Assuring the long-term total joint arthroplasty: a triad of variables
The primary objective of this study was to compare accuracy in restoring the native centre of hip rotation in patients undergoing conventional manual total hip arthroplasty (THA) versus robotic-arm assisted THA. Secondary objectives were to determine differences between these treatment techniques fo...
Gespeichert in:
| Veröffentlicht in: | Journal of bone and joint surgery. British volume 2019-01, Vol.101-B (1_Supple_A), p.11-18 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 18 |
|---|---|
| container_issue | 1_Supple_A |
| container_start_page | 11 |
| container_title | Journal of bone and joint surgery. British volume |
| container_volume | 101-B |
| creator | Kayani, B Konan, S Thakrar, R R Huq, S S Haddad, F S |
| description | The primary objective of this study was to compare accuracy in restoring the native centre of hip rotation in patients undergoing conventional manual total hip arthroplasty (THA) versus robotic-arm assisted THA. Secondary objectives were to determine differences between these treatment techniques for THA in achieving the planned combined offset, component inclination, component version, and leg-length correction.
This prospective cohort study included 50 patients undergoing conventional manual THA and 25 patients receiving robotic-arm assisted THA. Patients undergoing conventional manual THA and robotic-arm assisted THA were well matched for age (mean age, 69.4 years (sd 5.2) vs 67.5 years (sd 5.8) (p = 0.25); body mass index (27.4 kg/m
(sd 2.1) vs 26.9 kg/m
(sd 2.2); p = 0.39); and laterality of surgery (right = 28, left = 22 vs right = 12, left = 13; p = 0.78). All operative procedures were undertaken by a single surgeon using the posterior approach. Two independent blinded observers recorded all radiological outcomes of interest using plain radiographs.
The correlation coefficient was 0.92 (95% confidence interval (CI) 0.88 to 0.95) for intraobserver agreement and 0.88 (95% CI 0.82 to 0.94) for interobserver agreement in all study outcomes. Robotic THA was associated with improved accuracy in restoring the native horizontal (p < 0.001) and vertical (p < 0.001) centres of rotation, and improved preservation of the patient's native combined offset (p < 0.001) compared with conventional THA. Robotic THA improved accuracy in positioning of the acetabular component within the combined safe zones of inclination and anteversion described by Lewinnek et al (p = 0.02) and Callanan et al (p = 0.01) compared with conventional THA. There was no difference between the two treatment groups in achieving the planned leg-length correction (p = 0.10).
Robotic-arm assisted THA was associated with improved accuracy in restoring the native centre of rotation, better preservation of the combined offset, and more precise acetabular component positioning within the safe zones of inclination and anteversion compared with conventional manual THA. |
| doi_str_mv | 10.1302/0301-620X.101B1.BJJ-2018-0377.R1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2179385928</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2310450465</sourcerecordid><originalsourceid>FETCH-LOGICAL-c296t-8eed0b953ecb690367a117607dd11b57c077219845b93aee502c808aa4e688053</originalsourceid><addsrcrecordid>eNpdkE1LxDAQhoMoKrp_QQJevHSdSdIm8eQHfiIIi4K3kLbZtUu3WZNU8N_bquvBucx7eHlmeAg5QZgiB3YKHDArGLxOEfASp5cPDxkDVBlwKacz3CL7DITOhAC1vclciz0yiXEJwyhAFLhL9jgUQgmN--T6IsY-NN2CpjdHW98tsuTCiiafbEuXvukStSG9Bb9ubUyfZ9TSFBpbUz-nH3ZIZeviIdmZ2za6ye8-IC83189Xd9nj0-391cVjVjFdpEw5V0Opc-6qstDAC2kRZQGyrhHLXFYgJUOtRF5qbp3LgVUKlLXCFUpBzg_IyQ93Hfx772IyqyZWrm1t53wfDUOpuco1U0P1-F916fvQDd8ZxhFEDqIYgec_rSr4GIObm3VoVjZ8GgQzWjejdTNaN9_WzWDdjNbNaN3McEAc_R7qy5Wr_wAbx_wLayR8rQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2310450465</pqid></control><display><type>article</type><title>Assuring the long-term total joint arthroplasty: a triad of variables</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Kayani, B ; Konan, S ; Thakrar, R R ; Huq, S S ; Haddad, F S</creator><creatorcontrib>Kayani, B ; Konan, S ; Thakrar, R R ; Huq, S S ; Haddad, F S</creatorcontrib><description>The primary objective of this study was to compare accuracy in restoring the native centre of hip rotation in patients undergoing conventional manual total hip arthroplasty (THA) versus robotic-arm assisted THA. Secondary objectives were to determine differences between these treatment techniques for THA in achieving the planned combined offset, component inclination, component version, and leg-length correction.
