Comparison of conventional versus robotic-assisted total hip arthroplasty using the Mako system: An Italian retrospective study
Introduction: Our research aimed to evaluate differences in terms of length of hospital stay and clinical outcomes between robotic-arm assisted using MAKO system and standard manual implantation in a group of patients who underwent primary total hip arthroplasty (THA). Methods: Our retrospective, c...
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Edizioni FS
2018-03-01
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| Series: | Journal of Health and Social Sciences |
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| Online Access: | http://journalhss.com/wp-content/uploads/jhss31_37-48.pdf |
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| author | Roberta Banchetti Silvia Dari Maria Elisabetta Ricciarini Domenico Lup Francesco Carpinteri Fabio Catani Patrizio Caldora |
| author_facet | Roberta Banchetti Silvia Dari Maria Elisabetta Ricciarini Domenico Lup Francesco Carpinteri Fabio Catani Patrizio Caldora |
| author_sort | Roberta Banchetti |
| collection | DOAJ |
| description | Introduction: Our research aimed to evaluate differences in terms of length of hospital stay and clinical outcomes between robotic-arm assisted using MAKO system and standard manual implantation in a group of patients who underwent primary total hip arthroplasty (THA).
Methods: Our retrospective, cohort study was conducted between August 2014 and March 2016. From our target population of 376 patients from three hospitals of Tuscany Region, Italy, we randomly selected a sample of 220 patients, who was subdivided in two groups (MAKO system n = 100; Standard technique n
= 120). Our evaluation was carried out before and after surgery at 24 months follow-up. Western Ontario and McMaster (WOMAC) Osteoarthritis Index, Harris Hip Modified Score (HHS), and Numeric Pain Rating Score (NPRS) scales were administered. One sample and independent sample T Student tests were
used to assess eventual differences within and between groups for the continuous variables. The significance threshold was set up at P < 0.05.
Results: Rate of respondents was 48.6% (MAKO system n = 56, 56%; Standard technique n = 51, 42.5%). There was a significant difference in the length of hospital stay, expressed as number of days hospitalized, between the MAKO group (M = 5.14, SD = 1.98) and the standard group (M = 8.11, SD = 1.64) (t(105) =
15.30, P < 0.001). There were no significant differences in preoperative and post-operative scores between robotic-assisted and standard groups in all of the patient-reported outcome measures (PROMs), but we reported a statistically and clinically significant improvement in all of the post-operative PROMs scores for both surgical procedures (P < 0.001).
Discussion and Conclusion: Our findings showed that the MAKO™ robotic is a valuable technology that may innovate THA. However, further long-term studies are needed to justify additional costs. |
| format | Article |
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| institution | Kabale University |
| issn | 2499-2240 2499-5886 |
| language | English |
| publishDate | 2018-03-01 |
| publisher | Edizioni FS |
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| series | Journal of Health and Social Sciences |
| spelling | doaj-art-bbb6a763047e4bcf8e939c4abb52f82e2025-01-18T18:20:30ZengEdizioni FSJournal of Health and Social Sciences2499-22402499-58862018-03-0131374810.19204/2018/cmpr4Comparison of conventional versus robotic-assisted total hip arthroplasty using the Mako system: An Italian retrospective studyRoberta Banchetti0Silvia Dari1Maria Elisabetta Ricciarini2Domenico Lup3Francesco Carpinteri4Fabio Catani5Patrizio Caldora6Department of Physical Rehabilitation, Santa Margherita Cortona Hospital, Arezzo, Italy. Faculty of Physical Therapy, University of Siena, ItalyFaculty of Medicine, Department of Physical Therapy, La Sapienza University, Rome, Italy, Department of Orthopaedics and Traumatology, Santa Margherita Hospital, Cortona and San Donato Hospital, Arezzo, Italy , Department of Orthopaedics and Traumatology, Santa Margherita Hospital, Cortona and San Donato Hospital, Arezzo, Italy Department of Physical Rehabilitation, San Donato Hospital, Arezzo, ItalyDepartment of Orthopaedics and Traumatology, University Hospital Polyclinic of Modena and Reggio Emilia, Modena, Italy Department of Orthopaedics and Traumatology, Santa Margherita Hospital, Cortona and San Donato Hospital, Arezzo, Italy Introduction: Our research aimed to evaluate differences in terms of length of hospital stay and clinical outcomes between robotic-arm assisted using MAKO system and standard manual implantation in a group of patients who underwent primary total hip arthroplasty (THA). Methods: Our retrospective, cohort study was conducted between August 2014 and March 2016. From our target population of 376 patients from three hospitals of Tuscany Region, Italy, we randomly selected a sample of 220 patients, who was subdivided in two groups (MAKO system n = 100; Standard technique n = 120). Our evaluation was carried out before and after surgery at 24 months follow-up. Western Ontario and McMaster (WOMAC) Osteoarthritis Index, Harris Hip Modified Score (HHS), and Numeric Pain Rating Score (NPRS) scales were administered. One sample and independent sample T Student tests were used to assess eventual differences within and between groups for the continuous variables. The significance threshold was set up at P < 0.05. Results: Rate of respondents was 48.6% (MAKO system n = 56, 56%; Standard technique n = 51, 42.5%). There was a significant difference in the length of hospital stay, expressed as number of days hospitalized, between the MAKO group (M = 5.14, SD = 1.98) and the standard group (M = 8.11, SD = 1.64) (t(105) = 15.30, P < 0.001). There were no significant differences in preoperative and post-operative scores between robotic-assisted and standard groups in all of the patient-reported outcome measures (PROMs), but we reported a statistically and clinically significant improvement in all of the post-operative PROMs scores for both surgical procedures (P < 0.001). Discussion and Conclusion: Our findings showed that the MAKO™ robotic is a valuable technology that may innovate THA. However, further long-term studies are needed to justify additional costs.http://journalhss.com/wp-content/uploads/jhss31_37-48.pdfArhroplasty Hip Replacementclinical outcomesMAKO systemPatient Outcome Measures (PROMS) questionnaires |
| spellingShingle | Roberta Banchetti Silvia Dari Maria Elisabetta Ricciarini Domenico Lup Francesco Carpinteri Fabio Catani Patrizio Caldora Comparison of conventional versus robotic-assisted total hip arthroplasty using the Mako system: An Italian retrospective study Journal of Health and Social Sciences Arhroplasty Hip Replacement clinical outcomes MAKO system Patient Outcome Measures (PROMS) questionnaires |
| title | Comparison of conventional versus robotic-assisted total hip arthroplasty using the Mako system: An Italian retrospective study |
| title_full | Comparison of conventional versus robotic-assisted total hip arthroplasty using the Mako system: An Italian retrospective study |
| title_fullStr | Comparison of conventional versus robotic-assisted total hip arthroplasty using the Mako system: An Italian retrospective study |
| title_full_unstemmed | Comparison of conventional versus robotic-assisted total hip arthroplasty using the Mako system: An Italian retrospective study |
| title_short | Comparison of conventional versus robotic-assisted total hip arthroplasty using the Mako system: An Italian retrospective study |
| title_sort | comparison of conventional versus robotic assisted total hip arthroplasty using the mako system an italian retrospective study |
| topic | Arhroplasty Hip Replacement clinical outcomes MAKO system Patient Outcome Measures (PROMS) questionnaires |
| url | http://journalhss.com/wp-content/uploads/jhss31_37-48.pdf |
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