Evidence map›Paper›PMID 39012414›Full record

ArticleInternational orthopaedics2024

Why robot-assisted total hip arthroplasty aborted: Chinese experience of four hundred and twenty nine consecutive cases.

Hao-Ming An, Zheng Cao, Shuai Zhang, Min-Zhi Yang, Xiang-Peng Kong, Wei Chai

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Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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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

6 authors.

Hao-Ming An *School of Medicine, Nankai University, Tianjin, China.ORCID 0000-0001-6710-3926
Zheng Cao *School of Medicine, Nankai University, Tianjin, China.ORCID 0000-0002-3129-7113
Shuai Zhang *Senior Department of Orthopedics, the Fourth Medical Center of PLA General Hospital, Beijing, China.ORCID 0000-0002-9393-7008
Min-Zhi YangSenior Department of Orthopedics, the Fourth Medical Center of PLA General Hospital, Beijing, China.
Xiang-Peng Kong *Senior Department of Orthopedics, the Fourth Medical Center of PLA General Hospital, Beijing, China. 18810999609@163.com.
Wei Chai *Senior Department of Orthopedics, the Fourth Medical Center of PLA General Hospital, Beijing, China. chaiwei301@163.com.ORCID 0000-0001-8781-9745

Funding

Beijing Science and Technology Planning Project No. Z221100003522014
6 · The paper itself

Abstract

purposeRobot-assisted total hip arthroplasty (RA-THA) helps with precise orientation of the prosthesis, but some RA-THA procedures are aborted intraoperatively and are converted to manual total hip arthroplasty (THA). This study aimed to analyse why RA-THA is sometimes aborted intraoperatively and to make recommendations accordingly.

methodsA total of 429 consecutive Mako THA cases in our prospective database from August 2018 to June 2021 were included in our study. All robotic procedures aborted intraoperatively for any reason were recorded. The patients' demographics, diagnoses, and surgeons' information were included in the statistical analysis to pinpoint the risk factors for intraoperative robot to manual conversion.

resultsIntraoperative RA-THA abortions occurred in 17 cases (3.96%) and the patients had to be converted to manual THA. The adverse events leading to intraoperative abortions included pelvic array loosening or malposition (5, 1.17%), inaccurate bone mapping or construction (6, 1.40%), inaccurate initial registration (4, 0.93%), and other reasons (2, 0.47%).

conclusionRobot-related adverse events could be found in all perioperative steps of RA-THA, and some of these events might result in intraoperative abortion. Complex hip disease was a statistically significant factor for an increased risk of intraoperative abortion of RA-THA. Standardized surgical procedures and preoperative assessments can be helpful in reducing the rate of RA-THA abortions.

Indexed as

Arthroplasty, Replacement, HipRobotic Surgical ProceduresAdultAgedAged, 80 and overChinaFemaleHumansMaleMiddle AgedRisk FactorsAbortion rateRobot-assisted surgeryTotal hip arthroplasty

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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.