MAKO robot-assisted total hip arthroplasty: a comprehensive meta-analysis of efficacy and safety outcomes

Autor: Rafael Llombart-Blanco, Gonzalo Mariscal, Carlos Barrios, Pablo Vera, Rafael Llombart-Ais
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Orthopaedic Surgery and Research, Vol 19, Iss 1, Pp 1-13 (2024)
Druh dokumentu: article
ISSN: 1749-799X
DOI: 10.1186/s13018-024-05199-5
Popis: Abstract Background Introduction: Robotic surgery in total hip arthroplasty (THA) has emerged as a promising approach for improving precision and reducing errors. This meta-analysis aimed to compare the efficacy and safety of robot-assisted MAKO total hip arthroplasty. Methods Studies were searched using four databases. Meta-analysis was performed using Review Manager 5.4. Efficacy was assessed radiologically, and functional scores and complications were recorded. Results Twelve studies (1224 hips) were analyzed. The MAKO group achieved greater cup anteversion (MD 1.53, 95%CI 1.04–2.03) and a higher percentage of components within safe inclination and anteversion ranges (p > 0.05). Harris Hip Scores did not differ significantly (MD 0.61, 95%CI -0.22–1.45) but the forgotten joint scores favored MAKO (MD 5.99, 95% CI 4.10–7.88), although not exceeding the minimally clinically significant difference. No differences in intraoperative complications emerged (OR 0.96, 95%CI 0.51–1.79) but preoperative plans significantly mismatched the final cup placement after MAKO (p
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