Discussion on nursing mode of robot assisted total hip arthroplasty

doi:10.3877/cma.j.issn.1674-134X.2022.03.019

Abstract

Abstract:

Objective

To summarize the principal of nursing cooperation in robot assisted total hip arthroplasty (THA), to explore the nursing mode of robot assisted joint replacement.

Methods

A retrospective analysis of the clinical data and operating room nursing process was carried out to compare 110 patients of the robot assisted THA with 100 patients of traditional unilateral THA in the Department of Orthopaedics of the Third Hospital of Peking University from October 2019 to August 2021. The variables such as operation time, hospital stay length and intraoperative blood loss were compared and analyzed by t test.

Results

The average operation time of robot assisted THA was (115.5±28.2) min, which was significantly longer than that of the control group (70.4±11.6) min (t=14.89, P<0.001). There was no difference in average length of stay and intraoperative bleeding between the two groups.

Conclusion

Nursing cooperation should be paid more attention in robot assisted THA, experience shall be constantly summarized to form an effective nursing management mode, and further shorten the operation time.

Key words: Robotic surgical procedures, Arthroplasty, replacement, hip, Operating room nursing

Xiao Han, Xin Wang, Yu Gu, Shuhua Deng, Hua Tian. Discussion on nursing mode of robot assisted total hip arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(03): 373-376.

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References 13

[1]	Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement[J]. Lancet, 2007, 370(9597): 1508-1519.
[2]	Callanan MC, Jarrett B, Bragdon CR, et al. The john charnley award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital[J]. Clin Orthop Relat Res, 2011, 469(2): 319-329.
[3]	Nodzo SR, Chang CC, Carroll KM, et al. Intraoperative placement of total hip arthroplasty components with robotic-arm assisted technology correlates with postoperative implant position: a CT-based study[J]. Bone Joint J, 2018, 100-B(10): 1303-1309.
[4]	Ando W, Takao M, Hamada H, et al. Comparison of the accuracy of the cup position and orientation in total hip arthroplasty for osteoarthritis secondary to developmental dysplasia of the hip between the Mako robotic arm-assisted system and computed tomography-based navigation[J]. Int Orthop, 2021, 45(7): 1719-1725.
[5]	Subramanian P, Wainwright TW, Bahadori S, et al. A review of the evolution of robotic-assisted total hip arthroplasty[J]. Hip Int, 2019, 29(3): 232-238.
[6]	王波，周楚乔，彭正午，等．机器人辅助与传统手工全髋置换术疗效的Meta分析[J/CD]．中华关节外科杂志(电子版)，2021，15(5)：554-561.
[7]	中国康复技术转化及发展促进会，中国研究型医院学会关节外科学专业委员会，中国医疗保健国际交流促进会关节疾病防治分会，等．中国骨科手术加速康复围手术期氨甲环酸与抗凝血药应用的专家共识[J]．中华骨与关节外科杂志，2019，12(2)：81-88.
[8]	张紫机，邓增发，盛璞义，等．氨甲环酸对全髋关节置换术的止血及安全分析[J/CD]．中华关节外科杂志(电子版)，2020，14(4)：408-416.
[9]	Clement ND, Gaston P, Bell A, et al. Robotic arm-assisted versus manual total hip arthroplasty[J]. Bone Joint Res, 2021, 10(1): 22-30.
[10]	Shalhoub S, Lawrence JM, Keggi JM, et al. Imageless, robotic-assisted total knee arthroplasty combined with a robotic tensioning system can help predict and achieve accurate postoperative ligament balance[J]. Arthroplast Today, 2019, 5(3): 334-340.
[11]	Liow MH, Xia Z, Wong MK, et al. Robot-Assisted total knee arthroplasty accurately restores the joint line and mechanical axis. a prospective randomised study[J]. J Arthroplasty, 2014, 29(12): 2373-2377.
[12]	Yildirim G, Fernandez-Madrid I, Schwarzkopf R, et al. Comparison of robot surgery modular and total knee arthroplasty kinematics[J]. J Knee Surg, 2014, 27(2): 157-163.
[13]	忻慰，王波，钱齐荣，等．机器人辅助手术在全髋关节置换中的应用现状及进展[J]．生物骨科材料与临床研究，2020，17(6)：65-70.

分组	例数	手术时间(min)	术中出血量(ml)	平均住院日(d)
观察组	110	115.5±28.2	265.2±31.7	4.6±0.5
对照组	100	70.4±11.6	258.2±42.7	4.5±0.5
t值		14.89	1.357	1.447
P值		<0.001	>0.05	>0.05

分组	例数	手术时间(min)	术中出血量(ml)	平均住院日(d)
观察组	110	115.5±28.2	265.2±31.7	4.6±0.5
对照组	100	70.4±11.6	258.2±42.7	4.5±0.5
t值		14.89	1.357	1.447
P值		<0.001	>0.05	>0.05

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[15]	Xiaozhou Wu, Yanshu Wei, Yudi Min, Xiaoli Liu. Establishment and validation of a prediction equation to estimate risk of intraoperative hypothermia in patients undergoing shoulder arthroscopy [J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2020, 08(04): 335-339.

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