Orthopedic Surgical Robotic Systems: Comprehensive Review
DOI:
https://doi.org/10.61173/t3p5b977Keywords:
Orthopedical surgery, robotic system, frac-ture reduction.Abstract
Orthopedic surgery is one of the earliest surgical specialties to adopt robotic technology in clinical practice. Over the years, it has become a fascinating field with remarkable achievements. Surgical robots improve alignment accuracy and restore normal kinematics by enabling precise bone preparation, particularly in total joint replacement surgeries. There are various robotic systems available on the market, each tailored to specific types of surgeries with features designed to meet different requirements and operating methods. This paper provides a review of orthopedic robotic systems based on different fracture types, covering robotic systems related to hip and knee, spine, and fracture reduction surgeries. Regardless of the system type, the primary goal of robotic systems is to improve the accuracy and precision of surgical procedures. Although the history of surgical robots is relatively short, they have already demonstrated clinical efficacy when compared to traditional orthopedic surgeries. When considering which robotic system to use, surgeons must carefully assess the advantages and disadvantages of each system to choose the one best suited to their surgical needs.
References
[1] Jacofsky, D.J.; Allen, M. Robotics in arthroplasty: A comprehensive review. J. Arthroplast. 2016, 31, 2353–2363.
[2] Davies, B. A review of robotics in surgery. Proc. Inst. Mech. Eng. Part J. Eng. Med. 2000, 214, 129–140.
[3] Lonner, J.H. Robotics in Knee and Hip Arthroplasty: Current Concepts, Techniques and Emerging Uses; Springer: Cham, Switzerland, 2019.
[4] Paul HA, Bargar WL, Mittlestadt B, et al. Development of a surgical robot for cementless total hip arthroplasty. Clin Orthop Relat Res. 1992. (285):57–66.
[5] Sugano, N. (2013). Computer-assisted orthopedic surgery and robotic surgery in total hip arthroplasty. Clinics in orthopedic surgery, 5(1), 1-9.
[6] Innocenti, B., & Bori, E. (2021). Robotics in orthopedic surgery: why, what and how?. Archives of orthopedic and trauma surgery, 1-8.
[7] Goldsmith MF (1992) For better hip replacement results, surgeon’s best friend may be a robot. JAMA 267(5):613.
[8] Innocenti, B., & Bori, E. (2021). Robotics in orthopedic surgery: why, what and how?. Archives of orthopedic and trauma surgery, 1-8.
[9] Banerjee S, Cherian JJ, Elmallah RK, Pierce TP, Jauregui JJ, Mont MA (2016) Robot-assisted total hip arthroplasty. Expert Rev Med Devices 13(1):47–56.
[10] Goldsmith MF. For better hip replacement results, surgeon’s best friend may be a robot. JAMA. 1992;267(5):613–4.
[11] Chen Ran. Application effect of comprehensive treatment involving surgery in stage II-IIIA small cell lung cancer. Clinical Medicine Research and Practice,2020,5(15):43-44.
[12] WANG Zhangyu, HUANG Wei, LIAO Junyi, et al. Application of orthopaedic surgical robot in total hip replacement. World Digest of Recent Medical Informati on,2021,21(37):51-52,133.
[13] WANG Satellite, XU Yan, CAO Haifeng. Clinical effect of surgery combined with radiotherapy in the treatment of stage III non-small cell lung cancer. Journal of Practical Cancer,2017,32(9):1564-1565.
[14] Nakamura N, Sugano N, Nishii T, et al. Robot-assisted primary cementless total hip arthroplasty using surface registration techniques: a short-term clinical report. Int J Compute-Assist Radiol Surg 2009; 4: 157–162.
[15] Siebel T and Käfer W. Clinical outcome following robotic assisted versus conventional total hip arthroplasty: a controlled and prospective study of seventy-one patients. Z Orthopedical Grenzgeb 2005; 143: 391–398.
[16] Subramanian, P., Wainwright, T. W., Bahadori, S., & Middleton, R. G. (2019). A review of the evolution of roboticassisted total hip arthroplasty. Hip International, 29(3), 232-238.
[17] Li T, Badre A, Alambeigi F, Tavakoli M. Robotic Systems and Navigation Techniques in Orthopedics: A Historical Review. Applied Sciences. 2023; 13(17):9768.
[18] Clatworthy, M.; Surgeon, O.K.; Bone, A.; Auckland, N.Z. Patient-Specific TKA with the VELYS™ Robotic-Assisted Solution. Surg. Technol. Int. 2022, 40, 315–320.
[19] Lefranc, M.; Peltier, J. Accuracy of thoracolumbar transpedicular and vertebral body percutaneous screw placement: Coupling the Rosa® Spine robot with intraoperative flat-panel CT guidance—A cadaver study. J. Robot. Surg. 2015, 9, 331–338.
