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Updated: Jan 23, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Ten-Year Functional Outcomes Following Robotic-Assisted Total Hip Arthroplasty: A Case Series
Benjamin G Domb1, Roger Quesada-Jimenez2, Shahar R Barda2
1American Hip Institute Research Foundation, Chicago, Illinois; American Hip Institute, Chicago, Illinois.
Robotic-assisted total hip arthroplasty (rTHA) demonstrates excellent minimum 10-year clinical outcomes, including high patient satisfaction and survivorship. This advanced technique ensures accurate component placement, leading to durable results in hip replacement surgery.
Area of Science:
- Orthopedic Surgery
- Robotics in Medicine
- Arthroplasty
Background:
- Robotic-assisted total hip arthroplasty (rTHA) offers potential precision benefits.
- Long-term clinical outcomes (10+ years) of rTHA require further investigation.
Purpose of the Study:
- To evaluate the minimum 10-year clinical outcomes of patients undergoing primary rTHA.
- To assess the accuracy of component placement and revision rates in rTHA.
Main Methods:
- Prospective analysis of 215 primary rTHA cases with complete 10-year follow-up.
- Validated patient-reported outcomes (PROs) including HHS, HOOS-JR, FJS-12, VAS pain, and satisfaction.
- Radiographic assessment of acetabular cup position relative to safe zones.
Main Results:
- Excellent patient outcomes reported: mean HHS 93.0, HOOS-JR 89.1, FJS-12 85.2, VAS pain 1.0, satisfaction 9.1.
- Low revision rate of 2.8% at 10 years, with 97.2% survivorship.
- High accuracy in component placement: 91.1% within Lewinnek safe zone, 87.4% within Callanan safe zone. No dislocations.
Conclusions:
- Robotic-assisted primary THA achieves accurate component placement.
- Durable clinical outcomes, high patient satisfaction, and low revision rates are observed at minimum 10-year follow-up.
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