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Robotic Assisted Hip Replacement

Robotic Orthopaedic Surgical Assistant (ROSA) | David Agolley Orthopaedic Surgeon

Dr Agolley uses the Robotic Orthopaedic Surgical Assistant (ROSA) for robotic assisted hip replacement surgery on the Gold Coast. Dr Agolley is an experienced surgeon specialising in hip replacement surgery and offers minimally invasive Hip Anterior Approach (HAA) and robotic-assisted DAA surgery for hip replacement.


For more information don't hesitate to contact our friendly staff at either our Tugun or Southport clinics.


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What is Robotic Assisted Hip Replacement Surgery?

Both traditional and robotic hip replacement surgery involves your surgeon removing damaged tissue in your hip and replacing it with an artificial joint. In robotic assisted hip replacement a robot arm is used for greater precision over placement of the artificial components (prosthesis). Dr Agolley uses robotic assistance in hip replacement to achieve three main goals:

  • precise positioning of the cup (artificial hip joint socket),
  • accurate restoration of limb length and
  • maintenance of soft tissue balance.


Learn how Robotic Assisted Surgery can improve hip surgery outcomes - contact our reception.


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Robotic Assisted Hip Replacement Surgery | David Agolley Orthopaedic Surgeon

Why Consider Robotic Hip Replacement Surgery?

The use of robotic systems in orthopaedic surgery is transforming the landscape of hip replacement surgery. Robotic Systems in Total hip replacement aid the surgeon in pre-operative planning and executing the surgery with high accuracy.


Robotic navigated technology for
Direct Anterior Approach DAA) hip replacement surgery offers the following benefits:

Greater Accuracy – ROSA precisely assists surgeons with accurate acetabular component (cup) orientation and leg length through robotic guidance. Improved positioning can improve the function and longevity of the joint replacement. 1


Improved Stability – A more precise positioning of hip components with ROSA optimises range of motion and greater hip stability 2


Less Dislocation Risk – the direct anterior approach for total hip replacement is associated with less risk of dislocation 3


Personalisation: Each surgery is tailored to the patient’s unique anatomy, potentially leading to better outcomes.


Faster Recovery: Patients may experience less pain and a quicker recovery with direct anterior approach when compared to traditional hip replacement surgery, although this can vary. 4

What is Involved in Robotic Total Hip Replacement surgery?

Prior to surgery, you’ll get a series of X-rays done, which will help Dr Agolley create a personal plan for placement of your hip prosthesis. Additionally, further x-rays are taken during the procedure, enabling the ROSA to provide immediate feedback during the surgery.


 The information provided by the ROSA, combined with your surgeon’s skill, helps them know how to optimally position your implant. During the operation, the surgeon controls the robotic arm to place the implant. The ROSA software allows Dr Agolley to make adjustments on the fly, improving the alignment and fit of your implant.


When performing your procedure with
Robotic Orthopaedic Surgical Assistant (ROSA) robotic Hip, Dr Agolley will use a direct anterior approach (incision on the front of your hip). The direct anterior approach is a muscle sparing approach. This approach is associated with a reduced the risk of dislocation and faster recovery time when compared with other approaches to the hip.5


As with all total
hip replacement surgery you will be encouraged to mobilise as soon as possible to experience faster recovery. Compliance with physical therapy, and recovery exercises is essential to ensure optimal recovery.

Robotic Total Hip Replacement surgery| David Agolley Orthopaedic Surgeon

Considerations

Total hip replacement (THR) is a common surgical procedure with generally favourable outcomes, but like any major surgery, it carries some risks. It is important to discuss all potential risks and benefits with your orthopaedic surgeon.

Patient Centred Care

Robotic hip surgery can offer advantages in terms of precision and outcomes and can provide life-changing benefits for patients, helping people regain greater mobility and return to many of the activities they used to enjoy. We hope this information helps you understand the benefits and process of robotic assisted total hip replacement surgery. Our goal is to ensure you feel informed and confident about your treatment options. Patients should have a detailed discussion with Dr Agolley to determine if the surgical option of Robotic Assisted total hip replacement is suitable for their individual needs. Our team is here to support you and provide you with the highest quality care.

  • References

    1,2. Buchan, G.B.J., et al. Improved accuracy of a novel fluoroscopy-based robotically assisted THA system compared to manual T A. Journal of Robotic Surgery,2023

    3. Christensen, T.H., et al. How Does Surgical Approach Affect Characteristics of Dislocation After Primary Total Hip Arthroplasty? J Arthroplasty, 2023

    4,5.Wang, Z., et al. A systematic review and meta-analysis of direct anterior approach versus posterior approach in total hip arthroplasty. Journal of Orthopaedic Surgery and Research, 2018. 13(1): p. 229.

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