Evidence map›Paper›PMID 39468678›Full record

SynthesisJournal of orthopaedic surgery and research2024

MAKO robot-assisted total hip arthroplasty: a comprehensive meta-analysis of efficacy and safety outcomes.

Rafael Llombart-Blanco, Gonzalo Mariscal, Carlos Barrios, Pablo Vera, Rafael Llombart-Ais

Abstract readMeta-Analysis
In one paragraph

Synthesis 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 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  8. [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
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  10. [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
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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

5 authors.

Rafael Llombart-BlancoOrthopedic Surgery Department, University Clinic of Navarra, Pamplona, Spain.
Gonzalo MariscalInstitute for Research on Musculoskeletal Disorders, School of Medicine, Catholic University of Valencia, Carrer de Quevedo, 2, Valencia, 46001, Spain. Gonzalo.mariscal@mail.ucv.es.ORCID http://orcid.org/0000-0002-5166-198X
Carlos BarriosInstitute for Research on Musculoskeletal Disorders, School of Medicine, Catholic University of Valencia, Carrer de Quevedo, 2, Valencia, 46001, Spain.
Pablo VeraInstitute for Research on Musculoskeletal Disorders, School of Medicine, Catholic University of Valencia, Carrer de Quevedo, 2, Valencia, 46001, Spain.
Rafael Llombart-AisInstitute for Research on Musculoskeletal Disorders, School of Medicine, Catholic University of Valencia, Carrer de Quevedo, 2, Valencia, 46001, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntroduction: Robotic surgery in total hip arthroplasty (THA) has emerged as a promising approach for improving precision and reducing errors. This meta-analysis aimed to compare the efficacy and safety of robot-assisted MAKO total hip arthroplasty.

methodsStudies were searched using four databases. Meta-analysis was performed using Review Manager 5.4. Efficacy was assessed radiologically, and functional scores and complications were recorded.

resultsTwelve studies (1224 hips) were analyzed. The MAKO group achieved greater cup anteversion (MD 1.53, 95%CI 1.04-2.03) and a higher percentage of components within safe inclination and anteversion ranges (p > 0.05). Harris Hip Scores did not differ significantly (MD 0.61, 95%CI -0.22-1.45) but the forgotten joint scores favored MAKO (MD 5.99, 95% CI 4.10-7.88), although not exceeding the minimally clinically significant difference. No differences in intraoperative complications emerged (OR 0.96, 95%CI 0.51-1.79) but preoperative plans significantly mismatched the final cup placement after MAKO (p < 0.05).

conclusionsThe use of the MAKO robot in THA improves radiological outcomes by enhancing safe prosthesis placement. However, no significant differences were observed in terms of complications. Longer follow-up studies are required to assess the clinical impact of improved radiological results. LEVEL OF EVIDENCE: Level IV metaanalysis of nonrandomized clinical trials. REGISTRATION: CRD42023433733.

Indexed as

Arthroplasty, Replacement, HipPostoperative ComplicationsRobotic Surgical ProceduresHumansTreatment OutcomeMAKOMeta-analysisRobot-assistedTHATotal hip arthroplasty

Identifiers

PMID39468678
PMCPMC11520809

What OpenQuestion holds

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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.