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Updated: Sep 5, 2025

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
Revision Total Hip Arthroplasty with Severe Acetabular Defect: A Preliminary Exploration and Attempt of
Shuai Zhang1,2,3, Yu-Bo Liu2,3,4, Ming-Yang Ma1,2,3
1Medical school of Chinese PLA, Beijing, China.
Background:
Robotic-assisted technology may be useful in hip revision cases with acetabular defects. However, data on the use of robotic-assisted technology for such complex diseases is lacking.
Case Presentation:
This case study described the adoption of MAKO robotic-assisted treatment of revision total hip arthroplasty (THA) combined with severe acetabular defect (Paprosky type IIIB). Robotic-assisted technology accurately achieved preoperative planning; the acetabular component and augment were placed in the original position and angle as planned. Robotic-assisted acetabular reaming was successful in a single pass, preserving the remaining acetabular bone mass very well with no procedure-related complications. The Harris Hip Score (HHS) at 6 months postoperatively was 84 and the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index was 24.
Conclusion:
Robotic-assisted technology can help in the accurate reconstruction of acetabular defect in complex hip revision surgery.
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