Using a robotic-arm assisted system in revision total hip arthroplasty: surgical technique and a case series

INTRODUCTION: Robotic-arm assisted systems are being increasingly used for primary total hip arthroplasties (THAs). However, their use in the surgically more complex revision THAs (rTHAs) has remained limited. This case series describes the surgical techniques used in 5 cases of robotic-arm assisted rTHA and discusses the advantages and disadvantages of robotic-arm assisted systems. METHODS: 5 rTHAs were performed using a robotic-arm assisted system with CT-based planning and robotic-guided acetabular reconstruction. Clinical data, intraoperative details, and postoperative findings were retrospectively reviewed. DISCUSSION: Robotic-arm assisted rTHA offers detailed preoperative planning, including simulation of acetabular cup positioning, range of motion, and identification of osteophytic impingement risks. The flexibility of selecting reliable registration points is essential in cases with acetabular bone defects. Real-time calculations of hip length, offset, and bone void locations allow for tailored reconstruction without the need for intraoperative radiography. CONCLUSIONS: This case series demonstrates that robotic-arm assisted rTHA provides valuable surgical guidance, particularly in preoperative planning and intraoperative precision. Its use in complex revisions shows promise in optimising outcomes.