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Mako® Robotic-Arm Assisted Total Hip Arthroplasty: Avoiding Impingement with Updated THA Software
Robert Marchand1, Devin Olsen2, Craig Shul3
1South County Orthopaedics, Wakefield, Rhode Island.
Surgical Technology International
|November 16, 2023
Summary
Robotic-assisted total hip arthroplasty requires careful preoperative planning using 3D CT scans to avoid impingement. This guide offers practical examples for optimal component placement and improved patient outcomes.
Area of Science:
- Orthopedic Surgery
- Robotics in Medicine
- Medical Imaging
Background:
- Robotic-assisted total hip arthroplasty (RA-THA) and 3D CT scan-based templating are increasingly utilized.
- Optimal patient outcomes depend critically on meticulous preoperative planning and surgical execution.
- Proficiency with robotic systems necessitates dedicated training, familiarity, and experience.
Purpose of the Study:
- To provide clear, condensed examples of preoperative planning for RA-THA.
- To illustrate adjustments for avoiding impingement during robotic hip arthroplasty.
- To discuss surgical techniques and component placement principles for individual anatomy.
Main Methods:
- Utilizing a latest computed tomography (CT) scan-based robotic platform.
- Presenting case histories of osteoarthritic hips.
- Demonstrating specific examples of potential impingement scenarios and their avoidance.
Main Results:
- Detailed case examples illustrating preoperative planning and intraoperative adjustments.
- Guidance on identifying and resolving impingement issues specific to RA-THA.
- Principles for ideal component positioning based on patient anatomy.
Conclusions:
- Effective preoperative planning and surgical adjustments are crucial for successful RA-THA.
- Understanding potential impingement and employing specific techniques can enhance surgical outcomes.
- Robotic platforms offer advanced capabilities for precise component placement in hip arthroplasty.
