis, Hip - surgery
Prospective Studies
robot
Robotic Surgical Procedures - instrumentation
Surgery, Computer-Assisted - instrumentation
THR
Tomography, X-Ray Computed
title Precision of Robotic Guided Instrumentation for Acetabular Component Positioning
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