Table 1.
Date | Type of study | Country | Number of procedures |
Robot type | Population gender | Surgical approach |
Age (y) | Number of complications |
FU | Outcomes studied | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
No Robotic | Robotic | Non Robotic | Robotic | Non Robotic | Robotic | Conventional | Robotic | Non Robotic | Robotic | |||||||||||
Lim et al [46] | 2015 | RCT | Korea | 25 | 24 | ROBODOC | M 13 F 12 | M 11 F 13 | NR | NR | 45.6 (21–65) | 51.2 (19–67) | 2 (intraPPF) | 0 | Functional scores, complications, stem alignment, LLD, operation time | |||||
Siebel and Kafer [75] | 2005 | Retrospective | Germany | 35 | 36 | CASPAR | M 19 F 16 | M 21 F 15 | Lateral | Lateral | 60.6 ± 7.0 | 58.9 ± 8.9 | 3 (1 dislocation + 2 intraPPF) | 4 (2 dislocation + 1 neuro +1 infection) | 18 | Functional scores, complications, operation time | ||||
Nakamura et al [43, 82] | 2010 | RCT | Japan | 71 | 75 | ROBODOC | M 10 F 51 | M 13 F 56 | Post. | Post. | 58 ± 9 | 57 ± 10 | 10 (1 dislocation + 4 thigh pain + 5 intraPPF | 7 (4 dislocation + 3 thigh pain) | min > 4 Y | Complications, LLD, operation time | ||||
Domb et al [83] | 2014 | Retrospective matched-pair controlled | USA | 62 | 69 | MAKO | M 19 F 31 | M 19 F 31 | Post. | Ant. (fDAA) | 56.7 ± 8.1 | 56.8 ± 7.9 | 0 | 1 (intracup malposition) | – | Complications, cup angle, safe zone of cup, operation time | ||||
El Bitar et al. ** [84] | 2015 | Retrospective | USA | 88* (2 groups) | 67 | MAKO | M 12 | M 23 | M 29 F 38 | fDDA | Post. | Posterior 67 | 58 ± 12.3 | 55.3±9.3 | 60.2 ± 9.6 | NR | NR | – | Leg length discrepancy | |
F 17 | F 36 | 29 | 59 | |||||||||||||||||
Tsai et al. [24] | 2016 | Retrospective | USA | 14 | 12 | MAKO | M 7 F 7 | M 2 F 10 | Post. | Posterior | 58.7 ± 7.5 | 61.4 ± 8.9 | 0 | 0 | NR | Cup angle, safe zone of cup, stem alignment | ||||
Bargar et al. [41] | 2018 | RCT | USA | 22 | 45 | ROBODOC | M 12 F 10 | 35 M 10 F | Post. | Posterior | 59.8 ± 9.4 | 59.1 ± 8.2 | 0 | 0 | 14 Y | Functional scores | ||||
Schulz et al. [44] | 2007 | Retrospective | Germany | – | 128 | ROBODOC | – | NR | – | Lateral | – | 56 (19–75) | – | 17 intra op (9 technical, 8 other) 9 postop | 3.8 Y | Complication, Clinical outcomes | ||||
Suarez-Ahedo et al. [57] | 2017 | Control study | USA | 57 | 57 | MAKO | M 20 F 37 | M 20 F 37 | Ant. & Post. | NR | 56.9 (38.8–72.3) | 56.9 (40.6–73.4) | NR | NR | Bone preservation | |||||
Domb et al. ** [38] | 2015 | Retrospective | USA | 1752* (multi groups) | 228 | MAKO | – | – | DAA and post. +/− Xray+/− Nav | Ant. (DAA) & Post. | 64.7 ± 11.9 | 58.6 ± 10.8 | NR | NR | – | Cup angle, safe zone of cup, leg length discrepancy | ||||
Bargar et al. [45] | 1998 | Retrospective | Germany | 62 | 65 | ROBODOC | NR | NR | Post. | Post. | NR | NR | 9 (4 dislocation +3 intraPPF, +2 other) | 9 (4 dislocation + 2 neuro + 1 loosening +2 other) | 1 at 2 Y | Complication | ||||
Hananouchi et al. [85] | 2007 | Retrospective | Japan | 27 | 31 | ROBODOC | NR | NR | NR | NR | 57.4 ± 7.1 | 56.7 ± 9.2 | NR | NR | 24 M | Functional score, complications, stem alignment | ||||
Honl et al. [42] | 2003 | Randomized controlled | Germany | 80 | 61 | ROBODOC | M 24 F 56 | M 24 F 37 | Anterolat. | Anterolat | 70.7 ± 8.3 | 71.5 ± 7.1 | 6 (3 dislocation + 1 neuro + 2 infection) | 15 (11 dislocation + 4 neuro + 1 HOssif.) | 2 Y | Functional score, complications, stem alignment, operation time | ||||
