High Degree of Accuracy of a Novel Image-free Handheld Robot for Unicondylar Knee Arthroplasty in a Cadaveric Study
Identifieur interne : 001151 ( Main/Exploration ); précédent : 001150; suivant : 001152High Degree of Accuracy of a Novel Image-free Handheld Robot for Unicondylar Knee Arthroplasty in a Cadaveric Study
Auteurs : Jess H. Lonner [États-Unis] ; Julie R. Smith [Royaume-Uni, États-Unis] ; Frederic Picard [Royaume-Uni] ; Brian Hamlin [États-Unis] ; Philip J. Rowe [Royaume-Uni] ; Philip E. Riches [Royaume-Uni]Source :
- Clinical Orthopaedics and Related Research [ 0009-921X ] ; 2014.
Abstract
Surgical robotics has been shown to improve the accuracy of bone preparation and soft tissue balance in unicondylar knee arthroplasty (UKA). However, although extensive data have emerged with regard to a CT scan-based haptically constrained robotic arm, little is known about the accuracy of a newer alternative, an imageless robotic system.
We assessed the accuracy of a novel imageless semiautonomous freehand robotic sculpting system in performing bone resection and preparation in UKA using cadaveric specimens.
In this controlled study, we compared the planned and final implant placement in 25 cadaveric specimens undergoing UKA using the new tool. A quantitative analysis was performed to determine the translational, angular, and rotational differences between the planned and achieved positions of the implants.
The femoral implant rotational mean error was 1.04° to 1.88° and mean translational error was 0.72 to 1.29 mm across the three planes. The tibial implant rotational mean error was 1.48° to 1.98° and the mean translational error was 0.79 to 1.27 mm across the three planes.
The image-free robotic sculpting tool achieved accurate implementation of the surgical plan with small errors in implant placement. The next step will be to determine whether accurate implant placement translates into a clinical and functional benefit for the patient.
Url:
DOI: 10.1007/s11999-014-3764-x
PubMed: 25002214
PubMed Central: 4390929
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 000697
- to stream Pmc, to step Curation: 000697
- to stream Pmc, to step Checkpoint: 000C06
- to stream Ncbi, to step Merge: 003129
- to stream Ncbi, to step Curation: 003129
- to stream Ncbi, to step Checkpoint: 003129
- to stream Main, to step Merge: 001153
- to stream Main, to step Curation: 001151
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">High Degree of Accuracy of a Novel Image-free Handheld Robot for Unicondylar Knee Arthroplasty in a Cadaveric Study</title>
<author><name sortKey="Lonner, Jess H" sort="Lonner, Jess H" uniqKey="Lonner J" first="Jess H." last="Lonner">Jess H. Lonner</name>
<affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107 USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, Philadelphia</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Smith, Julie R" sort="Smith, Julie R" uniqKey="Smith J" first="Julie R." last="Smith">Julie R. Smith</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Biomedical Engineering Department, University of Strathclyde, Wolfson Centre, Glasgow, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Biomedical Engineering Department, University of Strathclyde, Wolfson Centre, Glasgow</wicri:regionArea>
<wicri:noRegion>Glasgow</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="Aff3">Blue Belt Technologies Inc, Plymouth, MN USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Minnesota</region>
</placeName>
<wicri:cityArea>Blue Belt Technologies Inc, Plymouth</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Picard, Frederic" sort="Picard, Frederic" uniqKey="Picard F" first="Frederic" last="Picard">Frederic Picard</name>
<affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, Glasgow, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, Glasgow</wicri:regionArea>
<wicri:noRegion>Glasgow</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hamlin, Brian" sort="Hamlin, Brian" uniqKey="Hamlin B" first="Brian" last="Hamlin">Brian Hamlin</name>
<affiliation wicri:level="2"><nlm:aff id="Aff5">The Bone & Joint Center, Magee-Womens Hospital of UPMC, Pittsburgh, PA USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>The Bone & Joint Center, Magee-Womens Hospital of UPMC, Pittsburgh</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Rowe, Philip J" sort="Rowe, Philip J" uniqKey="Rowe P" first="Philip J." last="Rowe">Philip J. Rowe</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Biomedical Engineering Department, University of Strathclyde, Wolfson Centre, Glasgow, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Biomedical Engineering Department, University of Strathclyde, Wolfson Centre, Glasgow</wicri:regionArea>
<wicri:noRegion>Glasgow</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Riches, Philip E" sort="Riches, Philip E" uniqKey="Riches P" first="Philip E." last="Riches">Philip E. Riches</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Biomedical Engineering Department, University of Strathclyde, Wolfson Centre, Glasgow, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Biomedical Engineering Department, University of Strathclyde, Wolfson Centre, Glasgow</wicri:regionArea>
<wicri:noRegion>Glasgow</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">25002214</idno>
<idno type="pmc">4390929</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4390929</idno>
<idno type="RBID">PMC:4390929</idno>
