Clinical efficacy of orthopilot navigation system versus conventional manual of total hip arthroplasty
| Autor: | Guiyong Fan, Qun Zhao, Sheng Chen, Pei Lu, Jianguo Jia, Chaoqun Liu, Hao Chen, Jinlian Liu, Zhengshuai Jin |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
business.industry
medicine.medical_treatment Navigation system General Medicine Arthroplasty Confidence interval law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030220 oncology & carcinogenesis Femoral offset Meta-analysis medicine 030212 general & internal medicine Clinical efficacy business Nuclear medicine Total hip arthroplasty |
| Zdroj: | Medicine. 98:e15471 |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Background To compare the clinical efficacy between Orthopilot navigation system and conventional manual surgery in total hip arthroplasty (THA). Methods Electronic databases were searched to identify randomized controlled trials (RCTs) investigating Orthopilot navigation system versus conventional manual in patients undergoing THA. Outcome measurements include anteversion angle, inclination angle, preoperative leg length discrepancy, postoperative leg length discrepancy and femoral offset. Statistical software Stata 12.0 was used for data-analysis. Results A total of 5 studies were finally included in this meta-analysis. The results showed that the conventional manual group have a less anteversion angle than that in Orthopilot navigation system group (weighted mean difference (WMD) = 4.67, 95% confidence interval (CI) = 3.53, 5.82, P = .000). And pooled analysis showed that the inclination angle in Orthopilot navigation group was less than that in conventional manual group (WMD = -4.19, 95% CI = -8.00, -0.37, P = .031). There was no significant difference between the preoperative leg length discrepancy and postoperative leg length discrepancy (P > .05). Orthopilot navigation system compared with conventional manual procedure was associated with decreased of femoral offset by 2.76 (WMD = -2.76, 95%CI = -3.90, -1.62, P = .000). Conclusion Both Orthopilot navigation system and conventional THA result in significant improvements in patient function with similar overall complication rates and have their own edges in cup position. |
| Databáze: | OpenAIRE |
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