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Robotics and Navigation as Learning Tools for Fellows Training in Hip Arthroplasty

Authors: Shapira J, Diulus SC, Rosinsky PJ, Maldonado DR, Lall AC, Domb BG

DOI: 10.5435/JAAOS-D-20-00357

Background

Accurate implant placement in total hip arthroplasty (THA) is vital to prevent complications. Robotics and navigation systems are known to improve precision and may also serve as valuable educational tools for surgical trainees.

Methods

This study evaluated how well orthopedic fellows could estimate implant positioning compared to actual placement using robotic systems. Discrepancies were analyzed to determine the educational value of robotics in training.

Key Findings

  • Fellows' estimates of implant placement often fell outside safe zones.
  • Robotic systems revealed these inaccuracies and provided real-time feedback.
  • Technology helped fellows better understand optimal alignment and positioning.

Conclusions

Robotic and navigation systems not only enhance surgical precision but also serve as effective training tools that improve spatial awareness and technical competence.

What Does This Mean for Providers?

Integrating robotic and navigation technology into training programs can accelerate skill acquisition and reduce errors among orthopedic fellows. Providers involved in teaching or training may consider these systems as essential adjuncts to improve early surgical competence and patient safety in hip arthroplasty.