While component malposition remains a major short and long term problem associated with total hip arthroplasty, enhanced technologies such as navigation and robotics have not yet been widely adopted. Both expense and increased OR time can be obstacles to adoption. The current study assesses the effect of the use of a smart mechanical navigation system on surgery time in total hip arthroplasty. 514 consecutive primary total hip arthroplasties were performed by a single surgeon from January 1, 2015 through March 31, 2016. Of these, 40 were performed using a smart mechanical navigation system (the HipXpert System, Surgical Planning Associates Inc., Boston, Massachusetts) and 474 were performed without navigation. The patients were not randomized. Incision to closure time (surgery time) was recorded for each procedure. A two tailed t-test was performed to assess statistical significance.Introduction
Patients and Methods