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as computer-assisted navigation systems, or robot-assisted systems. 2 Robotic systems, which are utilized across many surgical subspecialties, 3 can be classified as either active systems, which work autonomously to perform the planned bone
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that suboptimal component positioning leads to joint instability, 9 increased wear, 10 and poorer function. 11 – 14 Robotic-assisted orthopaedic surgery has the potential to improve the accuracy of component positioning in THA, thus
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.5% of all revisions and 33% of acetabular revisions. 10 We outline the currently available methods of acetabular navigation, comparing freehand techniques with computer- and robotic-assisted navigation of the acetabular component. Acetabular
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Intraoperative photograph showing robotic-arm-assisted acetabular reaming. Fig. 3 Intraoperative photograph showing acetabular reaming through the predefined haptic tunnel (displayed in green). Fig. 4 Intraoperative photograph showing the
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aforementioned biomechanical parameters, while decreasing the number of outliers. 11 The first clinical use of a CT-assisted surgical robot for femoral canal preparation took place in 1992. 12 In subsequent years, the technique progressed to the use of
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of cups coated with hydroxyapatite is questionable at present. 60 Computer-assisted navigation and robotics Navigation and robotics have never played a major role in THA surgery. The reason is simple: while studies demonstrate that the
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reduced implant inventory 7 resulting in a more cost-effective surgery. 8 It also enables the use of other computer-assisted techniques such as robotic-assisted surgeries, 10 navigation techniques 11 as well as the use of patient
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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LLD in DAA patients. On the other hand, several methods have been proposed to ease preoperative and intraoperative measurement of LLD in DAA: preoperative planning with manual or digital systems, the use of navigation systems and robot-assisted
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the pelvis. 8 Preoperative planning with this method was consistent between surgeons, independently from their degree of expertise. 9 Only one paper discussed a robotic-assisted procedure performed by a single surgeon using a minimally
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THA Technological developments enabling more precise surgery (computer-assisted surgery, robotics 43 ) and improvement in implant design and quality (wear-resistant surface bearings, 44 biological implant fixation) have enabled the
