Evidence map›Paper›PMID 41645303›Full record

ArticleArthroplasty (London, England)2026

Surgical accuracy of open platform image-based robotic-assisted total hip arthroplasty.

Wang-Fung Rex Mak, Yuan Zhang, Jiying Chen, Jonathan Patrick Ng, Cham-Kit Wong, Gloria Yan-Ting Lam, Tsz Lung Choi, Wei Chai, Patrick Shu-Hang Yung, Zongke Zhou and 1 more

Abstract read
In one paragraph

Article in Arthroplasty (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Wang-Fung Rex MakPrince of Wales Hospital, Hong Kong SAR, China.
Yuan ZhangXinqiao Hospital, Army Medical University, Chongqing, 400038, China.
Jiying ChenThe First Medical Centre, Chinese PLA General Hospital, Beijing, 100853, China.
Jonathan Patrick NgPrince of Wales Hospital, Hong Kong SAR, China.
Cham-Kit WongAlice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China.
Gloria Yan-Ting LamAlice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China.
Tsz Lung ChoiAlice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China.
Wei ChaiFourth Medical Centre of PLA General Hospital, Beijing, 100089, China.
Patrick Shu-Hang YungChinese University of Hong Kong, Hong Kong SAR, China.
Zongke ZhouWest China Hospital, Orthopedic Research Institute, Sichuan University, Chengdu, 610041, China. zhouzongke@scu.edu.cn.
Michael Tim-Yun OngChinese University of Hong Kong, Hong Kong SAR, China. michael.ong@cuhk.edu.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrecise acetabular cup positioning is critical for the success and longevity of total hip arthroplasty (THA). Robotic-assisted systems enhance placement accuracy, with closed-platform systems being well-established. A pertinent question is whether newer open-platform systems, which offer implant flexibility, achieve comparable accuracy. This study evaluates the radiographic accuracy of a novel, open-platform robotic system (Yuanhua KUNWU) in achieving the planned acetabular component position.

methodsA multi-centre retrospective review of 87 consecutive primary robotic THA procedures performed using the KUNWU system was conducted. Pre-operative CT-based planning defined the target acetabular inclination (AI) and anteversion (AV). The primary outcome was the deviation between the planned position and the post-operative CT-measured position. Secondary outcomes included the proportion of cups within the Lewinnek and Callanan safe zones and the accuracy of leg length and offset restoration.

resultsThe mean deviation from the planned position to the post-operative CT was -2.7° for inclination (95% CI: -3.7° to -1.8°, P < 0.001) and 1.0° for anteversion (P = 0.058). Overall, 80.5% (70/87) of cups were placed within the combined Lewinnek and Callanan safe zones. A significant difference was found in combined offset (mean 2.79 mm, P = 0.002) but not in leg length discrepancy (P = 0.302). Interobserver reliability was excellent for all measurements.

conclusionThe KUNWU open-platform robotic system facilitates accurate and reliable acetabular cup positioning, with minimal deviations from the pre-operative plan and a high rate of placement within the classic safe zones. These results support its use as a precise tool for component positioning in THA.

Identifiers

PMID41645303
PMCPMC12879473

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