[20] Lefranc, M.; Peltier, J. Evaluation of the ROSA™ Spine robot for minimally invasive surgical procedures. Expert Rev. Med. Devices 2016, 13, 899–906.
[21] Jiang, B.; Azad, T.D.; Cottrill, E.; Zygourakis, C.C.; Zhu, A.M.; Crawford, N.; Theodore, N. New spinal robotic technologies. Front. Med. 2019, 13, 723–729.
[22] Jiang, B.; Azad, T.D.; Cottrill, E.; Zygourakis, C.C.; Zhu, A.M.; Crawford, N.; Theodore, N. New spinal robotic technologies. Front. Med. 2019, 13, 723–729.
[23] Crawford, N.; Johnson, N.; Theodore, N. Ensuring navigation integrity using robotics in spine surgery. J. Robot. Surg. 2020, 14, 177–183.
[24] Li, X., Chen, J., Wang, B., Liu, X., Jiang, S., Li, Z., ... & Wei, F. (2024). Evaluating the Status and Promising Potential of Robotic Spinal Surgery Systems. Orthopaedic Surgery.
[25] Kou, W., Zhou, P., Lin, J., Kuang, S., & Sun, L. (2023). Technologies evolution in robot-assisted fracture reduction systems: a comprehensive review. Frontiers in Robotics and AI, 10, 1315250.
[26] Kim, Y. H., N. Inoue, and E. Y. Chao. Kinematic simulation of fracture reduction and bone deformity correction under unilateral external fixation. J. Biomech. 35:1047–1058, 2002.
[27] Viceconti, M., A. Sudanese, A. Toni, and A. Giunti. A software simulation of tibial fracture reduction with external fixator. Comput. Methods Programs Biomed. 40:89–94, 1993.
[28] Brandt, G., K. Radermacher, S. Lavallée, H.-W. Staudte, and G. Rau. A compact robot for image guided orthopedic surgery: concept and preliminary results. In: CVRMed- MRCAS’97. Springer, 1997, pp. 767–776.
[29] Raabe, D., S. Dogramadzi, and R. Atkins. Semi-automatic percutaneous reduction of intra-articular joint fractures—an Dean&Francis ISSN 2959-6157 initial analysis. In: 2012 IEEE International Conference on Robotics and Automation, 2012, pp. 2679–2684. IEEE.
[30] Graham, A. E., S. Q. Xie, K. C. Aw, W. L. Xu, and S. Mukherjee. Design of a parallel long bone fracture reduction robot with planning treatment tool. In: 2006 IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE, 2006, pp. 1255–1260.
[31] Weil, Y. A., A. Greenberg, A. Khoury, R. Mosheiff, and M. Liebergall. Computerized navigation for length and rotation control in femoral fractures: a preliminary clinical study. J. Orthop. Trauma 28:e27–33, 2014.
[32] Kim, Y. H., & Lee, S. G. (2004). Computer and robotic model of external fixation system for fracture treatment. In Computational Science-ICCS 2004: 4th International Conference, Kraków, Poland, June 6-9, 2004, Proceedings, Part IV 4 (pp. 1081-1087). Springer Berlin Heidelberg.
[33] Majidifakhr, K., Kazemirad, S., & Farahmand, F. (2009). Robotic assisted reduction of femoral shaft fractures using Stewart platform. In Medicine Meets Virtual Reality 17 (pp. 177-179). Ios Press.
[34] Kou, W., Zhou, P., Lin, J., Kuang, S., & Sun, L. (2023). Technologies evolution in robot-assisted fracture reduction systems: a comprehensive review. Frontiers in Robotics and AI, 10, 1315250.
[35] Westphal, R., Winkelbach, S., Gösling, T., Hüfner, T., Faulstich, J., Martin, P., ... & Wahl, F. M. (2006). A surgical telemanipulator for femur shaft fracture reduction. The international journal of medical robotics and computer assisted surgery, 2(3), 238-250.
[36] Raabe, D., Dogramadzi, S., & Atkins, R. (2012, May). Semi-automatic percutaneous reduction of intra-articular joint fractures-An initial analysis. In 2012 IEEE International Conference on Robotics and Automation (pp. 2679-2684). IEEE.
[37] Dagnino, G., Georgilas, I., Köhler, P., Morad, S., Atkins, R., & Dogramadzi, S. (2016). Navigation system for robot-assisted intra-articular lower-limb fracture surgery. International journal of computer assisted radiology and surgery, 11, 1831-1843.
[38] Dagnino, G., Georgilas, I., Köhler, P., Atkins, R., & Dogramadzi, S. (2016, May). Image-based robotic system for enhanced minimally invasive intra-articular fracture surgeries. In 2016 IEEE International Conference on Robotics and Automation (ICRA) (pp. 696-701). IEEE.
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