Total Hip Arthroplasty And Technological Advances-A Panorama Of The Last 10 Years: Systematic Review

Abstract

Gabriel Rodrigues Silva, Andrei Machado Viegas da Trindade, Leandro Alves de Oliveira, Lauro Barbosa Neto, Reuder Pereira Prado, Lucas David Campos and Fernanda Grazielle da Silva Azevedo Nora

Objective: The aim of this study is to analyze the impact of technological innovations on surgical precision, safety, complications, and functional recovery of patients undergoing Total Hip Arthroplasty (THA). Methodology: The review was conducted following PRISMA guidelines. A total of 41 articles published between 2014 and 2024 were selected from PubMed, Google Scholar, and Scopus databases. The included studies directly addressed technological innovations applied to THA, such as robotics, 3D navigation, and nerve blocks for pain management. The initial screening identified 450 studies, of which 50 were fully analyzed, and 41 were included in the final review.

Results: The results indicate that the use of robotics and 3D navigation significantly improves the accuracy of prosthetic component placement, reducing complications such as misalignment and dislocations. Additionally, pain management using Peri-capsular Nerve Group (PENG) blocks proved effective in reducing opioid use and promoting early functional recovery. These technologies contributed to better alignment of components and a reduced need for revision surgeries. Conclusion: Technological advances in THA, such as the use of robotics, 3D navigation, and new approaches to pain management, have shown a positive impact on clinical outcomes, reducing complications and accelerating patient recovery. However, there are challenges to large-scale implementation due to the learning curve and high costs. The study suggests that, with the continued advancement of technology, THA will become increasingly safer and more effective, providing better outcomes for patients.

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