SynthesisJournal of robotic surgery2026
Robotics improves reproducibility of component positioning while producing modest but measurable clinical benefits in total hip arthroplasty: an umbrella review of systematic reviews and meta-analyses.
Synthesis in Journal of robotic surgery, 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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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.
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5 authors.
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Abstract
Robotic-assisted total hip arthroplasty (RTHA) promises enhanced implant positioning precision versus conventional THA (CTHA), potentially lowering complications, though evidence from systematic reviews remains inconsistent. The present umbrella review investigates the efficacy of RTHA over CTHA. This umbrella review followed Cochrane guidelines. PubMed, Scopus, and Cochrane Library were accessed. Eleven reviews were included after PRISMA screening. Data on complications, revisions, operative time, leg-length discrepancy (LLD), Forgotten Joint Scores, and alignment (safe zones, cup inclination/anteversion, delta-HCOR/VCOR) were extracted independently. AMSTAR-2 was used to assess methodological quality. The mean difference (MD) and odds ratio (OR) were used, with 95% confidence intervals (CIs). RTHA improved Lewinnek safe-zone placement (OR 7.37, 95% CI 5.51-9.86) and Callanan zone (OR 7.20, 95% CI 5.42-9.55), reduced complications (OR 0.60, 95% CI 0.41-0.87), LLD (MD -1.60 cm, 95% CI -2.30 to -0.90), and Forgotten Joint Scores (MD -6.82, 95% CI -9.81 to -3.83), but increased operative time (MD 15.66 min, 95% CI 10.91-20.41). No differences emerged in revisions (OR 1.08), cup inclination/anteversion, or delta-VCOR. Robust fail-safe N supported findings; funnel asymmetry varied. RTHA enhances precision and reduces short-term complications compared with CTHA, despite longer operative times. Selective use is recommended for high-risk misalignment cases; long-term, cost-effectiveness RCTs are needed.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.