The History of the Development of Robotics in Surgery and Orthopedics (Literature Review)

Лычагин, А.В.; Gritsyuk, A.A.; Rukin, Ya. A.; Elizarov, Mikhail

doi:10.17238/issn2226-2016.2020.1.13-19

Cited by 3 publications

(1 citation statement)

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“…With manual TKA technique, up to 40% of the implant position is affected, which affects the function and shortens the service life of the implant [9], [10]. One of the ways to solve the problem is the use of computer navigation, which makes it possible to improve the results of alignment of the axes and the position of the implant, but the number of errors remains quite large [11], [12].…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted Knee Arthroplasty: Randomized Clinical Trial

Лычагин

Elizarov

Gritsyuk

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Osteoarthritis of the knee joint leads to a decrease in the volume of movements, a violation of the sliding of articular surfaces, and a change in the axis of the limb under load, which affects the biomechanics of walking. AIM: This study aims to compare the results of robot-assisted total knee arthroplasty (TKA) and manual techniques, their influence on the biomechanical and podometric parameters of the patient’s walk. METHODS: A prospective randomized study of 68 patients was carried out in the period from 2020 to 2021. Our follow-up period was 1 year. All patients were performed arthroplasty of one knee joint. The main Group “A” included 33 patients TKA with the use of an active robotic setting “TSolution-One” (“THINK Surgical, Inc.” [Fremont, California, USA]); the comparison Group “B” consisted of 35 patients with manual technic of TKA. We studied pain syndrome on the visual analog scale, functional state on the Oxford Knee Score (OKS) and Western Ontario and McMaster Universities Arthritis Index (WOMAC), the volume of ROM movements, and the deviation of the mechanical axis by teleroentgenography of the lower limb. Objective analysis of limb function was performed on the «Alter-G» and the «C-mill». RESULTS: Post-operative pain syndrome on the 1st day after surgery in Group A is stronger by 7.9%, but by the 5th day after surgery in Group A, the pain syndrome is lower by 14.3%. ROM in Group A is better by 16% by 3 months after surgery, after 1 year by 10%. The positioning accuracy of the implant in Group A is 30% better. There are no statistically significant differences in the OKS and WOMAC scales between the groups. The results of restoring normal step in Group A are 13.5% better than in Group B. CONCLUSIONS: Robot-assisted TKA gives more accurate alignment of the mechanical axis, which improves the biomechanics of walking.

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Section: Introductionmentioning

confidence: 99%

Robot-assisted Knee Arthroplasty: Randomized Clinical Trial

Лычагин

Elizarov

Gritsyuk

et al. 2022

Open Access Maced J Med Sci

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Clinical evaluation and accuracy of mechanical axis alignment in robotic total knee arthroplasty

Lychagin,

Gritsyuk,

Rukin

et al. 2023

jour

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The first experience in robotic total knee arthroplasty (RoTKA) has been obtained resulting in the questions about clinical efficiency and accuracy of lower limb alignment.Objective To clarify clinical evaluation and accuracy of alignment of the mechanical axis of the lower limb in RoTKA.Materials and methods Twenty-nine patients with osteoarthritis of the knee of Kellgren-Lawrence stage 3-4 underwent RoTKA. The knee joint was assessed with VAS, WOMAC, FJS-12; the range of motion was measured. The changes in the axis of the lower limb were evaluated on the full limb length radiographs.Results Pain before the surgery according to VAS was 5.8 ± 1.5 points, on the first day after the surgery it was 8.5 ± 1.4, on day 3 – 5.9 ± 1.2, on day 12 – 2.9 ± 1.1. The range of motion on the first day after the surgery was 99.5° ± 1.4°, three months later – 115.1° ± 1.1°, six months later – 125.6 ± 1.5°, one year later– 127.5 ± 1.6°. The WOMAC score before the surgery was 32.7 ± 3.3, after the surgery 25.1 ± 2.1, three months later 7.3 ± 1.3, six months later 2.8 ± 0.2, and after one year – 1.3 ± 0.5. The FJS-12 score 3 months after the surgery was 68.2 ± 4.1, after 6 months 80.3 ± 2.9, after one year 94.0 ± 2.1. The analysis of postoperative full length roentgenograms in 72 % of cases (n = 21) did not reveal any deviation of the mechanical axis from the planned one and in 28 % of cases (n = 8) the deviation of the mechanical axis was up to 1° from the planned one.Discussion Neither technical difficulties nor complications inherent to RoTKA were found. According to the results of VAS, WOMAC and FJS‑12 questionnaires, and the assessment of the range of motion, a positive dynamics was observed. According to the results of tele-roentgenograms, there was alignment of the limb axis and the accuracy of the position of the endoprosthesis components.Conclusion The study of this technology has demonstrated safety, accuracy of alignment of the mechanical axis, validity of indications and contraindications, and stable early clinical results.

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Automated robotic systems in surgical practice

Andreev,

Glukhov,

Ostroushko

et al. 2024

Science and Innovations in Medicine

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Relevance. The use of robotic systems has long gone beyond experimental medicine. Robotic surgery reduces errors and improves the quality of surgical operations. Purpose. Analysis of the results and feasibility of introducing robots into surgery. Materials and methods. An overview of the data presented in PubMed, Cochrane Library, ScienceDirect and eLIBRARY was performed. Main part of the article. The first robot created in 1983, Robodoc surgical assistant system, made it possible to select the size and type of orthopedic implant for hip replacement, to process the cavity for its installation. The Unimate Puma 560 robot, created in 1985, took a brain biopsy and made it easier to perform separate laparoscopic operations. In the late 1980s, the Probot system was designed, making it easier for urologists to perform intraoperative ultrasound scans and assess the size of the prostate gland. In 1993, the AESOP robotic arm was developed. The AESOP system assisted surgeons in laparoscopic operations, ensuring that the image of the operating field was displayed on the screen. The Da Vinci robotic complex was developed in 2000, its predecessor was an almost similar Zeus robotic system, which also allows for almost any type of surgical intervention. The Senhance robot surgeon may be a replacement for the Da Vinci in the near future due to the higher efficiency of system control and increased safety in operation, but it still requires studying its performance and resource expenditure. Conclusion. Today, robots are actively used in everyday surgical practice. More than 200 thousand operations per year are carried out annually using only the most popular robotic complex Da Vinci. Further development of robotics will significantly affect the improvement of the quality and accuracy of surgical interventions. Already, it allows you to reduce postoperative complications to almost zero.

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The History of the Development of Robotics in Surgery and Orthopedics (Literature Review)

Cited by 3 publications

References 0 publications

Robot-assisted Knee Arthroplasty: Randomized Clinical Trial

Robot-assisted Knee Arthroplasty: Randomized Clinical Trial

Clinical evaluation and accuracy of mechanical axis alignment in robotic total knee arthroplasty

Automated robotic systems in surgical practice

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