Evidence map›Paper›PMID 30746868›Full record

SynthesisThe international journal of medical robotics + computer assisted surgery : MRCAS2019

Robotics-assisted versus conventional manual approaches for total hip arthroplasty: A systematic review and meta-analysis of comparative studies.

Peng-Fei Han, Cheng-Long Chen, Zhi-Liang Zhang, Yi-Chen Han, Lei Wei, Peng-Cui Li, Xiao-Chun Wei

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The international journal of medical robotics + computer assisted surgery : MRCAS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Impact of prior spinal fusion surgery on complications and functional outcomes following total hip arthroplasty: an updated systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Pooled it
  6. Robotic arm-assisted arthroplasty: The latest developments.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2022
    Pooled it
  7. Pooled it
  8. Radiographic evaluation of robot-assisted versus manual total hip arthroplasty: a multicenter randomized controlled trial.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024
    Trial
  9. [Interpretation of the 2026 Asia-Pacific Expert Consensus on Robotic-assisted Hip and Knee Arthroplasty: From precise execution to individualized decision-making].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
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  11. Implementation of Robotic-Assisted Procedure for Total Hip Arthroplasty Is Not Economical in a High-Volume Orthopaedic Facility.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Peng-Fei HanDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, Shanxi Key Laboratory of Bone and Soft Tissue Injury Repair, Taiyuan, China.
Cheng-Long ChenDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, Shanxi Key Laboratory of Bone and Soft Tissue Injury Repair, Taiyuan, China.ORCID https://orcid.org/0000-0001-7085-6793
Zhi-Liang ZhangDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, Shanxi Key Laboratory of Bone and Soft Tissue Injury Repair, Taiyuan, China.
Yi-Chen HanDepartment of Upper School, Subsidiary High School of Taiyuan Normal University, Taiyuan, China.
Lei WeiDepartment of Orthopaedics, The Alpert Medical School of Brown University, Providence, Rhode Island.
Peng-Cui LiDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, Shanxi Key Laboratory of Bone and Soft Tissue Injury Repair, Taiyuan, China.
Xiao-Chun WeiDepartment of Orthopaedics, The Second Hospital of Shanxi Medical University, Shanxi Key Laboratory of Bone and Soft Tissue Injury Repair, Taiyuan, China.ORCID https://orcid.org/0000-0002-6175-4346

Funding

International Science and Technology Cooperation Program of China 2015DFA33050National Natural Science Foundation of China 81601949
6 · The paper itself

Abstract

backgroundSeveral studies have compared robotics-assisted (RA) and conventional manual (CM) approaches for total hip arthroplasty (THA), but their results are controversial.

methodsA literature search was conducted for controlled clinical trials (CCTs) comparing the clinical efficacy of the RA and CM approaches for THA and published between August 1998 and August 2018. The obtained data were analyzed using the statistical software Review Manager 5.3.

resultsFourteen articles were included in the meta-analysis, which revealed that the RA group had less intraoperative complications, better cup angle, and more cases of cup placement in the safe zone than the CM group. However, the operation time required for the CM group was less than that required for the RA group. Moreover, postoperative complications (eg, dislocation and revision surgery) were less frequent in the CM group than in the RA group. However, the two groups had similar functional scores, total number of complications, and rate of occurrence of limb length discrepancy.

conclusionCompared with the CM approach, the RA approach yields better radiological outcomes and fewer intraoperative complications in THA, but similar functional scores.

Indexed as

Robotic Surgical ProceduresAcetabulumArthroplasty, Replacement, HipClinical Trials as TopicHip JointHip ProsthesisHumansPostoperative ComplicationsReoperationSurgery, Computer-Assistedconventionalmanualmeta-analysisrobotics-assistedtotal hip arthroplasty

Identifiers

PMID30746868
PMCPMC6594016

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.