This prospective cohort study included 50 patients undergoing conventional manual THA and 25 patients receiving robotic-arm assisted THA. Patients undergoing conventional manual THA and robotic-arm assisted THA were well matched for age (mean age, 69.4 years (sd 5.2) vs 67.5 years (sd 5.8) (p = 0.25); body mass index (27.4 kg/m
(sd 2.1) vs 26.9 kg/m
(sd 2.2); p = 0.39); and laterality of surgery (right = 28, left = 22 vs right = 12, left = 13; p = 0.78). All operative procedures were undertaken by a single surgeon using the posterior approach. Two independent blinded observers recorded all radiological outcomes of interest using plain radiographs.
The correlation coefficient was 0.92 (95% confidence interval (CI) 0.88 to 0.95) for intraobserver agreement and 0.88 (95% CI 0.82 to 0.94) for interobserver agreement in all study outcomes. Robotic THA was associated with improved accuracy in restoring the native horizontal (p < 0.001) and vertical (p < 0.001) centres of rotation, and improved preservation of the patient's native combined offset (p < 0.001) compared with conventional THA. Robotic THA improved accuracy in positioning of the acetabular component within the combined safe zones of inclination and anteversion described by Lewinnek et al (p = 0.02) and Callanan et al (p = 0.01) compared with conventional THA. There was no difference between the two treatment groups in achieving the planned leg-length correction (p = 0.10).
Robotic-arm assisted THA was associated with improved accuracy in restoring the native centre of rotation, better preservation of the combined offset, and more precise acetabular component positioning within the safe zones of inclination and anteversion compared with conventional manual THA.</description><identifier>ISSN: 2049-4394</identifier><identifier>EISSN: 2049-4408</identifier><identifier>DOI: 10.1302/0301-620X.101B1.BJJ-2018-0377.R1</identifier><identifier>PMID: 30648491</identifier><language>eng</language><publisher>England: British Editorial Society of Bone & Joint Surgery</publisher><subject>Accuracy ; Acetabulum - diagnostic imaging ; Aged ; Arthroplasty, Replacement, Hip - methods ; Female ; Hip Joint - diagnostic imaging ; Hip Joint - physiopathology ; Humans ; Joint surgery ; Leg Length Inequality - surgery ; Male ; Middle Aged ; Osteoarthritis, Hip - diagnostic imaging ; Osteoarthritis, Hip - surgery ; Prospective Studies ; Radiography ; Reproducibility of Results ; Robotic Surgical Procedures - methods ; Robotics ; Rotation ; Single-Blind Method ; Treatment Outcome</subject><ispartof>Journal of bone and joint surgery. British volume, 2019-01, Vol.101-B (1_Supple_A), p.11-18</ispartof><rights>2018 The British Editorial Society of Bone & Joint Surgery</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c296t-8eed0b953ecb690367a117607dd11b57c077219845b93aee502c808aa4e688053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30648491$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kayani, B</creatorcontrib><creatorcontrib>Konan, S</creatorcontrib><creatorcontrib>Thakrar, R R</creatorcontrib><creatorcontrib>Huq, S S</creatorcontrib><creatorcontrib>Haddad, F S</creatorcontrib><title>Assuring the long-term total joint arthroplasty: a triad of variables</title><title>Journal of bone and joint surgery. British volume</title><addtitle>Bone Joint J</addtitle><description>The primary objective of this study was to compare accuracy in restoring the native centre of hip rotation in patients undergoing conventional manual total hip arthroplasty (THA) versus robotic-arm assisted THA. Secondary objectives were to determine differences between these treatment techniques for THA in achieving the planned combined offset, component inclination, component version, and leg-length correction.