<idno type="doi">10.1007/s11999-014-3764-x</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">000697</idno>
<idno type="wicri:Area/Pmc/Curation">000697</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000C06</idno>
<idno type="wicri:Area/Ncbi/Merge">003129</idno>
<idno type="wicri:Area/Ncbi/Curation">003129</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">003129</idno>
<idno type="wicri:doubleKey">0009-921X:2014:Lonner J:high:degree:of</idno>
<idno type="wicri:Area/Main/Merge">001153</idno>
<idno type="wicri:Area/Main/Curation">001151</idno>
<idno type="wicri:Area/Main/Exploration">001151</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">High Degree of Accuracy of a Novel Image-free Handheld Robot for Unicondylar Knee Arthroplasty in a Cadaveric Study</title>
<author><name sortKey="Lonner, Jess H" sort="Lonner, Jess H" uniqKey="Lonner J" first="Jess H." last="Lonner">Jess H. Lonner</name>
<affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107 USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, Philadelphia</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Smith, Julie R" sort="Smith, Julie R" uniqKey="Smith J" first="Julie R." last="Smith">Julie R. Smith</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Biomedical Engineering Department, University of Strathclyde, Wolfson Centre, Glasgow, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Biomedical Engineering Department, University of Strathclyde, Wolfson Centre, Glasgow</wicri:regionArea>
<wicri:noRegion>Glasgow</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="Aff3">Blue Belt Technologies Inc, Plymouth, MN USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Minnesota</region>
</placeName>
<wicri:cityArea>Blue Belt Technologies Inc, Plymouth</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Picard, Frederic" sort="Picard, Frederic" uniqKey="Picard F" first="Frederic" last="Picard">Frederic Picard</name>
<affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, Glasgow, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, Glasgow</wicri:regionArea>
<wicri:noRegion>Glasgow</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hamlin, Brian" sort="Hamlin, Brian" uniqKey="Hamlin B" first="Brian" last="Hamlin">Brian Hamlin</name>
<affiliation wicri:level="2"><nlm:aff id="Aff5">The Bone & Joint Center, Magee-Womens Hospital of UPMC, Pittsburgh, PA USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>The Bone & Joint Center, Magee-Womens Hospital of UPMC, Pittsburgh</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Rowe, Philip J" sort="Rowe, Philip J" uniqKey="Rowe P" first="Philip J." last="Rowe">Philip J. Rowe</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Biomedical Engineering Department, University of Strathclyde, Wolfson Centre, Glasgow, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Biomedical Engineering Department, University of Strathclyde, Wolfson Centre, Glasgow</wicri:regionArea>
<wicri:noRegion>Glasgow</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Riches, Philip E" sort="Riches, Philip E" uniqKey="Riches P" first="Philip E." last="Riches">Philip E. Riches</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Biomedical Engineering Department, University of Strathclyde, Wolfson Centre, Glasgow, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Biomedical Engineering Department, University of Strathclyde, Wolfson Centre, Glasgow</wicri:regionArea>
<wicri:noRegion>Glasgow</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Clinical Orthopaedics and Related Research</title>
<idno type="ISSN">0009-921X</idno>
<idno type="eISSN">1528-1132</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Surgical robotics has been shown to improve the accuracy of bone preparation and soft tissue balance in unicondylar knee arthroplasty (UKA). However, although extensive data have emerged with regard to a CT scan-based haptically constrained robotic arm, little is known about the accuracy of a newer alternative, an imageless robotic system.</p>
</sec>
<sec><title>Questions/purposes</title>
<p>We assessed the accuracy of a novel imageless semiautonomous freehand robotic sculpting system in performing bone resection and preparation in UKA using cadaveric specimens.</p>
</sec>
<sec><title>Methods</title>
<p>In this controlled study, we compared the planned and final implant placement in 25 cadaveric specimens undergoing UKA using the new tool. A quantitative analysis was performed to determine the translational, angular, and rotational differences between the planned and achieved positions of the implants.</p>
</sec>
<sec><title>Results</title>
<p>The femoral implant rotational mean error was 1.04° to 1.88° and mean translational error was 0.72 to 1.29 mm across the three planes. The tibial implant rotational mean error was 1.48° to 1.98° and the mean translational error was 0.79 to 1.27 mm across the three planes.</p>
</sec>
<sec><title>Conclusions</title>
<p>The image-free robotic sculpting tool achieved accurate implementation of the surgical plan with small errors in implant placement. The next step will be to determine whether accurate implant placement translates into a clinical and functional benefit for the patient.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list><country><li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region><li>Minnesota</li>
<li>Pennsylvanie</li>
</region>
</list>
<tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Lonner, Jess H" sort="Lonner, Jess H" uniqKey="Lonner J" first="Jess H." last="Lonner">Jess H. