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Results of total hip replacement using the Robodoc surgical assistant system: clinical outcome and evaluation of complications for 97 procedures

✍ Scribed by Arndt P. Schulz; Klaus Seide; Christian Queitsch; Andrea von Haugwitz; Jan Meiners; Benjamin Kienast; Mohamad Tarabolsi; Michael Kammal; Christian Jürgens


Publisher
Wiley (Robotic Publications)
Year
2007
Tongue
English
Weight
113 KB
Volume
3
Category
Article
ISSN
1478-5951

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✦ Synopsis


Abstract

Background

A computerized robotic surgical system was developed from 1986 by the Thomas J. Watson Research Center. In 1992 the system unit Orthodoc^®^ and the milling robot Robodoc^®^ were first used on humans. We present the results achieved with Robodoc‐assisted total hip arthroplasty in 97 hips.

Methods

Between 1997 and 2002, 143 total hip replacements (128 patients) were performed using the Robodoc system. This is a consecutive series. Complete follow‐up was possible in 97 hips at a mean follow‐up period of 3.8 years.

Results

Technical complications directly related to the robotic device occurred in nine cases (9.3%). The pre‐operative Merle d'Aubigne score was determined at 8.1 points compared to a post‐operative mean score of 16.2. There was no sign of femoral stem loosening on radiographs.

Conclusions

Robotic‐assisted total hip arthroplasty with the Orthodoc/ Robodoc system achieves equal results as compared to a manual technique. However, there was a high number of technical complications directly or indirectly related to the robot. Copyright © 2007 John Wiley & Sons, Ltd.