No functional impairment after Robodoc total hip arthroplasty

Abstract

The Robodoc total hip replacement procedure requires a wider exposure of the proximal femur, especially of the greater trochanter, than the standard procedure. Moreover, the leg must be placed in a rigid leg-holder apparatus to obtain fixation in maximal hip adduction and external rotation. This may impair the hip abductors and reduce hip abduction in the mid- and terminal stance phase of the cycle. In this study we compared patients after Robodoc and conventional total hip arthroplasty with three-dimensional gait analysis (VICON System, Oxford Metrics, Oxford, U.K.) to assess the kinematics of the pelvis and hip. 25 patients underwent total hip replacement by means of the Robodoc total hip arthroplasty system, 25 patients were treated with conventional total hip replacement, and 40 healthy volunteers served as controls. None of the patients undergoing total hip replacement, robotic or conventional, obtained normal kinematic gait patterns 6 months after surgery. However, the reduction in hip abduction did not differ significantly in patients undergoing robotic or conventional total hip arthroplasty, which suggests that the robotic procedure did not impair hip abductor function more than the conventional method.