Robotics in total hip arthroplasty: a review of the evolution, application and evidence base
Jean-Pierre St Mart, En Lin Goh, and Zameer ShahHip
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Robotic systems used in orthopaedics have evolved from active systems to semi-active systems.
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Early active systems were associated with significant technical and surgical complications, which limited their clinical use.
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The new semi-active system Mako has demonstrated promise in overcoming these limitations, with positive early outcomes.
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There remains a paucity of data regarding long-term outcomes associated with newer systems such as Mako and TSolution One, which will be important in assessing the applicability of these systems.
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Given the already high satisfaction rate of manual THA, further high-quality comparative studies are required utilizing outcome scores that are not limited by high ceiling effects to assess whether robotic systems justify their additional expense.
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