Verification and clinical translation of a newly designed “Skywalker” robot for total knee arthroplasty: A prospective clinical study

Xia, Runzhi; Zhai, Zanjing; Zhang, Jingwei; Yu, Degang; Wang, Liao; Zhu, Zhenan; Wu, Haishan; Dai, Kerong; Yan, Mi; Li, Huiwu

doi:10.1016/j.jot.2021.05.006

Cited by 16 publications

(14 citation statements)

References 26 publications

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“…Though new technology (e.g., robot-assisted system) has improved the outcomes following KA [ 35 ], bilateral KA can be still challenging for both patients and surgeon. In our study, we found that staggered bilateral KA has become more common than simultaneous bilateral KA in China.…”

Section: Discussionmentioning

confidence: 99%

A nationwide comparison of staggered and simultaneous bilateral knee arthroplasty during a single hospitalization: Trends, risks and benefits

Jiang

Long

Xie

et al. 2022

Journal of Orthopaedic Translation

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Section: Discussionmentioning

confidence: 99%

A nationwide comparison of staggered and simultaneous bilateral knee arthroplasty during a single hospitalization: Trends, risks and benefits

Jiang

Long

Xie

et al. 2022

Journal of Orthopaedic Translation

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“…Surgeons can operate machines while stationed away from the operating table, and this approach will have an important role in future OA-related treatment, such as mechanical arm-assisted single-chamber knee replacement (UKA) and robot-assisted total knee replacement. 97 , 98 Creative ideas will continue to provide the breadth and depth necessary for research on OA to further understand this disease.…”

Section: Future Perspectivesmentioning

confidence: 99%

Progress in osteoarthritis research by the National Natural Science Foundation of China

Xie

Xiao

et al. 2022

Bone Res

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Osteoarthritis (OA) in China is gradually becoming an important scientific research area that has had a significant impact on research and development (R&D) activities in the OA field worldwide. This article summarizes the R&D progress related to OA in China in recent years. The National Natural Science Foundation of China (NSFC) is a national funding institution for basic research and plays a critical role in promoting and supporting Chinese scholars’ R&D activities. We collected and analyzed information on NSFC funding in the field of OA from 2010 to 2019, including the amount, the level and the program categories of the funded projects. The data fully demonstrate the important and positive role of the NSFC in supporting free exploration, cultivating research teams and young talent, and boosting OA R&D. In this article, we outline and discuss hot topics in focused areas, key advances in this field and the prospects for progress in OA research in China.

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“…The use of this algorithm, in combination with optical navigation techniques, achieved real-time precision compensation that was able to control the osteotomy positioning error to within 1.5 mm. An integrated bone-cutting tool was designed that could be applied to all parts of the femoral and tibial bones, thus improving osteotomy efficiency [ 29 , 30 ] (Table 1 ).…”

Section: Robotic Surgery In Knee Arthroplastymentioning

confidence: 99%

“…69.2%, P = 0.651). Xia et al, 2021 Skywalker publication [ 29 ] 100% of the absolute error of the HKA angles were within 3°; 90.32% of the postoperative lower limb alignment angles in 31 patients were close to 180° after the operation. Chai et al , 2020 YUANHUA publication [ 31 ] The deviation between the planned cutting thickness before operation and the measured value after the operation was < 1 mm and that the error of the osteotomy angle was < 2° in the goat models.…”

Section: Robotic Surgery In Knee Arthroplastymentioning

confidence: 99%

What’s new in artificially intelligent joint surgery in China? The minutes of the 2021 IEEE ICRA and literature review

Yuan

2022

Arthroplasty

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Objective To outline the main results of the 2021 International Conference on Robotics and Automation (ICRA 2021) of the Institute of Electrical and Electronics Engineers (IEEE) and review the advances in artificially intelligent joint surgery in China. Methods The keynote speeches of the 2021 ICRA were summarized in detail, and publications indexed by five core electronic databases (PubMed, Cochrane, Medline, Embase and CNKI) were systematically surveyed (cutoff date: July 30, 2021) in terms of the main topics of the conference. Publications directly related to artificially intelligent joint surgery in China were identified by using the search strategies of (robotic AND arthroplasty OR replacement), (navigation AND arthroplasty OR replacement), (artificial intelligent AND arthroplasty OR replacement), and (mixed reality AND arthroplasty OR replacement) and systemically reviewed. Results While robot-assisted arthroplasty in China is mainly performed using robots made in other countries (e.g., Mako from Stryker, USA), China’s domestic R&D of robots and clinical studies of robotic joint surgery have made some achievements. Although reports on the safety, effectiveness and clinical efficacy of China’s domestic robot-assisted joint surgery were presented at conferences, they have rarely been published in journals. Existing data indicate that, after the learning curve is overcome, robot-assisted hip and knee replacement surgery can fully achieve the established goals of precision and individualization and can significantly improve the accuracy of prosthesis placement angle and the recovery of the mechanical axis as compared with conventional surgery. The downside is that the low level of intelligentization and individualization means that existing designs are not conducive to personalization during surgery, resulting in low cost-effectiveness. Conclusion The safety and efficacy of domestic robot-assisted arthroplasty in China are well documented, and its accuracy and short-term clinical efficacy have been reported. However, the long-term clinical efficacy and the cost-effectiveness of large-scale clinical application of this technique warrants further study. The inadequacies of robot-assisted surgery should be remedied through the deep integration of medicine, engineering and the network.

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Verification and clinical translation of a newly designed “Skywalker” robot for total knee arthroplasty: A prospective clinical study

Cited by 16 publications

References 26 publications

A nationwide comparison of staggered and simultaneous bilateral knee arthroplasty during a single hospitalization: Trends, risks and benefits

A nationwide comparison of staggered and simultaneous bilateral knee arthroplasty during a single hospitalization: Trends, risks and benefits

Progress in osteoarthritis research by the National Natural Science Foundation of China

What’s new in artificially intelligent joint surgery in China? The minutes of the 2021 IEEE ICRA and literature review

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