This prospective cohort study included 50 patients undergoing conventional manual THA and 25 patients receiving robotic-arm assisted THA. Patients undergoing conventional manual THA and robotic-arm assisted THA were well matched for age (mean age, 69.4 years (sd 5.2) vs 67.5 years (sd 5.8) (p = 0.25); body mass index (27.4 kg/m
(sd 2.1) vs 26.9 kg/m
(sd 2.2); p = 0.39); and laterality of surgery (right = 28, left = 22 vs right = 12, left = 13; p = 0.78). All operative procedures were undertaken by a single surgeon using the posterior approach. Two independent blinded observers recorded all radiological outcomes of interest using plain radiographs.
The correlation coefficient was 0.92 (95% confidence interval (CI) 0.88 to 0.95) for intraobserver agreement and 0.88 (95% CI 0.82 to 0.94) for interobserver agreement in all study outcomes. Robotic THA was associated with improved accuracy in restoring the native horizontal (p < 0.001) and vertical (p < 0.001) centres of rotation, and improved preservation of the patient's native combined offset (p < 0.001) compared with conventional THA. Robotic THA improved accuracy in positioning of the acetabular component within the combined safe zones of inclination and anteversion described by Lewinnek et al (p = 0.02) and Callanan et al (p = 0.01) compared with conventional THA. There was no difference between the two treatment groups in achieving the planned leg-length correction (p = 0.10).
Robotic-arm assisted THA was associated with improved accuracy in restoring the native centre of rotation, better preservation of the combined offset, and more precise acetabular component positioning within the safe zones of inclination and anteversion compared with conventional manual THA.</description><subject>Accuracy</subject><subject>Acetabulum - diagnostic imaging</subject><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Female</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Joint - physiopathology</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Leg Length Inequality - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osteoarthritis, Hip - diagnostic imaging</subject><subject>Osteoarthritis, Hip - surgery</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Reproducibility of Results</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Robotics</subject><subject>Rotation</subject><subject>Single-Blind Method</subject><subject>Treatment Outcome</subject><issn>2049-4394</issn><issn>2049-4408</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1LxDAQhoMoKrp_QQJevHSdSdIm8eQHfiIIi4K3kLbZtUu3WZNU8N_bquvBucx7eHlmeAg5QZgiB3YKHDArGLxOEfASp5cPDxkDVBlwKacz3CL7DITOhAC1vclciz0yiXEJwyhAFLhL9jgUQgmN--T6IsY-NN2CpjdHW98tsuTCiiafbEuXvukStSG9Bb9ubUyfZ9TSFBpbUz-nH3ZIZeviIdmZ2za6ye8-IC83189Xd9nj0-391cVjVjFdpEw5V0Opc-6qstDAC2kRZQGyrhHLXFYgJUOtRF5qbp3LgVUKlLXCFUpBzg_IyQ93Hfx772IyqyZWrm1t53wfDUOpuco1U0P1-F916fvQDd8ZxhFEDqIYgec_rSr4GIObm3VoVjZ8GgQzWjejdTNaN9_WzWDdjNbNaN3McEAc_R7qy5Wr_wAbx_wLayR8rQ</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Kayani, B</creator><creator>Konan, S</creator><creator>Thakrar, R R</creator><creator>Huq, S S</creator><creator>Haddad, F S</creator><general>British Editorial Society of Bone & Joint Surgery</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201901</creationdate><title>Assuring the long-term total joint arthroplasty: a triad of variables</title><author>Kayani, B ; Konan, S ; Thakrar, R R ; Huq, S S ; Haddad, F S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c296t-8eed0b953ecb690367a117607dd11b57c077219845b93aee502c808aa4e688053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Accuracy</topic><topic>Acetabulum - diagnostic imaging</topic><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Female</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Hip Joint - physiopathology</topic><topic>Humans</topic><topic>Joint surgery</topic><topic>Leg Length Inequality - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osteoarthritis, Hip - diagnostic imaging</topic><topic>Osteoarthritis, Hip - surgery</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Reproducibility of Results</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Robotics</topic><topic>Rotation</topic><topic>Single-Blind Method</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kayani, B</creatorcontrib><creatorcontrib>Konan, S</creatorcontrib><creatorcontrib>Thakrar, R R</creatorcontrib><creatorcontrib>Huq, S S</creatorcontrib><creatorcontrib>Haddad, F S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kayani, B</au><au>Konan, S</au><au>Thakrar, R R</au><au>Huq, S S</au><au>Haddad, F S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assuring the long-term total joint arthroplasty: a triad of variables</atitle><jtitle>Journal of bone and joint surgery. British volume</jtitle><addtitle>Bone Joint J</addtitle><date>2019-01</date><risdate>2019</risdate><volume>101-B</volume><issue>1_Supple_A</issue><spage>11</spage><epage>18</epage><pages>11-18</pages><issn>2049-4394</issn><eissn>2049-4408</eissn><abstract>The primary objective of this study was to compare accuracy in restoring the native centre of hip rotation in patients undergoing conventional manual total hip arthroplasty (THA) versus robotic-arm assisted THA. Secondary objectives were to determine differences between these treatment techniques for THA in achieving the planned combined offset, component inclination, component version, and leg-length correction.
