ArticleArthroplasty today2026
Utilization Trends and Surgical Outcomes of Technology-Assisted Total Hip Arthroplasty in the United States From 2014 Through 2024.
Article in Arthroplasty today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
8 authors.
Funding
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Abstract
Background: Utilization of technology-assisted total hip arthroplasty (TA-THA) with computer navigation or robotic assistance continues to increase in the United States. This study aims to provide an updated examination of the trends and patient factors associated with TA-THA and compare postoperative surgical complications between TA-THA and manual THA (M-THA). Methods: A retrospective cohort study was conducted using the TriNetX United States Collaborative Network. Current Procedural Terminology codes were used to identify a cohort of patients who received TA-THA vs M-THA between January 1, 2014, and December 31, 2024. Procedural incidences, regional and institutional distribution, and postoperative complication rates were analyzed. Outcomes included revision surgery, dislocation, periprosthetic fracture, superficial infection, deep infection, and aseptic loosening. Subanalyses were performed at 1-30, 31-90 days, and 3 years. Statistical comparisons used 2-tailed Student's Results: During the 10-year study period, 208,003 THA procedures were performed with 19,122 (9.2%) TA-THA and 188,881 (90.8%) M-THA. The utilization of TA-THA increased from 7.2% in 2014 to 14.2% in 2024, with highest adoption in the West (16.9%) and lowest in the Northeast (5.2%) ( Conclusions: The utilization of TA-THA has more than doubled over the past decade, with notable regional and institutional differences. Compared to M-THA, TA-THA was associated with a decreased risk of multiple postoperative complications over a 3-year period. Further studies will be needed to determine whether this technology should be widely adopted by general orthopaedic surgeons performing THA or if it will primarily serve as a tool for arthroplasty surgeons seeking enhanced efficiency and precision.
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