ArticleJournal of orthopaedic surgery and research2024
Robotic-assisted total hip arthroplasty outperforms manual technique in obese and overweight patients: a prospective comparative study.
Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Robotics improves reproducibility of component positioning while producing modest but measurable clinical benefits in total hip arthroplasty: an umbrella review of systematic reviews and meta-analyses.Journal of robotic surgery · 2026Pooled it
- Body mass index and robotic-assisted total hip arthroplasty: current evidence, technical challenges, and clinical implications-a critical review.Journal of robotic surgery · 2026Review
- 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 · 2026Article
- Robotic-assisted primary total hip arthroplasty is not associated with superior clinically meaningful patient-reported outcomes or complication rates in obese patients: a propensity-matched analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Acetabular component placement accuracy and short-term outcomes in total hip arthroplasty : comparison of robotic arm-assisted surgery system and an augmented reality-based portable navigation.Bone & joint open · 2026Article
- Review
- Global trends and hotspots in robot-assisted arthroplasty: a CiteSpace-based bibliometric and visualized analysis.Journal of robotic surgery · 2025Review
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the increasing prevalence of obesity, there is growing awareness of the impact of overweight and obesity on total hip arthroplasty (THA). Research exploring the accuracy of acetabular component orientation in THA between robotic-assisted and manual techniques across different BMI categories is insufficient.
methodsThis prospective study evaluated 221 patients who underwent THA with a Robotic Interactive Orthopaedic Arm system and 252 patients who underwent manual THA between March 2022 and January 2024. The patients were divided into four groups according to their BMI. We analysed whether there were differences in the accuracy of acetabular component positioning between robotic-assisted THA and manual THA across different BMI categories.
resultsIn the overweight group, robotic-assisted THA achieved a significantly higher rate of abductions within the target range (73/6) than manual THA (62/28) (p = 0.000). Both abductions and anteversions within the target range were also significantly more frequent in the robotic-assisted THA group (69/10) than in the manual THA group (56/34) (p = 0.000). Among the obese patients, robotic-assisted THA showed a perfect record for anteversions within the target range (29/0), markedly outperforming manual THA (39/6) (p = 0.040).
conclusionIn the overweight (24 kg/m² ≤ BMI < 28 kg/m²) and obese (BMI ≥ 28 kg/m²) groups, robotic-assisted THA demonstrates significantly greater accuracy in acetabular component positioning compared to manual THA. This indicates that robotic-assisted technology may provide a more precise positioning of the acetabular component in overweight and obese patients.
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