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Robotic-Arm Assisted Total Hip Arthroplasty: Workflow Optimization and Operative Times
Joseph Nessler1, Carla Stephanie1, Kevin Barga2
1St. Cloud Surgical Center, St. Cloud, MN
Surgical Technology International
|December 1, 2023
Summary
Robotic-arm assisted total hip arthroplasty (RATHA) offers improved accuracy and outcomes. This study presents an optimized workflow, demonstrating that RATHA can be implemented efficiently without increasing surgical or patient time.
Area of Science:
- Orthopedic Surgery
- Robotics in Medicine
- Surgical Workflow Optimization
Background:
- Robotic-arm assisted total hip arthroplasty (RATHA) shows promise for enhanced implant accuracy, better patient outcomes, and fewer complications like dislocations.
- A potential barrier to RATHA adoption is the perceived increase in surgical duration.
Purpose of the Study:
- To outline a process for optimizing RATHA workflow and efficiency in an ambulatory surgery center.
- To present timing data from 105 RATHA cases to validate the optimized workflow.
Main Methods:
- Development and implementation of a streamlined RATHA workflow in an ambulatory surgery setting.
- Collection and analysis of operative and perioperative timing data from 105 consecutive RATHA procedures.
Main Results:
- The learning curve for RATHA implementation was successfully navigated, achieving time neutrality.
- The optimized workflow demonstrated efficiencies that prevented an increase in operative or overall perioperative patient time.
Conclusions:
- Providers can leverage RATHA to deliver its clinical advantages without extending patient procedural time.
- An efficient RATHA workflow is achievable in ambulatory surgery centers, overcoming adoption barriers related to surgical time.

