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Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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standard primary THA within a few years. The use of a well-documented implant for a surgeon with no experience regarding this implant will initiate a learning curve which could lead to higher revision rate during the first years. 8 We initiated this
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dislocation rate reported have tempted many surgeons and patients to switch to the anterior approach. This has not been without criticism, however, focusing on the steep learning curve, high rate of perioperative complications, early revision rate and limited
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the surgical team to become familiar with the new instruments and workflow. The robotic technology is also only compatible with a select number of implant designs from the manufacturer. There is a steep learning curve for the operating surgeon with
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, though, due to lack of long-term studies, whether long-term good clinical outcomes will compensate for barriers to the widespread adoption of this technology, such as the increased radiation dose and the learning curve. This may be more evident in complex
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highlights the importance of having a surgeon with sufficient hip arthroplasty experience overseeing the procedure. Clinical application Learning curve The learning curve is defined as the rate of a surgeon’s progress in gaining experience or
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conventional THA, possibly because robotic systems require registration or placement of positioning pins, as well as the learning curve for new users. The latter has not been addressed in the meta-analyses which did not consider the level of experience of the
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accurate than the low-volume surgeons who performed an average of 13 THAs per year. There only have been a few studies looking at the learning curve for optimal positioning of the acetabular component in primary THA. Bosker et al. ( 14 ) found a
Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy
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Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy
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Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy
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Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy
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Orthopedics-Traumatology and Prosthetic Surgery and Hip and Knee Revision, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
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Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy
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surgical robots and handheld navigation systems. These show very high levels of accuracy and rely on careful preoperative planning, but they require expensive equipment and a non-negligible learning curve for the technique. They are becoming increasingly
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dysaesthesia, delayed union and heterotopic ossification). Moderate and severe neurovascular complications are most frequently reported to occur in approximately 0% to 5%. 8 , 25 - 33 The learning curve related to the occurrence of complications affects
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, noting a higher revision rate among trainee-performed procedures. 9 The growing use of validated simulation packages for training has helped to familiarize trainees with orthopaedic procedures and offset the learning curve for THA. 10 However
