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[Computer-guided robot-assisted hip endoprosthesis]

M Börner1, A Bauer, A Lahmer

  • 1Berufsgenossenschaftliche Unfallklinik Frankfurt/M.

Der Orthopade
|March 1, 1997
PubMed
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Computer-guided robot-assisted surgery using the Robodoc system precisely executes preoperative plans for cementless total hip replacement. This advanced technique avoids malpositioning and fractures, ensuring excellent bone-implant contact and stability.

Area of Science:

  • Orthopedic Surgery
  • Robotics in Medicine
  • Medical Engineering

Background:

  • Cementless total hip replacement necessitates meticulous preoperative planning.
  • Traditional methods can be prone to malpositioning and complications.

Purpose of the Study:

  • To evaluate the clinical efficacy and precision of computer-guided robot-assisted surgery in cementless total hip replacement.
  • To assess the Robodoc system's ability to execute preoperative plans accurately.

Main Methods:

  • Utilized the 3D workstation Orthodoc for preoperative planning.
  • Employed the Robodoc system for robot-assisted surgical execution in 465 patients.
  • Clinical evaluation conducted at Berufsgenossenschaftliche Unfallklinik, Frankfurt since November 1994.

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Main Results:

  • Preoperative plans were successfully executed intraoperatively in all 465 cases.
  • Achieved high precision in reaming, resulting in superior bone-implant contact and initial stability.
  • Avoided common complications such as varus/valgus malpositioning, fractures, and fissures.
  • No implant subsidence observed during follow-up, even with immediate full-weight bearing.

Conclusions:

  • Computer-guided robot-assisted surgery with Robodoc offers precise execution of total hip replacement plans.
  • The system enhances bone-implant contact, initial stability, and reduces surgical complications.
  • Robot-assisted surgery demonstrates a promising approach for improved outcomes in cementless hip arthroplasty.