Short-term effectiveness of MAKO robot assisted complex total hip arthroplasty_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WANG Yang , JI Baochao , CHEN Yongjie ,  LI Guoqing

Department of Joint Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi Xinjiang, 830054, P. R. China;

Corresponding author：

LI Guoqing, Email: 1648255862@qq.com

Keywords：

Total hip arthroplasty; MAKO robot; complex hip disease

DOI：

10.7507/1002-1892.202109054

Video：

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Objective To investigate the short-term effectiveness of MAKO robot assisted complex total hip arthroplasty (THA). Methods The clinical data of 15 patients (17 hips) underwent MAKO robot assisted complex THA between May 2020 and June 2021 were analyzed retrospectively. There were 5 males and 10 females with the age ranged from 19 to 70 years (median, 49 years), included 9 cases (9 hips) of developmental dysplasia of the hip (Crowe type Ⅱ in 5 hips, type Ⅲ in 1 hip, and type Ⅳ in 3 hips), 1 case (2 hips) of rheumatoid arthritis, 2 cases (3 hips) of ankylosing spondylitis, 3 cases (3 hips) of secondary arthritis with a history of acetabular fracture and internal fixation. The acetabular cup abduction angle and anteversion angle were measured at 3 months after operation, and compared with those measured by MAKO robot system before and immediately after operation. The femoral offset and leg length discrepancy (LLD) were measured at 3 months after operation, which were compared with those before operation. Harris hip score (HHS) and visual analogue scale (VAS) score were used to evaluate hip function before operation and at 3 months after operation. Results All 15 patients (17 hips) completed the operation successfully. The operation time was 75-175 minutes, with an average of 116.3 minutes; the intraoperative blood loss was 100-800 mL, with an average of 381.3 mL. Two patients were not included in the statistics because of intraoperative and postoperative complications, the remaining 13 patients (15 hips) had no serious complication such as vascular and nerve injuries, and 3 patients had intermuscular vein thrombosis. The 13 patients (15 hips) were followed up 3-15 months, with an average of 8 months. At last follow-up, the position of prosthesis did not change and there was no signs of loosening. There was no significant difference in acetabular abduction angle at immediate and 3 months after operation when compared with preoperative one (P>0.05), and the acetabular anteversion angle was significantly lower than that before operation (P<0.05). There was no significant difference in acetabular abduction angle and anteversion angle between at immediate and 3 months after operation (P>0.05). The LLD, offset, HHS score, and VAS score were significantly improved at 3 months after operation when compared with preoperative ones (P<0.05). Conclusion MAKO robot assisted complex THA can achieve good short-term effectiveness, improve the hip range of motion, reduce the length difference between bilateral lower limbs, and improve the quality of patients’ life.

Citation： WANG Yang, JI Baochao, CHEN Yongjie, LI Guoqing. Short-term effectiveness of MAKO robot assisted complex total hip arthroplasty. Chinese Journal of Reparative and Reconstructive Surgery, 2022, 36(5): 555-560. doi: 10.7507/1002-1892.202109054 Copy

1.	Caldora P, D’Urso A, Banchetti R, et al. Blood transfusion, hospital stay and learning curve in robotic assisted total hip arthroplasty. J Biol Regul Homeost Agents, 2020, 34(4 Suppl. 3): 37-49.
2.	Kayani B, Konan S, Huq SS, et al. The learning curve of robotic-arm assisted acetabular cup positioning during total hip arthroplasty. Hip Int, 2021, 31(3): 311-319.
3.	Banerjee S, Cherian JJ, Elmallah RK, et al. Robot-assisted total hip arthroplasty. Expert Rev Med Devices, 2016, 13(1): 47-56.
4.	Hadley CJ, Grossman EL, Mont MA, et al. Robotic-assisted versus manually implanted total hip arthroplasty: A clinical and radiographic comparison. Surg Technol Int, 2020, 11(37): 371-376.
5.	Subramanian P, Wainwright TW, Bahadori S, et al. A review of the evolution of robotic-assisted total hip arthroplasty. Hip Int, 2019, 29(3): 232-238.
6.	孔祥朋, 付君, 陈继营, 等. 5G通信技术远程指导机器人辅助全髋关节置换术两例. 中国修复重建外科杂志, 2020, 34(11): 1492-1493.
7.	Perets I, Walsh JP, Close MR, et al. Robot-assisted total hip arthroplasty: Clinical outcomes and complication rate. Int J Med Robot, 2018, 14(4): e1912. doi: 10.1002/rcs.1912.
8.	崔可赜, 郭祥, 陈元良, 等. 后外侧入路人工全髋关节置换术中MAKO机器人手臂辅助与传统人工方法的比较研究. 中国修复重建外科杂志, 2020, 34(7): 883-888.
9.	Chai W, Guo RW, Puah KL, et al. Use of robotic-arm assisted technique in complex primary total hip arthroplasty. Orthop Surg, 2020, 12(2): 686-691.
10.	Boisgard S, Descamps S, Bouillet B. Complex primary total hip arthroplasty. Orthop Traumatol Surg Res, 2013, 99(1 Suppl): S34-S42.
11.	Qin J, Xu Z, Dai J, et al. New technique: practical procedure of robotic arm-assisted (MAKO) total hip arthroplasty. Ann Transl Med, 2018, 6(18): 364. doi: 10.21037/atm.2018.09.30.
12.	Rivière C, Lazennec JY, Van Der Straeten C, et al. The influence of spine-hip relations on total hip replacement: A systematic review. Orthop Traumatol Surg Res, 2017, 103(4): 559-568.
13.	Vigdorchik JM, Sharma AK, Aggarwal VK, et al. The use of robotic-assisted total hip arthroplasty in developmental dysplasia of the hip. Arthroplast Today, 2020, 6(4): 770-776.
14.	Clement ND, Gaston P, Bell A, et al. Robotic arm-assisted versus manual total hip arthroplasty. Bone Joint Res, 2021, 10(1): 22-30.
15.	Ando W, Takao M, Hamada H, et al. Comparison of the accuracy of the cup position and orientation in total hip arthroplasty for osteoarthritis secondary to developmental dysplasia of the hip between the Mako robotic arm-assisted system and computed tomography-based navigation. Int Orthop, 2021, 45(7): 1719-1725.
16.	李俊成, 倪明, 冀全博, 等. 机器人辅助与传统方法行全髋关节置换术后下肢长度差异比较. 中华骨科杂志, 2021, 41(8): 480-487.
17.	宋平, 孔祥朋, 李想, 等. 机器人辅助全髋关节置换术在伴有髋臼内固定的患者中的应用. 中华外科杂志, 2020, 58(12): 947-950.
18.	郭人文, 孔祥朋, 宋平, 等. CroweⅣ型髋关节发育不良的机器人辅助全髋关节置换术两例报告. 骨科, 2021, 12(2): 180-182.

