Comparison of conventional versus robotic-assisted total hip arthroplasty using the Mako system: An Italian retrospective study
Journal Title: Journal of Health and Social Sciences - Year 2018, Vol 3, Issue 1
Abstract
Introduction: Our research aimed to evaluate differences in terms of length of hospital stay and clinical outcomes between robotic-arm assisted using MAKO system and standard manual implantation in a group of patients who underwent primary total hip arthroplasty (THA). Methods: Our retrospective, cohort study was conducted between August 2014 and March 2016. From our target population of 376 patients from three hospitals of Tuscany Region, Italy, we randomly selected a sample of 220 patients, who was subdivided in two groups (MAKO system n = 100; Standard technique n = 120). Our evaluation was carried out before and after surgery at 24 months follow-up. Western Ontario and McMaster (WOMAC) Osteoarthritis Index, Harris Hip Modified Score (HHS), and Numeric Pain Rating Score (NPRS) scales were administered. One sample and independent sample T Student tests were used to assess eventual differences within and between groups for the continuous variables. The significance threshold was set up at P < 0.05. Results: Rate of respondents was 48.6% (MAKO system n = 56, 56%; Standard technique n = 51, 42.5%). There was a significant difference in the length of hospital stay, expressed as number of days hospitalized, between the MAKO group (M = 5.14, SD = 1.98) and the standard group (M = 8.11, SD = 1.64) (t(105) = 15.30, P < 0.001). There were no significant differences in preoperative and post-operative scores between robotic-assisted and standard groups in all of the patient-reported outcome measures (PROMs), but we reported a statistically and clinically significant improvement in all of the post-operative PROMs scores for both surgical procedures (P < 0.001). Discussion and Conclusion: Our findings showed that the MAKO™ robotic is a valuable technology that may innovate THA. However, further long-term studies are needed to justify additional costs.
Authors and Affiliations
Roberta Banchetti, Silvia Dari, Maria Elisabetta Ricciarini, Domenico Lup, Francesco Carpinteri, Fabio Catani, Patrizio Caldora
Keywords
Related Articles
- EP ID EP357656
- DOI 10.19204/2018/cmpr4
- Views 120
- Downloads 0
A case of possible Kounis syndrome as a complication of scombroid syndrome
Kounis syndrome is defined as the concurrence of acute coronary syndromes such as coronary spasm or acute myocardial infarction with conditions associated with activation of inflammatory mediators such histamine, arachid...
Mass gatherings in Italy: a study from the 2015 Milan Expo
Introduction. A mass gathering (MG) is when a large number of people come together in a particular location for a specific purpose. Expo 2015 was an universal exposition hosted by Milan, Italy. The Pre-Hospital Emergency...
Risk assessment of look‒alike, sound‒alike (LASA) medication errors in an Italian hospital pharmacy: A model based on the ‘Failure Mode and Effect Analysis’
Introduction: Look alike/sound alike (LASA) drugs errors can take place in hospital wards, and they can place patients at risk for adverse events and death. This study was aimed to realize a risk assessment model for pre...
Prospective evaluation through questionnaires of the emotional status of cancer patients in the waiting rooms of a department of oncology
Objective: The aim of this study is to better identify the prevailing emotions and feelings of cancer patients during their stay in waiting rooms in a department of oncology. Methods: In July 2014, patients in the waitin...
Relationship between social media use and disordered eating behavior among female university students in Qatar
Introduction: Abundant literature has established the negative impact of traditional media on body image and disordered eating behaviors among young women. In the past few years, social media use has soared especially am...