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Orthopaedic Proceedings
Vol. 103-B, Issue SUPP_1 | Pages 28 - 28
1 Feb 2021
Domb B Annin S Diulus S Ankem H Meghpara M Shapira J Rosinsky P Maldonado D Lall A
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Background

Total hip arthroplasty (THA) has been and continues to be the gold standard for treatment of end-stage osteoarthritis. With each year, implant characteristics are evolving to increase patient-reported outcomes and decrease complications. Purpose: to report minimum 2-year outcomes and complications in patients who underwent robotic-arm assisted THA using Corin versus Stryker-type implants.

Methods

Data were prospectively collected on patients who underwent THA with Corin-type implants (both cup and stem) and THA using Stryker implants between June 2011 and July 2016. A 1:1 propensity match was performed using the following 5 covariates: age, body mass index, gender, Charlson score and smoking status. Surgical outcomes were assessed at minimum 2-year follow-up using the Forgotten Joint Score (FJS), Harris Hip Score (HHS), Veterans RAND 12-item physical and mental health survey, Short Form 12 physical and mental health survey, Visual Analog Score (VAS), and patient satisfaction. The exclusion criteria were previous hip condition/surgery, workers compensation, or were unwilling.


Orthopaedic Proceedings
Vol. 103-B, Issue SUPP_1 | Pages 27 - 27
1 Feb 2021
Domb B Maldonado D Chen J Kyin C Bheem R Shapira J Rosinsky P Karom J
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Introduction

Primary robotic-arm assisted total hip arthroplasty (THA) yields more accurate and reproducible acetabular cup placement, nonetheless, data is scarce in terms of outcomes. The purpose of the present study was to report on patient-reported outcomes (PROMs) in a large group of patients who underwent robotic-arm assisted THA. The authors hypothesized that (1) patients who underwent robotic-arm assisted primary THA would achieve favorable and significant improvement in PROMs, (2) an accurate and reproducible acetabular cup placement with respect to the defined SafeZones would be obtained, and (3) a low rate of THA dislocation would be observed.

Methods

Prospectively collected data were retrospectively reviewed between April 2012 to May 2017. Primary THA using Mako Robotic-Arm [Mako Surgical Corp. (Stryker), Fort Lauderdale, FL, USA] with minimum two-year follow-up for the Harris Hip Score (HHS) and the Forgotten Joint Score-12 (FJS-12) were included. Exclusion criteria were: bodymass index (BMI) > 40 kg/m2, age < 21-year old, worker's compensation, or unwilling to participate. Visual analog scale (VAS) for pain and patient satisfaction were obtained. Intraoperative measurements for leg-length, global offset, acetabular inclination and version were documented.