ROBOTIC-ASSISTED HIP ARTHROPLASTY COMPARED TO THE CONVENTIONAL TECHNIQUE, A CURRENT SYSTEMATIC REVIEW

• DOI: https://doi.org/10.22533/at.ed.159410224021212

• Palavras-chave: Hip arthroplasty; Robotic surgery; Conventional arthroplasty; Orthopedics, Hip

• Keywords: Hip arthroplasty; Robotic surgery; Conventional arthroplasty; Orthopedics, Hip

• Abstract:

  This systematic review set out to compare the outcomes of robot-assisted total hip arthroplasty with conventional surgical techniques, focusing on clinical, radiographic and functional results. With advances in robotic systems, it is essential to evaluate the possible benefits over traditional methods in order to improve patient care. A systematic search was carried out in the PubMed database, covering studies published between 2018 and 2024 that compared robot-assisted and conventional total arthroplasties. The keywords used included "robot", "robotic", "arthroplasty" and "hip". Randomized clinical trials, prospective and retrospective cohort studies, and comparative observational studies with postoperative outcomes were included. Studies that did not provide direct comparisons, presented significant preoperative comorbidities or did not include robust follow-up were excluded. Ninety-seven studies were initially identified, with six meeting the criteria for full analysis. The results showed that robot-assisted surgeries offered greater precision in implant alignment, with a tendency towards better functional outcomes and a lower risk of complications. However, surgical time was slightly longer. Despite these advantages, the long-term clinical results show little difference compared to conventional techniques, suggesting that more studies are needed to define the superiority of robotic systems.