Evidence map›Paper›PMID 39420701›Full record

Trial reportOrthopaedic surgery2025

Precise Acetabular Prosthesis Positioning Using a Novel Robot-Assisted Total Hip Arthroplasty System: A Multicenter, Randomized Controlled Trial.

Xiao Geng, Ziyang Dong, Yang Li, Minwei Zhao, Yanqing Liu, Zijian Li, Hong Cai, Ming Zhang, Xinfeng Yan, Zhiwen Sun and 4 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Orthopaedic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05947734 (A Randomized Controlled, Multicenter Study for Patients Underwent Total Hip Arthroplasties Assisted by "VTS" Surgical Robotic System), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT05947734 nacompletednot on this map

A Randomized Controlled, Multicenter Study for Patients Underwent Total Hip Arthroplasties Assisted by "VTS" Surgical Robotic System

TypeinterventionalSponsorPeking University Third HospitalRan2021 to 2022Enrolled138ConditionsHip ArthropathyArms"VTS" surgical robotic system
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. [Domestic ROPA surgical robot for total hip arthroplasty: An artificial bone experiments].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  3. [Progress and future prospects of robot-assisted total hip arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
  4. Article
  5. [Short-term effectiveness of visual treatment solution-assisted treatment for Crowe typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  6. Article
  7. 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

14 authors.

Xiao GengDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.
Ziyang DongDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.ORCID https://orcid.org/0000-0002-2265-481X
Yang LiDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.
Minwei ZhaoDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.
Yanqing LiuDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.
Zijian LiDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.
Hong CaiDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.
Ming ZhangDepartment of Orthopaedics, The First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital), Jinan, China.
Xinfeng YanDepartment of Orthopaedics, The First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital), Jinan, China.
Zhiwen SunDepartment of Orthopaedics, Chifeng Municipal Hospital, Chifeng, China.
Xin LvDepartment of Orthopaedics, Chifeng Municipal Hospital, Chifeng, China.
Feng GuoDepartment of Orthopaedics, Chifeng Municipal Hospital, Chifeng, China.
Feng LiDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.
Hua TianDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.ORCID https://orcid.org/0000-0001-7139-3372

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTotal hip arthroplasty (THA) is currently one of the most effective treatment methods for end-stage hip joint disease, and its long-term effectiveness largely depends on the accurate placement of the acetabular prosthesis. In conventional surgery, the placement of the acetabular prosthesis mainly relies on the surgeon's clinical experience and surgical techniques. To further improve the accuracy of prosthesis placement, a new robotic system for THA is designed. The purpose of this study is to verify the effectiveness and safety of THA assisted by this robotic system.

methodA multicenter, prospective, randomized controlled, superiority study design was adopted with statistical methods of t test and Chi-squared test. Participants undergoing primary THA have been enrolled in three centers of joint surgery in China since July 17, 2023. Robotic THA was operated in the experimental group, and conventional instruments were used in the control group. The primary outcome is the proportion of anteversion and inclination angles in the safe zone. The secondary outcomes include operation time, WOMAC score, Harris score, SF-36 health questionnaire, dislocation rate of hip joint, and rates of adverse events and serious adverse events.

resultsA total of 138 patients were included in this study. The proportion of both anteversion and inclination angles in the safe zone was 92.2% in the experimental group and 50.8% in the control group, with significant difference (p < 0.01). The average operation time in the experimental group and control group was 116.4 and 80.5 min respectively, with significant difference (p < 0.01). There was no significant difference in WOMAC score, Harris score, and SF-36 between the two groups (6 ± 2) weeks after operation (p > 0.05). The dislocation rate of hip joint in the experimental group and control group were 3.0% and 1.5%, respectively, without significant difference (p > 0.05). The rate of adverse events and severe adverse events in the experimental group and control group also showed no significant difference (p > 0.05). No adverse events or serious adverse events were judged to be "definitely related" to the experimental instruments.

conclusionRobotic THA could prolong the operation time within an acceptable range, but more precise acetabular prosthesis positioning could be obtained when compared with conventional surgery. Besides, no significant difference was found in function scores, dislocation rate or other adverse events, which indicates that this new robot system shows both good effectiveness and safety in THA.

trial registrationClinical Trials: NCT05947734.

Indexed as

AcetabulumArthroplasty, Replacement, HipHip ProsthesisRobotic Surgical ProceduresAdultAgedFemaleHumansMaleMiddle AgedProspective Studiesacetabular prosthesis positioninganteversion angleinclination anglerobotic surgerytotal hip arthroplasty

Identifiers

PMID39420701
PMCPMC11735370

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Registered trials

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.