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#Robotics #SurgicalInnovation #Orthopedics #AIinSurgery Technology is reshaping hip replacement. At AHF 2025, Benjamin G. Domb, MD (American Hip Institute) shares his journey with robotics and navigation—from being part of the original Mako design team to the latest advances in AI and augmented reality. This talk explores: How robotics improves accuracy, reproducibility, and bone preservation 10-year outcomes showing higher patient-reported scores and reduced outliers Cost-effectiveness of robotic-assisted THA The next wave: augmented reality, AI integration, and beyond 👉 Whether you’re skeptical about robotics or already using it, this session challenges surgeons to ask: how can we make a great operation even greater? 00:00 – Introduction & Background Acknowledgements, early role in Mako robotic development. 01:07 – Why Technology in Hip Replacement? Accuracy, reproducibility, efficiency — and the innovator’s dilemma. 01:58 – Early Technology: Fluoroscopy & 2D Limitations How fluoroscopy advanced the anterior approach but revealed the need for 3D. 03:21 – Navigation: Imageless, Fluoro-based, and CT-based Progression from early systems to 3D planning. 04:07 – Robotics: The Mako Journey Goals of robotic assistance, intraoperative registration, and execution. 05:30 – What Robotics Adds Real-time data, 3D preop planning, navigational confirmation. 06:29 – Accuracy & Safe Zones Kalinan study, reducing outliers, improving reliability. 07:46 – Comparative Studies Data from AHI: robotic anterior/posterior vs. conventional methods. 09:08 – Bone Preservation How robotics conserves acetabular bone for future revisions. 09:29 – Do Outcomes Improve? Short-, mid-, and long-term results on PROs and forgotten joint score. 11:39 – Cost Effectiveness Societal savings vs. facility costs. 12:33 – Future Directions Virtual reality, augmented reality, AI, and AR-guided navigation. 14:04 – Conclusion Technology as a pathway to make a great operation even greater. Explore the future of *hip surgery* with robotic precision! This video showcases the latest advancements in *robotic assisted surgery* and *total hip arthroplasty**. See how **robotics* are integrated into *anterior hip replacement surgery* and *hip replacement surgery* with insights from experts in **orthopedic surgery**.