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The Learning Curve Associated with Robotic-Assisted Total Hip Arthroplasty

Authors: Redmond JM, Gupta A, Hammarstedt JE, Petrakos AE, Finch NA, Domb BG

DOI: 10.1016/j.arth.2014.08.003

Purpose

To evaluate the learning curve during adoption of robotic-assisted total hip arthroplasty (THA), focusing on component positioning accuracy, operative time, and complications.

Methods

Retrospective review of the first 105 robotic-assisted THAs performed by a single surgeon, divided into three consecutive groups, assessing operative parameters and complications.

Key Findings

  • Acetabular component malpositioning risk significantly decreased with surgeon experience.
  • Operative times shortened progressively as the surgeon gained experience.
  • The study demonstrated a clear learning curve for robotic-assisted THA.

Conclusion

Robotic-assisted THA has a learning curve during which surgical precision and efficiency improve.

What Does This Mean for Providers?

  • Expect improvements in component placement accuracy and operative time with growing surgical experience.
  • Early cases may require additional operative time and vigilance to minimize malpositioning.
  • Structured training and case volume are important to optimize outcomes with robotic THA technology.