The journey to preventing dislocation after total hip arthroplasty : how did we get here?

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Abstract

[Indexed for MEDLINE] 19. J Orthop Surg Res. 2024 Oct 28;19(1):698. doi: 10.1186/s13018-024-05199-5. MAKO robot-assisted total hip arthroplasty: a comprehensive meta-analysis of efficacy and safety outcomes. Llombart-Blanco R(1), Mariscal G(2), Barrios C(3), Vera P(3), Llombart-Ais R(3)(4). Author information: (1)Orthopedic Surgery Department, University Clinic of Navarra, Pamplona, Spain. (2)Institute for Research on Musculoskeletal Disorders, School of Medicine, Catholic University of Valencia, Carrer de Quevedo, 2, Valencia, 46001, Spain. Gonzalo.mariscal@mail.ucv.es. (3)Institute for Research on Musculoskeletal Disorders, School of Medicine, Catholic University of Valencia, Carrer de Quevedo, 2, Valencia, 46001, Spain. (4)Traumacenter, La Salud Hospital, Valencia, Spain. BACKGROUND: Introduction: Robotic surgery in total hip arthroplasty (THA) has emerged as a promising approach for improving precision and reducing errors. This meta-analysis aimed to compare the efficacy and safety of robot-assisted MAKO total hip arthroplasty. METHODS: Studies were searched using four databases. Meta-analysis was performed using Review Manager 5.4. Efficacy was assessed radiologically, and functional scores and complications were recorded. RESULTS: Twelve studies (1224 hips) were analyzed. The MAKO group achieved greater cup anteversion (MD 1.53, 95%CI 1.04-2.03) and a higher percentage of components within safe inclination and anteversion ranges (p > 0.05). Harris Hip Scores did not differ significantly (MD 0.61, 95%CI -0.22-1.45) but the forgotten joint scores favored MAKO (MD 5.99, 95% CI 4.10-7.88), although not exceeding the minimally clinically significant difference. No differences in intraoperative complications emerged (OR 0.96, 95%CI 0.51-1.79) but preoperative plans significantly mismatched the final cup placement after MAKO (p