Evidence map›Paper›PMID 39099264›Full record

ArticleHip international : the journal of clinical and experimental research on hip pathology and therapy2024

Adverse events associated with robotic-assistance in total hip arthroplasty: an analysis based on the FDA MAUDE database.

S Bradley Graefe, Gregory J Kirchner, Natalie K Pahapill, Hannah H Nam, Mark L Dunleavy, Nikkole Haines

Abstract read
In one paragraph

Article in Hip international : the journal of clinical and experimental research on hip pathology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

S Bradley GraefeDepartment of Orthopaedics and Rehabilitation, Penn State College of Medicine, Hershey, PA, USA.
Gregory J KirchnerDepartment of Orthopaedics and Rehabilitation, Penn State College of Medicine, Hershey, PA, USA.
Natalie K PahapillDepartment of Orthopaedics and Rehabilitation, Penn State College of Medicine, Hershey, PA, USA.
Hannah H NamDepartment of Orthopaedics and Rehabilitation, Penn State College of Medicine, Hershey, PA, USA.ORCID 0000-0002-3977-5212
Mark L DunleavyDepartment of Orthopaedics and Rehabilitation, Penn State College of Medicine, Hershey, PA, USA.ORCID 0000-0002-6403-3229
Nikkole HainesDepartment of Orthopaedics and Rehabilitation, Penn State College of Medicine, Hershey, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Food and Drug Administration (FDA) maintains the Manufacturer and User Facility Device Experience (MAUDE) database for reporting adverse events associated with medical devices, including emerging technologies, such as robotic-assisted total hip arthroplasty (THA). Aim of this study was to evaluate the variation of adverse events associated with robotics in THA.

methodsMedical device reports (MDRs) within the MAUDE database were identified between 2017 and 2021. For MDR identification the product class "orthopaedic stereotaxic equipment" and terms associated with THA were used. Individual adverse events were identified and organised by type and consequences, such as patient injury, surgical delay, or conversion to the manual technique.

results521 MDRs constituting 546 discrete events were found. The most common reported complication was intraoperative hardware failure (304/546, 55.7%), among which the most common failure was a broken impaction handle/platform (110, 20.1%). Inaccurate cup placement was the second most common reported complication (63, 11.5%). Abandoning the robot occurred in 13.0% (71/521) of reports. A surgical delay was noted in 28% (146/521) of reports, with an average delay of 17.9 (range 1-60) minutes.

conclusionsIdentifying complications that may occur with robotics in THA is an important first step in preventing adverse events and surgical delays. Database analysis provide an overview of the range of complications.

Indexed as

Arthroplasty, Replacement, HipDatabases, FactualRobotic Surgical ProceduresUnited States Food and Drug AdministrationEquipment FailureHumansMalePostoperative ComplicationsUnited StatesComplicationsrobotrobotic-assistedsurveillancetotal hip arthroplasty

Identifiers

PMID39099264
PMCPMC11538751

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Registered trials

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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.