Accuracy of cup position following robot-assisted total hip arthroplasty may be associated with surgical approach and pelvic tilt View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-04-07

AUTHORS

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

ABSTRACT

This study aimed to investigate the accuracy of cup placement and determine the predictive risk factors for inaccurate cup positioning in robot-assisted total hip arthroplasty (THA). We retrospectively analyzed 115 patients who underwent robot-assisted THA between August 2018 and November 2019. Acetabular cup alignment and three-dimensional (3D) position were measured using pre- or postoperative computed tomography (CT) data. Absolute differences in cup inclination, anteversion, and 3D position were assessed, and their relation to preoperative factors was evaluated. The average measurement of the absolute differences was 1.8° ± 2.0° (inclination) and 1.9° ± 2.3° (anteversion). The average absolute difference in the 3D cup position was 1.1 ± 1.2 mm (coronal plane) and 0.9 ± 1.0 mm (axial plane). Multivariate analysis revealed that a posterior pelvic tilt [odds ratio (OR, 1.1; 95% confidence interval (CI), 1.00-1.23] and anterior surgical approach (OR, 5.1; 95% CI, 1.69-15.38) were predictive factors for inaccurate cup positioning with robot-assisted THA. This is the first study to demonstrate the predictive risk factors (posterior pelvic tilt and anterior surgical approach) for inaccurate cup position in robot-assisted THA. More... »

PAGES

7578

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41598-021-86849-0

DOI

http://dx.doi.org/10.1038/s41598-021-86849-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1136978958

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/33828113


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