Feasibility and accuracy of orthopaedic surgical robot system for intraoperative navigation to locate bone tunnel in anterior cruciate ligament reconstruction

Ding, Guocheng; Yang, Gang; Zhang, Jiahao; Huang, Hongjie; Du, Jianing; Ren, Shuang; Wang, Qining; Zhou, Zhihao; Zhang, Xin; Ao, Yingfang

doi:10.1002/rcs.2354

Cited by 7 publications

(6 citation statements)

References 27 publications

(31 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cho et al (2018) used a robot-assisted MRI-based navigation system to improve the accuracy of ACL reconstruction, which achieved a deviation of 1.47 mm between the planned and the actual tunnels. In addition, Ding et al (2021) used a robotic combined navigation system for positioning the ACL bone tunnel and achieved an accuracy of nearly 1 mm in the positioning of both femoral tunnel and tibial tunnel, which was a significant improvement over the manual operation. Zhang et al (2021b) developed an orthopedic robotic system that combined the optical tracking system with a 6DoF robot UR5 (universal Robots, Denmark) to perform a full-automatic long bone osteotomy (figure 9).…”

Section: Image-guided Navigation In Combination With a Robotic Systemmentioning

confidence: 99%

A review of advances in image-guided orthopedic surgery

Fan¹,

Zhu²,

Tu³

et al. 2023

Phys. Med. Biol.

View full text Add to dashboard Cite

Orthopedic surgery remains technically demanding due to the complex anatomical structures and cumbersome surgical procedures. The introduction of image-guided orthopedic surgery (IGOS) has significantly decreased the surgical risk and improved the operation results. This review focuses on the application of recent advances in Artificial Intelligence (AI), Deep Learning (DL), Augmented Reality (AR) and Robotics in image-guided spine surgery, joint arthroplasty, fracture reduction and bone tumor resection. For the pre-operative stage, key technologies of AI and deep learning based medical image segmentation, 3D reconstruction and surgical planning procedures are systematically reviewed. For the intra-operative stage, the development of novel image registration, surgical tool calibration and real-time navigation are reviewed. Furthermore, the combination of the surgical navigation system with augmented reality (AR) and robotic technology is also discussed. Finally, the current issues and prospects of the IGOS system are discussed, with the goal of establishing a reference and providing guidance for surgeons, engineers, and researchers involved in the research and development of this area.

show abstract

Section: Image-guided Navigation In Combination With a Robotic Systemmentioning

confidence: 99%

A review of advances in image-guided orthopedic surgery

Fan¹,

Zhu²,

Tu³

et al. 2023

Phys. Med. Biol.

View full text Add to dashboard Cite

show abstract

“…A study comparing patient satisfaction between robotic-assisted surgery and traditional surgery found higher satisfaction with robotic surgery (Xue et al, 2024). Furthermore, orthopaedic surgical navigation robots provide the possibility of anatomical reconstruction with a modified TT ( Ding et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Robotic-assisted anatomic anterior cruciate ligament reconstruction: a comparative analysis of modified transtibial and anteromedial portal techniques in cadaveric knees

Zhang,

Lin,

Zhao

et al. 2024

Front. Bioeng. Biotechnol.

