El University Clinical Hospital of Valencia has incorporated the robotic hip surgery to its service portfolio with the ROSA® system, an internationally recognized surgical assistant. With this step, the center is positioned as first hospital in the Valencian Community y third in Spain in using this technology in hip arthroplasty.
According to the Orthopedic Surgery and Traumatology team, the use of robotics applied to implants allows you to adjust the positioning with a level of accuracy that translates into better functionality of the prosthesis, greater longevity and a faster and safer recovery for patients.
What the ROSA® system provides for the hip
ROSA® is a platform that is already used successfully in numerous centers United States and other countries, and which is now being deployed in Valencia for the hip following its extensive experience in the knee. Its value lies in the real-time image analysis and active guidance to the surgeon during key steps of the procedure.
During the intervention, the system integrates a team of intraoperative X-rays ’s relationship with the computer-guided robotic arm, providing precise measurements to orient components, optimize biomechanics, and reduce case-to-case variability.
- More accurate alignment and positioning of the prosthetic components.
- Less soft tissue release, which is associated with less pain and better recovery.
- Greater intraoperative safety thanks to constant guidance and verification.
- More consistent results and predictable between patients.
Previous experience and responsible team
The service had already incorporated ROSA® for knee prosthesis three years ago, reaching more than a hundred interventions with good results. This previous experience now facilitates its extension to hip arthroplasty with standardized procedures and refined protocols.
The first robotic hip surgeries have been performed by the team led by Dr. Antonio Silvestre, head of service, together with Dr. José E. García Rellán, assistant physician. Both emphasize that the millimeter precision in the placement of the implant helps to improve function and shorten the rehabilitation process.
Volume of activity and forecasts
The Clinical Hospital of Valencia carries out around 220 hip replacements per yearWith the arrival of robotics, the service forecast is that approximately 30% of the interventions can benefit from this technological assistance in the short term.
This implementation reinforces the center's commitment to the technological innovation, the surgical excellence and the quality of care, consolidating its role as reference in orthopedics inside and outside the Valencian Community.
How it works in the operating room
Surgical flow combines continuous planning and verification: the system analyzes intraoperative radiographs, develops cup and stem orientation parameters, and guides instrumentation for the objectives of version, offset and limb length with a minimum margin of error.
- Capture and registration of anatomical references.
- Intraoperative simulation of the placement of the implant.
- Robotic assistance in the final cuts and positioning.
- Final verification of biomechanics before closing.
Impact on patients
The combination of robotic guidance and radiographic control results in less postoperative pain, potential reduction of hospital stay and an earlier return to normal activities, always within the guidelines of each case.
More precise placement promotes best lineup and stability of the implant, which can promote its long-term durability and reduce the need for reinterventions due to misalignments or malpositioning.
The arrival of ROSA® to hip surgery at the University Clinical Hospital of Valencia marks a qualitative leap: combines accumulated experience in knee, real-time guidance and safety criteria to offer more predictable procedures, with a focus on precision and quality. patient benefit.
