Outpatient Robotic-Arm Total Hip Arthroplasty Surgical Technique

Abstract:

Outpatient total hip arthroplasty (THA) has remained controversial and challenging. Traditional hospital stays following total joint arthroplasty were substantial and resulted in increased rates of morbidity, significant pain, and severe restriction in mobility. Advancements in the surgical approach, anesthetic regimens, and the initiation of rapid rehabilitation protocols have had an impact on the length of recovery following elective THA. Still, very few studies have specifically outlined outpatient hip arthroplasty and, thus far, none have addressed the use of robotic-arm navigation in outpatient THA. This article describes in detail the technique used to perform outpatient THA with the use of robotic-arm assistance. We believe that outpatient THA using robotic-arm assistance in combination with tissue-preserving surgery, multi-modal pain and nausea management, early rehabilitation, and stringent patient selection yields a suitable alternative to inpatient joint replacement.

Authors:

Benjamin Domb, MD, Medical Director, Senior Orthopaedic Surgeon, American Hip Institute, Westmont, IL, Stephanie Rabe, ACNP-BC, Nurse Practitioner, American Hip Institute, Westmont, IL, John P. Walsh, MA, Clinical Research Assistant, American Hip Institute, Westmont, IL, Mary R. Close, BS, Clinical Research Assistant, American Hip Institute, Westmont, IL, Edwin O. Chaharbakhshi, BS, Clinical Research Assistant, American Hip Institute, Westmont, IL, Itay Perets, MD, Orthopaedic Surgical Fellow, American Hip Institute, Westmont, IL

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