1. Caldora P, D’Urso A, Banchetti R, et al. Blood transfusion, hospital stay and learning curve in robotic assisted total hip arthroplasty. J Biol Regul Homeost Agents, 2020, 34(4 Suppl. 3): 37-49.
2. Kayani B, Konan S, Huq SS, et al. The learning curve of robotic-arm assisted acetabular cup positioning during total hip arthroplasty. Hip Int, 2021, 31(3): 311-319.
3. Banerjee S, Cherian JJ, Elmallah RK, et al. Robot-assisted total hip arthroplasty. Expert Rev Med Devices, 2016, 13(1): 47-56.
4. Hadley CJ, Grossman EL, Mont MA, et al. Robotic-assisted versus manually implanted total hip arthroplasty: A clinical and radiographic comparison. Surg Technol Int, 2020, 11(37): 371-376.
5. Subramanian P, Wainwright TW, Bahadori S, et al. A review of the evolution of robotic-assisted total hip arthroplasty. Hip Int, 2019, 29(3): 232-238.
6. 孔祥朋, 付君, 陈继营, 等. 5G通信技术远程指导机器人辅助全髋关节置换术两例. 中国修复重建外科杂志, 2020, 34(11): 1492-1493.
7. Perets I, Walsh JP, Close MR, et al. Robot-assisted total hip arthroplasty: Clinical outcomes and complication rate. Int J Med Robot, 2018, 14(4): e1912. doi: 10.1002/rcs.1912.
8. 崔可赜, 郭祥, 陈元良, 等. 后外侧入路人工全髋关节置换术中MAKO机器人手臂辅助与传统人工方法的比较研究. 中国修复重建外科杂志, 2020, 34(7): 883-888.
9. Chai W, Guo RW, Puah KL, et al. Use of robotic-arm assisted technique in complex primary total hip arthroplasty. Orthop Surg, 2020, 12(2): 686-691.
10. Boisgard S, Descamps S, Bouillet B. Complex primary total hip arthroplasty. Orthop Traumatol Surg Res, 2013, 99(1 Suppl): S34-S42.
11. Qin J, Xu Z, Dai J, et al. New technique: practical procedure of robotic arm-assisted (MAKO) total hip arthroplasty. Ann Transl Med, 2018, 6(18): 364. doi: 10.21037/atm.2018.09.30.
12. Rivière C, Lazennec JY, Van Der Straeten C, et al. The influence of spine-hip relations on total hip replacement: A systematic review. Orthop Traumatol Surg Res, 2017, 103(4): 559-568.
13. Vigdorchik JM, Sharma AK, Aggarwal VK, et al. The use of robotic-assisted total hip arthroplasty in developmental dysplasia of the hip. Arthroplast Today, 2020, 6(4): 770-776.
14. Clement ND, Gaston P, Bell A, et al. Robotic arm-assisted versus manual total hip arthroplasty. Bone Joint Res, 2021, 10(1): 22-30.
15. Ando W, Takao M, Hamada H, et al. Comparison of the accuracy of the cup position and orientation in total hip arthroplasty for osteoarthritis secondary to developmental dysplasia of the hip between the Mako robotic arm-assisted system and computed tomography-based navigation. Int Orthop, 2021, 45(7): 1719-1725.
16. 李俊成, 倪明, 冀全博, 等. 机器人辅助与传统方法行全髋关节置换术后下肢长度差异比较. 中华骨科杂志, 2021, 41(8): 480-487.
17. 宋平, 孔祥朋, 李想, 等. 机器人辅助全髋关节置换术在伴有髋臼内固定的患者中的应用. 中华外科杂志, 2020, 58(12): 947-950.
18. 郭人文, 孔祥朋, 宋平, 等. CroweⅣ型髋关节发育不良的机器人辅助全髋关节置换术两例报告. 骨科, 2021, 12(2): 180-182.

Chinese Journal of Reparative and Reconstructive Surgery

Short-term effectiveness of MAKO robot assisted complex total hip arthroplasty

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