Robotic-assisted total hip arthroplasty utilizing a fluoroscopy-guided system resulted in improved intra-operative efficiency relative to a computerized tomography-based platform
Robotic-assisted total hip arthroplasty (THA) using a computerized-tomography (CT) based workflow increases surgical time relative to traditional manual technique. The purpose of this investigation was to compare the intra-operative efficiencies of two robotic THA systems: a fluoroscopy-based platfo...
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| Veröffentlicht in: | Journal of robotic surgery 2023-12, Vol.17 (6), p.2841-2847 |
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| container_title | Journal of robotic surgery |
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| creator | Ong, Christian B. Buchan, Graham B. J. Hecht II, Christian J. Lawrie, Charles M. DeCook, Charles A. Sculco, Peter K. Kamath, Atul F. |
| description | Robotic-assisted total hip arthroplasty (THA) using a computerized-tomography (CT) based workflow increases surgical time relative to traditional manual technique. The purpose of this investigation was to compare the intra-operative efficiencies of two robotic THA systems: a fluoroscopy-based platform (FL-RTHA) and a contemporary, CT-based (CT-RTHA) platform. A review of 107 consecutive FL-RTHA and 159 CT-RTHA primary, direct anterior approach (DAA) THA procedures was conducted. All cases were performed by one of two surgeons operating at the same institution, for a pre-operative diagnosis of osteoarthritis, avascular necrosis, or rheumatoid arthritis. Primary outcome variables included averages and consistencies (variances) for surgical times and operating room (OR) times. A secondary outcome was to quantify the duration of robot-active phases in the FL-RTHA workflow. The FL-RTHA cohort experienced shorter surgical times (38.71 min ± 7.00 vs. 75.33 min ± 11.38; p |
| doi_str_mv | 10.1007/s11701-023-01723-7 |
| format | Article |
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J. ; Hecht II, Christian J. ; Lawrie, Charles M. ; DeCook, Charles A. ; Sculco, Peter K. ; Kamath, Atul F.</creator><creatorcontrib>Ong, Christian B. ; Buchan, Graham B. J. ; Hecht II, Christian J. ; Lawrie, Charles M. ; DeCook, Charles A. ; Sculco, Peter K. ; Kamath, Atul F.</creatorcontrib><description>Robotic-assisted total hip arthroplasty (THA) using a computerized-tomography (CT) based workflow increases surgical time relative to traditional manual technique. The purpose of this investigation was to compare the intra-operative efficiencies of two robotic THA systems: a fluoroscopy-based platform (FL-RTHA) and a contemporary, CT-based (CT-RTHA) platform. A review of 107 consecutive FL-RTHA and 159 CT-RTHA primary, direct anterior approach (DAA) THA procedures was conducted. All cases were performed by one of two surgeons operating at the same institution, for a pre-operative diagnosis of osteoarthritis, avascular necrosis, or rheumatoid arthritis. Primary outcome variables included averages and consistencies (variances) for surgical times and operating room (OR) times. A secondary outcome was to quantify the duration of robot-active phases in the FL-RTHA workflow. The FL-RTHA cohort experienced shorter surgical times (38.71 min ± 7.00 vs. 75.33 min ± 11.38; p < 0.001) and OR times (101.35 min ± 12.22 vs. 156.74 min ± 17.79; p < 0.001) compared to the CT-RTHA cohort. Surgical times and OR times were both more consistent in the FL-RTHA cohort compared to the CT-RTHA cohort (p < 0.001). Patients who underwent DAA THA with the assistance of a fluoroscopy-based robotic system experienced shorter and more consistent surgical times and OR times compared to patients who underwent similar DAA THA procedures with a contemporary, CT-based robotic platform.