Yıl 2020, Cilt 4 , Sayı 4, Sayfalar 276 - 280 2020-04-01

Comparison of component positioning in robot-assisted and conventional total hip arthroplasty
Robot-yardımlı ve konvansiyonel total kalça artroplastisinde komponent yerleşiminin karşılaştırılması

Yusuf Onur KIZILAY [1] , Murat KEZER [2]


Aim: For primary total hip arthroplasty, many authors reported that inappropriate component positioning may lead to unfavorable results and complications. In the last two decades, robotic systems were developed to improve component positioning in total hip arthroplasty. However, there are few reports in the literature concerning its efficacy. In this study, we aimed to compare the accuracy of component positioning between robot-assisted and conventional total hip arthroplasty.
Methods: In this retrospective cohort study, forty-four patients were operated using robot-assisted surgery (RAS), and 60 patients were operated using primary conventional manual arthroplasty (CMA). Measurements were done in standing orthogonal antero-posterior x-ray (AP) views to evaluate acetabular inclination, anteversion, and leg length discrepancy. Results were compared between RAS and CMA groups.
Results: The average deviation from desired acetabular inclination was 8o in the CMA group, 4.7o in the RAS group, between which the difference was statistically significant (P=0.023). Concerning acetabular inclination, 72% of the patients in the CMA group remained in the safe zone described by Lewinnek while 94% of the patients in the RAS group remained in the same safe zone. The mean deviation from desired anteversion was 6.7o in the CMA group and 5.6o in the RAS group. The difference between two groups was not significant (P=0.209). The two groups were similar in terms of leg length discrepancy (P=0.238).
Conclusion: We achieved more consistent acetabular component positioning with robot-assisted total hip arthroplasty compared with conventional total hip arthroplasty. Thus, more patients remained within Lewinnek’s safe zone in the robot-assisted surgery group.

Amaç: Total kalça artroplastisinde protez komponentlerinin uygun olarak yerleştirilmemesi istenmeyen sonuçlara ve komplikasyonlara yol açabilmektedir. Son 20 yılda protez komponentlerinin daha doğru yerleştirilebilmesi için robotik sistemler total kalça artroplastisinde kullanılmaya başlanmıştır. Buna rağmen literatürde robotik sistemlerin uygun protez komponent yerleşimine sebep olduğuna dair kısıtlı sayıda yayın bulunmaktadır. Bu sebeple mevcut çalışmada robot-yardımlı ve konvansiyonel total kalça artroplastisinde komponent yerleşiminin doğruluğu karşılaştırılmaya çalışılmıştır.
Yöntemler: Mevcut retrospektif kohort çalışmasında, 44 hastaya robot-yardımlı total kalça artroplastisi (RYA), 60 hastaya ise konvansiyonel total kalça artroplastisi (KTKA) uygulandı. Tüm vakalar primer artroplasti vakasıydı. Ameliyat sonrası kontrollerde ayakta basarak çekilen bacak uzunluk grafilerinde asetabuler inklinasyon, anteversiyon ve bacak uzunluk farkı ölçümleri yapıldı. Bu sonuçlar her iki grup arasında karşılaştırıldı.
Bulgular: Amaçlanan inklinasyondan ortalama sapma KTKA grubunda 8o, RYA grubunda 4,7o idi ve aradaki fark istatistiksel olarak anlamlıydı (P=0,023). Asetabuler inklinasyon parametresinde KTKA grubundaki hastaların %72’si Lewinnek tarafından tanımlanan güvenli aralıkta bulunurken RYA grubundaki hastaların %94’ü aynı güvenli aralıkta yer aldı. Amaçlanan anteversiyondan ortalama sapma KTKA grubunda 6,7o iken, bu değer RYA grubunda 5,6o idi. İki grup arasındaki fark istatistiksel açıdan anlamlı değildi (P=0,209). Ortalama bacak uzunluk farkı KTKA grubunda 8 mm iken bu değer RYA grubunda 6mm idi. Bacak uzunluk parametresi bakımından iki grup arasında istatiksel açıdan anlamlı fark bulunamadı (P=0,238).
Sonuç: Çalışmamızda konservatif kalça artroplastisi ile karşılaştırıldığında robot-yardımlı total kalça artroplastisi ile daha tutarlı asetabuler komponent yerleşimi elde edildi. Buna ek olarak robotik cerrahi grubunda daha fazla oranda hasta Lewinnek tarafından tarif edilen güvenli aralıkta yer aldı. 

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Birincil Dil en
Konular Ortopedi
Bölüm Araştırma makalesi
Yazarlar

Orcid: 0000-0001-8373-3426
Yazar: Yusuf Onur KIZILAY (Sorumlu Yazar)
Kurum: Bursa Aritmi Osmangazi Hastanesi
Ülke: Turkey


Orcid: 0000-0001-6684-1636
Yazar: Murat KEZER
Kurum: Bursa Aritmi Osmangazi Hastanesi
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 1 Nisan 2020

Bibtex @araştırma makalesi { josam656702, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {276 - 280}, doi = {10.28982/josam.656702}, title = {Comparison of component positioning in robot-assisted and conventional total hip arthroplasty}, key = {cite}, author = {Kızılay, Yusuf Onur and Kezer, Murat} }
APA Kızılay, Y , Kezer, M . (2020). Comparison of component positioning in robot-assisted and conventional total hip arthroplasty . Journal of Surgery and Medicine , 4 (4) , 276-280 . DOI: 10.28982/josam.656702
MLA Kızılay, Y , Kezer, M . "Comparison of component positioning in robot-assisted and conventional total hip arthroplasty" . Journal of Surgery and Medicine 4 (2020 ): 276-280 <http://jsurgmed.com/tr/pub/issue/53710/656702>
Chicago Kızılay, Y , Kezer, M . "Comparison of component positioning in robot-assisted and conventional total hip arthroplasty". Journal of Surgery and Medicine 4 (2020 ): 276-280
RIS TY - JOUR T1 - Comparison of component positioning in robot-assisted and conventional total hip arthroplasty AU - Yusuf Onur Kızılay , Murat Kezer Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.656702 DO - 10.28982/josam.656702 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 276 EP - 280 VL - 4 IS - 4 SN - -2602-2079 M3 - doi: 10.28982/josam.656702 UR - https://doi.org/10.28982/josam.656702 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Comparison of component positioning in robot-assisted and conventional total hip arthroplasty %A Yusuf Onur Kızılay , Murat Kezer %T Comparison of component positioning in robot-assisted and conventional total hip arthroplasty %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 4 %R doi: 10.28982/josam.656702 %U 10.28982/josam.656702
ISNAD Kızılay, Yusuf Onur , Kezer, Murat . "Comparison of component positioning in robot-assisted and conventional total hip arthroplasty". Journal of Surgery and Medicine 4 / 4 (Nisan 2020): 276-280 . https://doi.org/10.28982/josam.656702
AMA Kızılay Y , Kezer M . Comparison of component positioning in robot-assisted and conventional total hip arthroplasty. J Surg Med. 2020; 4(4): 276-280.
Vancouver Kızılay Y , Kezer M . Comparison of component positioning in robot-assisted and conventional total hip arthroplasty. Journal of Surgery and Medicine. 2020; 4(4): 276-280.
IEEE Y. Kızılay ve M. Kezer , "Comparison of component positioning in robot-assisted and conventional total hip arthroplasty", Journal of Surgery and Medicine, c. 4, sayı. 4, ss. 276-280, Nis. 2020, doi:10.28982/josam.656702