Does Robotic-Assisted Computer Navigation Affect Acetabular Cup Positioning in Total Hip Arthroplasty in the Obese Patient? A Comparison Study

J Arthroplasty. 2015 Dec;30(12):2204-7. doi: 10.1016/j.arth.2015.06.062. Epub 2015 Jul 2.

Abstract

Obese populations present challenges for acetabular cup placement during total hip arthroplasty (THA). This study examines the accuracy of acetabular cup inclination and version in the obese patient with robotic-assisted computer navigation. A total of 105 patients underwent robotic-assisted computer navigation THA with a posterior approach. Groups were divided on body mass index (BMI, kg/m(2)) of <30, 30-35, and >35. There was no statistical difference between the BMI <30 (n=59), BMI 30-35 (n=34) and BMI >35 (n=12) groups for acetabular inclination (P=0.43) or version (P=0.95). Robotic-assisted computer navigation provided accurate and reproducible placement of the acetabular cup within safe zones for inclination and version in the obese patient.

Keywords: BMI; acetabular component position; body mass index; hip replacement; robotic-assisted surgery; total hip arthroplasty.

Publication types

  • Comparative Study

MeSH terms

  • Acetabulum / diagnostic imaging
  • Acetabulum / surgery*
  • Aged
  • Arthroplasty, Replacement, Hip / methods*
  • Body Mass Index
  • Female
  • Hip Prosthesis*
  • Humans
  • Male
  • Middle Aged
  • Obesity / complications*
  • Obesity / surgery
  • Radiography
  • Robotic Surgical Procedures / statistics & numerical data*
  • Robotics
  • Surgery, Computer-Assisted