Clinical outcomes of robotic-assisted and manual total hip arthroplasty in the same patient: A case report

doi:10.12998/wjcc.v11.i23.5519

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World Journal of Clinical Cases

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Case Report

World J Clin Cases. Aug 16, 2023; 11(23): 5519-5524
Published online Aug 16, 2023. doi: 10.12998/wjcc.v11.i23.5519

Clinical outcomes of robotic-assisted and manual total hip arthroplasty in the same patient: A case report

Tian-Ye Hu, Dao-Chao Lin, Yi-Jun Zhou, Zhi-Wu Zhang, Jia-Jun Yuan

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 by the 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).

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
Processing time: 129 Days and 23.6 Hours

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.

Keywords: Total hip arthroplasty; Robotic-assisted; Osteonecrosis of the femoral head; Case report

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.