| Title： | Protocol for clinical guideline of robot-assisted hip and knee arthroplasties |
| Edition： | Original |
| Classification： | Standard guideline |
| Field： | Diagnosis and Treatment |
| Countries and regions： | China |
| Guidelines users： | Joint Surgeons, Orthopedic Surgeons |
| Evidence classification method： | The systematic evaluation/meta-analysis included in the study will use the AMSTAR (A Measure Tool to Assess Systematic Reviews) tool for methodological quality assessment. The guidelines will use the Chinese Clinical Practice Evaluation Standards (AGREE-China). Randomized controlled trials (RCTs) will use the Risk of Bias (ROB) evaluation tool recommended by the Cochrane Library, and observational studies will be evaluated using the Newcastle-Ottawa Scale (NOS). The evaluation will be completed independently by two researchers, and in case of disagreement, a third researcher will participate in the discussion to reach a consensus. The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system will be used to grade the quality of evidence, recommendations, and recommendation strength for each clinical question included in the study. For qualitative research or evidence unsuitable for the GRADE system evaluation, a Good Practice Statement (GPS) will be used for evaluation. |
| Development unit： | National Health Commission Capacity Building And Continuing Education Center; The Joint Surgery Branch of the Chinese Orthopaedic Association |
| Registration time: | 2024-03-27 |
| Registration number： | PREPARE-2024CN470 |
| Purpose of the guideline: | Total joint arthroplasty (TJA) is considered one of the most successful orthopedic surgeries since the 20th century, and is also recognized as one of the most effective methods for treating end-stage hip and knee joint diseases. Under traditional surgical methods, the implantation of joint prostheses largely relies on the surgeon's experience, which leads to significant blindness and uncertainty. There may be poor placement of prosthetic positions, deviation of force lines, and imbalance of internal and external flexion and extension gaps, which are the main causes of postoperative complications such as dislocation of prostheses, unequal length of lower limbs, poor patellar trajectory, pad wear, and postoperative instability. Therefore, a considerable number of patients still have poor postoperative outcomes. Since the emergence of the Robodoc robot system, with the deepening understanding of the concepts of intelligence, precision, and personalization, surgical robots have flourished in the field of joint surgery. TJA robots can achieve precise and personalized surgical planning, and assist surgeons in installing osteotomy tools, cutting osteotomy, grinding files, and installing prostheses during surgery, improving the accuracy and safety of joint replacement surgery, achieving the goals of reducing perioperative complications, accelerating recovery, and improving long-term efficacy. However, some studies have shown that due to insufficient theoretical knowledge and operational standards, the incidence of complications after some robot assisted joint arthroplasties is increased, and the clinical efficacy is poor. At present, there is a lack of guidance on the clinical practice of robot assisted (RA) hip and knee arthroplasty surgery in China. Therefore, it is necessary to develop clinical practice guidelines based on existing literature evidence to standardize or guide clinical doctors in implementing robot assisted hip and knee replacement surgery. To address the aforementioned issues, a manual will be developed based on the World Health Organization (WHO) guidelines, and a clinical guideline for robot assisted hip and knee arthroplasty surgery will be developed using methods such as the grading of recommendations assessment, development and evaluation (GRADE). |
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