Kamara et al. ** [51] | 2017 | Retrospective | USA | 296* (2 groups) | 98 | MAKO | M 93 | M 43 | M 45 F 53 | M.Post | DAA | Post. | NR | NR | 7a | 5b | 2c | NR | Complications, cup angle, operation time, | |
F 105 | F 55 | |||||||||||||||||||
Nishihara et al. [40] | 2006 | Retrospective | Japan | 78 | 78 | ORTHODOC | M 14 F 64 | M 14 F 64 | Post. | Post. | 58 (29–77) | 58 (27–81) | 5 (PPF) | 0 | 2.3 Y | Functional score, complications, stem alignment, operation time | ||||
Heng et al. [73] | 2018 | Retrospective | Australia | 45 | 45 | MAKO | M 32 F 13 | M 25 F 20 | Post. | Post. | 62.8 ± 12.3 | 64.5 ± 9.9 | 3 (acetabular fractures) | 2 (1 conversion +1 wound infection) | – | Intraoperative complication, operation time bleeding LOS | ||||
Kanawabe et al. [54] | 2015 | Prospective | USA | – | 43 (38) | MAKO | – | M19 F 24 | – | Post. | – | 63 (48–79) | – | 0 (5 technic failures) | – | Intraoperative complication, cup position accuracy | ||||
Kayani et al. [72] | 2019 | Prospective | UK | 50 | 25 | MAKO | M 26 F 24 | M 13 F 12 | Post. | Post. | 69.4 ± 5.2 | 67.5 ± 5.8 | 0 | 0 | 6 W | cup angle accuracy, early complication (6weeks) | ||||
Kong et al. [52] | 2020 | Retrospective | China | 100 | 86 | MAKO | M 40 F 60 | M 36 F 50 | Post. | Post. | 51.9 ± 12.6 | 51.9 ± 10.8 | NR | NR | – | Learning curve, cup angle | ||||
Banchetti et al. [86] | 2018 | Retrospective | Italy | 51/100*** | 56/120*** | MAKO | M 26 F 25 | M 31 F 35 | Post. | Post. | 69.8 ± 10.2 | 66.2 ± 11.1 | NR | NR | 2 Y | Complications, PROMS, clinical outcomes | ||||
Perets et al[77] | 2017 | Retrospective | USA | – | 162 | MAKO | – | M 73 F 89 | – | Ant. & Post. | – | 61.2 ± 8.9 | – | 12 (6 intraPPF + 1 infection+ 1 neuro+4 other) | >2 Y | PROMS, clinical outcomes | ||||
Illgen et al. ** [49] | 2017 | Retrospective | USA | 200* (2 groups) | 100 | MAKO | M 42 | M 50 | M 42 F 58 | Post. | Post. | 65 ± 14 | 60 ± 12 | 62 ± 11 | Dislocation | Dislocation: 0 | 2 Y | Cup position, operative time, blood loss, complication | ||
F 58 | F 50 | Early THA | Late THA | 5 | 3 |
Sum of all procedures without the use of the robot in studies with more than two groups of comparison including 2 techniques assistance or approach of non-robotic THA.
Relating studies with multi-subgroups comparing different THA procedures without robot with a group with a robotic assistance.
Respondent’s patient at the follow-up.
3 intraoperative (femoral fractures) + 1 early dislocation + 4 revisions (1 femoral for the failure of osseointegration, 1 LLD, 1 wound infection, 1 delayed infection at 1 Y;
no intraoperative, 2 anterior recurrent dislocation, 3 revisions (1 psoas tenotomy, 1 metallosis with CoC, 1 ALVAL with modular neck),
no intraoperative complication, 1 early recurrent dislocation with revision, 1 revision for subsidence
Abbreviations. NR: non reported, intraPPF: intraoperative periprosthetic fracture, neuro: neurologic complication as palsy or lesion, post.: posterior approach, ant.: anterior approach, anterolat, HOssif.: Heterotopic ossification. Antero lateral approach DAA: Direct Anterior Approach, fDAA: DAA assisted by fluoroscopy, X-ray: surgery assisted by intraoperative fluoroscopy, Nav: surgery assisted by navigation, W: week, M: month, Y: year, –: No way in the goal of the study.