This prospective cohort study included 50 patients undergoing conventional manual THA and 25 patients receiving robotic-arm assisted THA. Patients undergoing conventional manual THA and robotic-arm assisted THA were well matched for age (mean age, 69.4 years (sd 5.2) vs 67.5 years (sd 5.8) (p = 0.25); body mass index (27.4 kg/m
(sd 2.1) vs 26.9 kg/m
(sd 2.2); p = 0.39); and laterality of surgery (right = 28, left = 22 vs right = 12, left = 13; p = 0.78). All operative procedures were undertaken by a single surgeon using the posterior approach. Two independent blinded observers recorded all radiological outcomes of interest using plain radiographs.
The correlation coefficient was 0.92 (95% confidence interval (CI) 0.88 to 0.95) for intraobserver agreement and 0.88 (95% CI 0.82 to 0.94) for interobserver agreement in all study outcomes. Robotic THA was associated with improved accuracy in restoring the native horizontal (p < 0.001) and vertical (p < 0.001) centres of rotation, and improved preservation of the patient's native combined offset (p < 0.001) compared with conventional THA. Robotic THA improved accuracy in positioning of the acetabular component within the combined safe zones of inclination and anteversion described by Lewinnek et al (p = 0.02) and Callanan et al (p = 0.01) compared with conventional THA. There was no difference between the two treatment groups in achieving the planned leg-length correction (p = 0.10).
Robotic-arm assisted THA was associated with improved accuracy in restoring the native centre of rotation, better preservation of the combined offset, and more precise acetabular component positioning within the safe zones of inclination and anteversion compared with conventional manual THA.</abstract><cop>England</cop><pub>British Editorial Society of Bone & Joint Surgery</pub><pmid>30648491</pmid><doi>10.1302/0301-620X.101B1.BJJ-2018-0377.R1</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2049-4394 |
| ispartof | Journal of bone and joint surgery. British volume, 2019-01, Vol.101-B (1_Supple_A), p.11-18 |
| issn | 2049-4394 2049-4408 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2179385928 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Accuracy Acetabulum - diagnostic imaging Aged Arthroplasty, Replacement, Hip - methods Female Hip Joint - diagnostic imaging Hip Joint - physiopathology Humans Joint surgery Leg Length Inequality - surgery Male Middle Aged Osteoarthritis, Hip - diagnostic imaging Osteoarthritis, Hip - surgery Prospective Studies Radiography Reproducibility of Results Robotic Surgical Procedures - methods Robotics Rotation Single-Blind Method Treatment Outcome |
| title | Assuring the long-term total joint arthroplasty: a triad of variables |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T11%3A07%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Assuring%20the%20long-term%20total%20joint%20arthroplasty:%20a%20triad%20of%20variables&rft.jtitle=Journal%20of%20bone%20and%20joint%20surgery.%20British%20volume&rft.au=Kayani,%20B&rft.date=2019-01&rft.volume=101-B&rft.issue=1_Supple_A&rft.spage=11&rft.epage=18&rft.pages=11-18&rft.issn=2049-4394&rft.eissn=2049-4408&rft_id=info:doi/10.1302/0301-620X.101B1.BJJ-2018-0377.R1&rft_dat=%3Cproquest_cross%3E2310450465%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2310450465&rft_id=info:pmid/30648491&rfr_iscdi=true |