Evidence map›Paper›PMID 42110665›Full record

ArticleArthroplasty today2026

Utilization Trends and Surgical Outcomes of Technology-Assisted Total Hip Arthroplasty in the United States From 2014 Through 2024.

Michael S Kim, Deeyana Roshanzaer, Melissa R Romoff, Kylen Soriano, Ryan DiGiovanni, Russell Stitzlein, Steven Yang, Peter Hsiue

Abstract read
In one paragraph

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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Michael S KimDepartment of Orthopaedic Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Deeyana RoshanzaerDepartment of Orthopaedic Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Melissa R RomoffDepartment of Orthopaedic Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Kylen SorianoDepartment of Orthopaedic Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Ryan DiGiovanniDepartment of Orthopaedic Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Russell StitzleinDepartment of Orthopaedic Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Steven YangDepartment of Orthopaedic Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Peter HsiueDepartment of Orthopaedic Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

ComplicationsNavigationTechnology-assisted

Identifiers

PMID42110665
PMCPMC13156683

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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.