Hu TY, Lin DC, Zhou YJ, Zhang ZW, Yuan JJ. Clinical outcomes of robotic-assisted and manual total hip arthroplasty in the same patient: A case report. World J Clin Cases 2023; 11(23): 5519-5524 [PMID: 37637687 DOI: 10.12998/wjcc.v11.i23.5519]
Corresponding Author of This Article
Dao-Chao Lin, MD, Deputy Director, Department of Orthopaedics, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, No. 848 Dongxin Road, Hangzhou 311000, Zhejiang Province, China. daochaolin1@126.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Tian-Ye Hu, Dao-Chao Lin, Yi-Jun Zhou, Zhi-Wu Zhang, Jia-Jun Yuan, Department of Orthopaedics,Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou 311000, Zhejiang Province, China
Author contributions: Hu TY designed this case report; Lin DC, Hu TY, Zhou YJ and Zhang ZW performed the surgery; Yuan JJ and Hu TY carried on statistical analysis and wrote this paper.
Supported bythe Hangzhou Municipal Health Commission, No. 20220119.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the author declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dao-Chao Lin, MD, Deputy Director, Department of Orthopaedics, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, No. 848 Dongxin Road, Hangzhou 311000, Zhejiang Province, China. daochaolin1@126.com
Received: April 8, 2023 Peer-review started: April 8, 2023 First decision: July 4, 2023 Revised: July 19, 2023 Accepted: July 25, 2023 Article in press: July 25, 2023 Published online: August 16, 2023
Abstract
BACKGROUND
Total hip arthroplasty (THA) is an effective treatment for advanced osteonecrosis of the femoral head, which can significantly relieve pain and improve patients' quality of life. Robotic-assisted THA enhances the accuracy and stability of THA surgery and achieves better clinical outcomes than manual THA.
CASE SUMMARY
We report the clinical outcomes of robotic-assisted THA and manual THA in the same patient with osteonecrosis of the femoral head. A 49-year-old male patient attended our hospital due to more than 3 years of pain in both hip joints. The left hip was treated with robotic-assisted THA. The patient underwent manual THA of the right hip 3 mo after robotic-assisted THA. We obtained postoperative radiograph parameters, Harris hip score and forgotten joint score of the patient 1 year after surgery.
CONCLUSION
Compared with manual THA, the patient’s left hip felt better 1 year after robotic-assisted THA. Robotic-assisted THA resulted in a better Harris hip score and forgotten joint score than manual THA in the same patient with osteonecrosis of the femoral head.
Core Tip: Osteonecrosis of the femoral head is a common disease. Total hip arthroplasty (THA) is an effective treatment for advanced osteonecrosis of the femoral head. Robotic-assisted THA has been shown to increase accuracy and precision during surgery. We report the clinical outcomes of robotic-assisted THA and manual THA in the same patient with osteonecrosis of the femoral head. Combined with the analysis of cases indexed in PubMed, robotic-assisted THA resulted in a better Harris hip score and forgotten joint score than manual THA, and the patient felt better 1 year after surgery.
