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[Meta-analysis of leg length discrepancy after robot-assisted and traditional total hip arthroplasty]
Yuanyuan Tu1, Dadi Wan1, Qunli Wang1
1Orthopaedic Medical Center, Haikou Affiliated Hospital of Central South University Xiangya School of Medicine, Haikou Hainan, 570208, P. R. China.
Objective:
To systematically evaluate the difference in leg length discrepancy (LLD) between robot-assisted total hip arthroplasty (THA) and traditional THA.
Methods:
The Cochrane Library, PubMed, Web of Science, EMbase, CNKI, Wanfang, VIP, and CBM databases were searched by computer to collect cohort studies of robot-assisted and traditional THAs from inception to August 11th, 2021. Two researchers independently screened the literature, extracted the data, and evaluated the risk of bias of the included studies. Meta-analysis was performed using RevMan 5.3 software.
Results:
A total of 10 high-quality cohort studies were included. The results of Meta-analysis showed that compared with traditional THA, LLD after robot-assisted THA was smaller [ MD=-1.64, 95% CI (-2.25, -1.04), P<0.001], Harris scores at 3 and 12 months after operation were higher [ MD=1.50, 95% CI (0.44, 2.57), P=0.006; MD=7.60, 95% CI (2.51, 12.68), P=0.003]. However, the operative time was longer [ MD=8.36, 95% CI (4.56, 12.17), P<0.000 1], and the postoperative acetabular anteversion angle was larger [ MD=1.91, 95% CI (1.43, 2.40), P<0.001]. There was no significant difference in Harris score at 6 months, amnesia index (Forgotten joint score, FJS), postoperative acetabular abduction angle, and incidence of complication between the two groups ( P>0.05).
Conclusion:
Robot-assisted THA is superior to traditional THA in postoperative LLD.
