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Robotic-arm assisted THA can achieve precise cup positioning in developmental dysplasia of the hip : a case control study

Hayashi, Shinya Hashimoto, Shingo Kuroda, Yuichi Nakano, Naoki Matsumoto, Tomoyuki Ishida, Kazunari Shibanuma, Nao Kuroda, Ryosuke 神戸大学

2021.09.30

概要

Aims: This study aimed to evaluate the accuracy of implant placement with robotic-arm assisted total hip arthroplasty (THA) in patients with developmental dysplasia of the hip (DDH). Methods: The study analyzed a consecutive series of 69 patients who underwent robotic-arm assisted THA between September 2018 and December 2019. Of these, 30 patients had DDH and were classified according to the Crowe type. Acetabular component alignment and 3D positions were measured using pre- and postoperative CT data. The absolute differences of cup alignment and 3D position were compared between DDH and non-DDH patients. Moreover, these differences were analyzed in relation to the severity of DDH. The discrepancy of leg length and combined offset compared with contralateral hip were measured. Results: The mean values of absolute differences (postoperative CT-preoperative plan) were 1.7° (standard deviation (SD) 2.0) (inclination) and 2.5° (SD 2.1°) (anteversion) in DDH patients, and no significant differences were found between non-DDH and DDH patients. The mean absolute differences for 3D cup position were 1.1 mm (SD 1.0) (coronal plane) and 1.2 mm (SD 2.1) (axial plane) in DDH patients, and no significant differences were found between two groups. No significant difference was found either in cup alignment between postoperative CT and navigation record after cup screws or in the severity of DDH. Excellent restoration of leg length and combined offset were achieved in both groups. Conclusion: We demonstrated that robotic-assisted THA may achieve precise cup positioning in DDH patients, and may be useful in those with severe DDH.

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Author information:

„„ S. Hayashi, MD, PhD, Orthopaedic Surgeon, Department of Orthopaedic Surgery,

Kobe University Graduate School of Medicine, Kobe, Japan; Kobe Kaisei Hospital,

Kobe, Japan.

„„ S. Hashimoto, MD, PhD, Orthopaedic Surgeon

„„ Y. Kuroda, MD, PhD, Orthopaedic Surgeon

„„ N. Nakano, MD, PhD, Orthopaedic Surgeon

„„ T. Matsumoto, MD, PhD, Orthopaedic Surgeon

„„ R. Kuroda, MD, PhD, Orthopaedic Surgeon

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine,

Kobe, Japan.

„„ K. Ishida, MD, PhD, Orthopaedic Surgeon

„„ N. Shibanuma, MD, PhD, Orthopaedic Surgeon

Kobe Kaisei Hospital, Kobe, Japan.

Author contributions:

„„ S. Hayashi: Conceptualization, Data curation, Investigation, Writing – original draft.

„„ S. Hashimoto: Data curation, Formal analysis, Methodology.

„„ Y. Kuroda: Data curation, Formal analysis, Validation.

„„ N. Nakano: Data curation, Validation.

„„ T. Matsumoto: Data curation, Supervision.

„„ K. Ishida: Investigation, Visualization.

„„ N. Shibanuma: Supervision.

„„ R. Kuroda: Writing – review & editing.

Funding statement:

„„ No benefits in any form have been received or will be received from a commercial

party related directly or indirectly to the subject of this article.

Ethical review statement:

„„ This study complies with the Declaration of Helsinki, study protocols were approved

by the ethics committee of our institution, and all participants provided informed

consent for participation.

Open access funding

„„ The authors report that the open access funding for their manuscript was self-­funded.

© 2021 Author(s) et al. This is an open-­access article distributed under the terms of

the Creative Commons Attribution Non-­Commercial No Derivatives (CC BY-­NC-­ND 4.0)

licence, which permits the copying and redistribution of the work only, and provided

the original author and source are credited. See https://​creativecommons.​org/​licenses/​

by-­​nc-­​nd/​4.​0/

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