</description><identifier>ISSN: 1863-2491</identifier><identifier>ISSN: 1863-2483</identifier><identifier>EISSN: 1863-2491</identifier><identifier>DOI: 10.1007/s11701-023-01723-7</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Biomedical materials ; Body mass index ; Computed tomography ; Cost control ; Economic justification ; Efficiency ; FDA approval ; Fluoroscopy ; Hip ; Joint replacement surgery ; Medical personnel ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Necrosis ; Orthopaedic implants ; Osteoarthritis ; Patients ; Registration ; Rheumatoid arthritis ; Robotic surgery ; Software ; Surgeons ; Surgery ; Tomography ; Urology ; Variables ; White people ; Workflow</subject><ispartof>Journal of robotic surgery, 2023-12, Vol.17 (6), p.2841-2847</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature 2023. 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J.</creatorcontrib><creatorcontrib>Hecht II, Christian J.</creatorcontrib><creatorcontrib>Lawrie, Charles M.</creatorcontrib><creatorcontrib>DeCook, Charles A.</creatorcontrib><creatorcontrib>Sculco, Peter K.</creatorcontrib><creatorcontrib>Kamath, Atul F.</creatorcontrib><title>Robotic-assisted total hip arthroplasty utilizing a fluoroscopy-guided system resulted in improved intra-operative efficiency relative to a computerized tomography-based platform</title><title>Journal of robotic surgery</title><addtitle>J Robotic Surg</addtitle><description>Robotic-assisted total hip arthroplasty (THA) using a computerized-tomography (CT) based workflow increases surgical time relative to traditional manual technique. The purpose of this investigation was to compare the intra-operative efficiencies of two robotic THA systems: a fluoroscopy-based platform (FL-RTHA) and a contemporary, CT-based (CT-RTHA) platform. A review of 107 consecutive FL-RTHA and 159 CT-RTHA primary, direct anterior approach (DAA) THA procedures was conducted. All cases were performed by one of two surgeons operating at the same institution, for a pre-operative diagnosis of osteoarthritis, avascular necrosis, or rheumatoid arthritis. Primary outcome variables included averages and consistencies (variances) for surgical times and operating room (OR) times. A secondary outcome was to quantify the duration of robot-active phases in the FL-RTHA workflow. The FL-RTHA cohort experienced shorter surgical times (38.71 min ± 7.00 vs. 75.33 min ± 11.38; p < 0.001) and OR times (101.35 min ± 12.22 vs. 156.74 min ± 17.79; p < 0.001) compared to the CT-RTHA cohort. Surgical times and OR times were both more consistent in the FL-RTHA cohort compared to the CT-RTHA cohort (p < 0.001). Patients who underwent DAA THA with the assistance of a fluoroscopy-based robotic system experienced shorter and more consistent surgical times and OR times compared to patients who underwent similar DAA THA procedures with a contemporary, CT-based robotic platform.</description><subject>Biomedical materials</subject><subject>Body mass index</subject><subject>Computed tomography</subject><subject>Cost control</subject><subject>Economic justification</subject><subject>Efficiency</subject><subject>FDA approval</subject><subject>Fluoroscopy</subject><subject>Hip</subject><subject>Joint replacement surgery</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Necrosis</subject><subject>Orthopaedic implants</subject><subject>Osteoarthritis</subject><subject>Patients</subject><subject>Registration</subject><subject>Rheumatoid arthritis</subject><subject>Robotic surgery</subject><subject>Software</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Urology</subject><subject>Variables</subject><subject>White people</subject><subject>Workflow</subject><issn>1863-2491</issn><issn>1863-2483</issn><issn>1863-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kc9qHiEUxYfSQNOkL9CV0E03tl5nJo7LEvoPAoWSrEWd6_cZnHGqTmDyWH3Cmm8KLV10o5fL7xyOnqZ5DewdMCbeZwDBgDLeUgainuJZcw7DVUt5J-H5X_OL5mXO94z1om_hvPn5PZpYvKU6Z58LjqTEogM5-oXoVI4pLkHnspG1-OAf_XwgmriwxhSzjctGD6sfqypvVTyRhHkNTy5-Jn5aUnw4zSVpGhdMuvgHJOictx5nu1U-7LsSq6-N07IWTP7xlGOKh6SX40aNznVRgxQX03TZnDkdMr76fV80d58-3l5_oTffPn-9_nBDbdvzQoXpjRWtMbzDAXEcAbkTo2VgHZfj0HHJQPfCoEQjwIxy1E5faSf42HWdaS-at7tvfcaPFXNRk88WQ9AzxjUrPggmJW-HrqJv_kHv45rmmk5xCYMACRwqxXfK1s_LCZ1akp902hQw9VSj2mtUtUZ1qlGJKmp3Ua7wfMD0x_o_ql8szKdd</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Ong, Christian B.