DOI: 10.25881/20728255_2022_17_2_125


Pimanchev O.V.1, Ryapolov Y.V.1, Nebelas R.P.1, Popov N.V.1, Satovchenko K.A.2

1 Pirogov National Medical and Surgical Center, Moscow

2 Central State Medical Academy Administration of the President of the Russian Federation, Moscow


The most effective method of surgical treatment of degenerative-dystrophic diseases of the hip joint in the terminal stages is arthroplasty. However, the positive results of this operation and the service life of the endoprosthesis depend on the correct positioning of its components. Robotic systems have been developed and are being actively introduced into clinical practice, allowing for pre-planning the position and precise installation of endoprosthesis components. On a clinical example of the treatment of a patient with coxarthrosis, we have shown the use of a robotic system in arthroplasty.

Keywords: Hip arthroplasty, treatment of coxarthrosis, robotic-assisted operations, robotic surgery, clinical case.


1. Knight SR, Aujla R, Biswas SP. Total Hip Arthroplasty — over 100 years of operative history. Orthop Rev (Pavia). 2011; 3(2): e16.

2. Cherian JJ, Jauregui JJ, Banerjee S, Pierce T, Mont MA. What Host Factors Affect Aseptic Loosening After THA and TKA? Clin Orthop Relat Res. 2015; 473(8): 2700-9.

3. Hug KT, Watters TS, Vail TP, Bolognesi MP. The withdrawn ASR THA and hip resurfacing systems: how have our patients fared over 1 to 6 years? Clin Orthop Relat Res. 2013; 471(2): 430-8.

4. Janssen L, Wijnands KAP, Janssen D, Janssen M, Morrenhof JW. Do Stem Design and Surgical Approach Influence Early Aseptic Loosening in Cementless THA? Clin Orthop Relat Res. 2018; 476(6): 1212-20.

5. Callanan MC, Jarrett B, Bragdon CR, Zurakowski D, Rubash HE, Freiberg AA, et al. The John Charnley Award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital. Clin Orthop Relat Res. 2011; 469(2): 319-29.

6. Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR. Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am. 1978; 60(2): 217-20.

7. Widmer KH, Zurfluh B. Compliant positioning of total hip components for optimal range of motion. J Orthop Res. 2004; 22(4): 815-21.

8. Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR. Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am. 1978; 60(2): 217-20.

9. Steppacher SD, Kowal JH, Murphy SB. Improving cup positioning using a mechanical navigation instrument. Clin Orthop Relat Res. 2011; 469(2): 423-8.

10. Saxler G, Marx A, Vandevelde D, Langlotz U, Tannast M, Wiese M, et al. Cup placement in hip replacement surgery -- A comparison of free-hand and computer assisted cup placement in total hip arthroplasty -- a multi-center study. Z Orthop Ihre Grenzgeb. 2004; 142(3): 286-91.

11. Parratte S, Argenson JN, Flecher X, Aubaniac JM. Computer-assisted surgery for acetabular cup positioning in total hip arthroplasty: comparative prospective randomized study. Rev Chir Orthop Reparatrice Appar Mot. 2007; 93(3): 238-46.

12. El Bitar YF, Jackson TJ, Lindner D, Botser IB, Stake CE, Domb BG. Predictive value of robotic-assisted total hip arthroplasty. Orthopedics. 2015; 38(1): e31-7.

13. Elson L, Dounchis J, Illgen R, et al. Precision of acetabular cup placement in robotic integrated total hip arthroplasty. Hip Int. 2015; 25: 531-6.

14. Jacofsky DJ, Allen M. Robotics in Arthroplasty: A Comprehensive Review. J Arthroplasty. 2016; 31: 2353-63.

For citation

Pimanchev O.V., Ryapolov Y.V., Nebelas R.P., Popov N.V., Satovchenko K.A. Our experience in hip arthroplasty using a robotic system. Bulletin of Pirogov National Medical & Surgical Center. 2022;17(2):125-128. (In Russ.)