A new designed full process coverage robot-assisted total hip arthroplasty: a multicentre randomized clinical trial

Objective: To compare the effect of a new complete robot-assisted total hip arthroplasty (RA-THA) with that of the manual total hip arthroplasty (MTHA) and to verify the accuracy and safety of the former. Methods: Overall, 148 patients were enroled from 3 March 2021 to 28 December 2021 in this study and classified into RA-THA (n=74 patients) and MTHA (n=74 patients) groups. The sex, age, operative side, BMI, diagnosis, other basic information, operative time, acetabular prosthesis anteversion and inclination, femoral prosthesis anteversion and angulation, femoral prosthesis filling rate, leg length discrepancy (LLD), Harris hip score, and visual analogue scale (VAS) score of the two groups were compared. Results: No significant differences were observed in the two groups regarding sex, age, operative side, BMI, diagnosis, Harris hip score, VAS score, acetabular inclination, acetabular prosthesis anteversion, femoral prosthesis anteversion, combined anteversion, and femoral prosthesis filling rate (P>0.05). The operative time was significantly longer in the RA-THA group than in the MTHA group (106.71 +/- 25.22 min vs. 79.42 +/- 16.16 min; t=7.30, P<0.05). The femoral angulation (1.78 degrees +/- 0.64 degrees) and LLD (2.87 +/- 1.55 mm) in the RA-THA group were significantly lesser than those in the MTHA group (2.22 degrees +/- 1.11 degrees and 5.81 +/- 6.27 mm, respectively; t=-2.95 and t=-3.88, P<0.05). Conclusion: The complete RA-THA has some advantages over the traditional procedure in restoring the lower limb length and controlling the femoral prosthesis angulation. Thus, this study verifies the accuracy and safety of the robot-assisted system.