View full text Add to dashboard Cite

Introduction: This study employed surgical robot to perform anatomic single-bundle reconstruction using the modified transtibial (TT) technique and anteromedial (AM) portal technique. The purpose was to directly compare tunnel and graft characteristics of the two techniques.Methods: Eight cadaveric knees without ligament injury were used in the study. The modified TT and AM portal technique were both conducted under surgical robotic system. Postoperative data acquisition of the tunnel and graft characteristics included tibial tunnel position, tunnel angle, tunnel length and femoral tunnel-graft angle.Results: The mean tibial tunnel length of the modified TT technique was significantly shorter than in the AM portal technique (p < 0.001). The mean length of the femoral tunnel was significantly longer for the modified TT technique than for the AM portal technique (p < 0.001). The mean coronal angle of the tibial tunnel was significantly lower for the modified TT technique than for the AM portal technique (p < 0.001). The mean coronal angle of the femoral tunnel was significantly lower for the AM portal technique than for the modified TT technique (p < 0.001). The AM portal technique resulted in a graft bending angle that was significantly more angulated in the coronal (p < 0.001) and the sagittal planes (p < 0.001) compared with the modified TT technique.Discussion: Comparison of the preoperative planning and postoperative femoral tunnel positions showed that the mean difference of the tunnel position was 1.8 ± 0.4 mm. It suggested that the surgical navigation robot could make predictable tunnel position with high accuracy. The findings may support that the modified TT technique has benefits on femoral tunnel length and obliquity compared with AM portal technique. The modified TT technique showed a larger femoral tunnel angle in the coronal plane than the AM portal technique. Compared with the modified TT technique, the more horizontal trajectory of the femoral tunnel in the AM portal technique creates a shorter femoral tunnel length and a more acute graft bending angle.

show abstract

“…Previous studies have shown that the use of computer and robot-assisted techniques in ACL reconstruction surgery has the potential to reduce errors in tunnel placement [ 22 – 24 ]. In a previous study, knee bionic models were used to demonstrate that the robot's accuracy was greater than that of the traditional drilling method [ 25 ]. In this study, we performed ACL reconstruction surgery on fresh frozen human knee specimens using a three-dimensional (3D) image-based robotic system and compared it with traditional surgery to verify the accuracy of robot-assisted ACL surgery and to provide a theoretical basis for future practical application of robots in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted anterior cruciate ligament reconstruction based on three-dimensional images

Yang,

Liu,

Zhou

et al. 2024

J Orthop Surg Res

Self Cite

View full text Add to dashboard Cite

Background Tunnel placement is a key step in anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to evaluate the accuracy of bone tunnel drilling in arthroscopic ACL reconstruction assisted by a three-dimensional (3D) image-based robot system. Methods Robot-assisted ACL reconstruction was performed on twelve freshly frozen knee specimens. During the operation, three-dimensional images were used for ACL bone tunnel planning, and the robotic arm was used for navigation and drilling. Twelve patients who underwent traditional arthroscopic ACL reconstruction were included. 3D computed tomography was used to measure the actual position of the ACL bone tunnel and to evaluate the accuracy of the robotic and traditional ACL bone tunnel. Results On the femoral side, the positions of robotic and traditional surgery tunnels were 29.3 ± 1.4% and 32.1 ± 3.9% in the deep-to-shallow direction of the lateral femoral condyle (p = 0.032), and 34.6 ± 1.2% and 21.2 ± 9.4% in the high-to-low direction (p < 0.001), respectively. On the tibial side, the positions of the robotic and traditional surgical tunnels were located at 48.4 ± 0.9% and 45.8 ± 2.8% of the medial-to-lateral diameter of the tibial plateau (p = 0.008), 38.1 ± 0.8% and 34.6 ± 6.0% of the anterior-to-posterior diameter (p = 0.071), respectively. Conclusions In this study, ACL reconstruction was completed with the assistance of a robot arm and 3D images, and the robot was able to drill the bone tunnel more accurately than the traditional arthroscopic ACL reconstruction.

show abstract

Feasibility and accuracy of orthopaedic surgical robot system for intraoperative navigation to locate bone tunnel in anterior cruciate ligament reconstruction

Cited by 7 publications

References 27 publications

A review of advances in image-guided orthopedic surgery

A review of advances in image-guided orthopedic surgery

Robotic-assisted anatomic anterior cruciate ligament reconstruction: a comparative analysis of modified transtibial and anteromedial portal techniques in cadaveric knees

Robot-assisted anterior cruciate ligament reconstruction based on three-dimensional images

Contact Info

Product

Resources

About