Current status of robot‐assisted surgery in the clinical application of trauma orthopedics in China: A systematic review

Abstract

Background and Aims To elaborate on the development and characteristics of trauma orthopedic robots and their real curative effect in a clinical application through the collection and analysis of relevant literature and reported clinical results. Method We conducted the Embase, ScienceDirect, Pubmed, Medline, Wanfang, CNKI, and VIP search of the literature on robotic‐assisted surgery in trauma orthopedics in China. We combined search terms with “robotic surgery/artificial intelligence surgery/navigation surgery,” “trauma/trauma orthopedics,” and “China/Chinese.” The exclusion criteria were: (1) articles in languages other than English or Chinese, (2) articles focused on other topics other than robotic‐assisted surgery in trauma orthopedics of China, (3) article types were not clinical studies (reviews, basic research, etc.), and (4) articles were not included in the Chinese core journals or science citation index. Authors, type of surgery, robot type, and clinical research results were recorded and analyzed. Results There were three categories of surgical robots in the clinical application of trauma orthopedics (TiRobot, electromagnetic navigation surgical robots, and small medical robots developed by Beijing Jishuitan Hospital). In terms of blood loss, the fluoroscopy time, and fluoroscopy frequency, most studies found that the robot group was significantly better than the traditional group. Conclusions Robot‐assisted surgery has obvious advantages in accuracy, stability, and reducing intraoperative radiation exposure, but there is no final conclusion about functional recovery.

TiRobot‐Assisted Percutaneous Cannulated Screw Fixation for Elderly Patients with Fragility Fractures of the Pelvis: A Retrospective Study

“…Additionally, we found that the TiRobot‐assisted group is significantly better than the freehand group in terms of the fluoroscopy frequency of the surgeons and the patient, the fluoroscopy exposure time of the surgeons and the patient, operation time, and blood lost, indicating its advantages in reducing trauma and radiation damage. Several studies have reported results consistent with our findings 2,12,35 …”

“…In other words, it might support the rapid and comprehensive recovery of FFP patients. A recent study in China showed that robot‐assisted surgery has obvious advantages in terms of accuracy, stability, and reduction of intraoperative radiation exposure, but the benefits are still inconclusive in terms of functional recovery 12 . We believe that our findings can be used as an update and supplement to the above conclusions.…”

“…Several studies have reported results consistent with our findings. 2,12,35 Advantages of TiRobot-Assisted Surgery for Fragility Fractures of the Pelvis Percutaneous sacroiliac screw fixation is particularly beneficial in the treatment of fragility pelvic fractures in elderly patients with osteoporosis, as well as in polytraumatized patients who benefit from prompt operative management. 42 Elderly patients with FFP have weakened physiological function and often have pre-existing underlying diseases.…”

TiRobot-assisted channel screw fixation for elderly patients with fragility fractures of the pelvis: A retrospective study

“…In other words, it may provide a strong guarantee for the rapid and comprehensive recovery of FFP patients. A recent study from China has shown that Robot-assisted surgery has clear advantages in accuracy, stability, and reducing intraoperative radiation exposure, but there is no nal conclusion about functional recovery 7 . We believe that our ndings can be used as an update and supplement to the above conclusions.…”

“…Over the years, for the treatment of this disease, the surgical mode has changed from the traditional open surgery with high risk and many complications to minimally invasive surgery, and manual screw implantation and internal xation has been widely used in clinical practice. In recent years, robot-assisted surgery has been applied to a variety of orthopedic procedures, including joint replacement, spine surgery, bone tumor surgery, arthroscopic surgery, and fracture xation [7][8][9][10] , and has achieved accelerated postoperative recovery. Wu et al 11 took the lead in using Tianji Orthopedic robot system to carry out robot-assisted percutaneous minimally invasive pelvic xation.…”