</creator><creator>Buchan, Graham B. 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J.</au><au>Hecht II, Christian J.</au><au>Lawrie, Charles M.</au><au>DeCook, Charles A.</au><au>Sculco, Peter K.</au><au>Kamath, Atul F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robotic-assisted total hip arthroplasty utilizing a fluoroscopy-guided system resulted in improved intra-operative efficiency relative to a computerized tomography-based platform</atitle><jtitle>Journal of robotic surgery</jtitle><stitle>J Robotic Surg</stitle><date>2023-12-01</date><risdate>2023</risdate><volume>17</volume><issue>6</issue><spage>2841</spage><epage>2847</epage><pages>2841-2847</pages><issn>1863-2491</issn><issn>1863-2483</issn><eissn>1863-2491</eissn><abstract>Robotic-assisted total hip arthroplasty (THA) using a computerized-tomography (CT) based workflow increases surgical time relative to traditional manual technique. The purpose of this investigation was to compare the intra-operative efficiencies of two robotic THA systems: a fluoroscopy-based platform (FL-RTHA) and a contemporary, CT-based (CT-RTHA) platform. A review of 107 consecutive FL-RTHA and 159 CT-RTHA primary, direct anterior approach (DAA) THA procedures was conducted. All cases were performed by one of two surgeons operating at the same institution, for a pre-operative diagnosis of osteoarthritis, avascular necrosis, or rheumatoid arthritis. Primary outcome variables included averages and consistencies (variances) for surgical times and operating room (OR) times. A secondary outcome was to quantify the duration of robot-active phases in the FL-RTHA workflow. The FL-RTHA cohort experienced shorter surgical times (38.71 min ± 7.00 vs. 75.33 min ± 11.38; p < 0.001) and OR times (101.35 min ± 12.22 vs. 156.74 min ± 17.79; p < 0.001) compared to the CT-RTHA cohort. Surgical times and OR times were both more consistent in the FL-RTHA cohort compared to the CT-RTHA cohort (p < 0.001). Patients who underwent DAA THA with the assistance of a fluoroscopy-based robotic system experienced shorter and more consistent surgical times and OR times compared to patients who underwent similar DAA THA procedures with a contemporary, CT-based robotic platform.</abstract><cop>London</cop><pub>Springer London</pub><doi>10.1007/s11701-023-01723-7</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-3332-8769</orcidid><orcidid>https://orcid.org/0000-0002-8535-956X</orcidid><orcidid>https://orcid.org/0000-0001-7050-5571</orcidid><orcidid>https://orcid.org/0000-0002-9214-2756</orcidid><orcidid>https://orcid.org/0000-0002-4805-3692</orcidid><orcidid>https://orcid.org/0000-0002-2529-0126</orcidid><orcidid>https://orcid.org/0000-0002-7409-9272</orcidid></addata></record> |
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| subjects | Biomedical materials Body mass index Computed tomography Cost control Economic justification Efficiency FDA approval Fluoroscopy Hip Joint replacement surgery Medical personnel Medicine Medicine & Public Health Minimally Invasive Surgery Necrosis Orthopaedic implants Osteoarthritis Patients Registration Rheumatoid arthritis Robotic surgery Software Surgeons Surgery Tomography Urology Variables White people Workflow |
| title | Robotic-assisted total hip arthroplasty utilizing a fluoroscopy-guided system resulted in improved intra-operative efficiency relative to a computerized tomography-based platform |
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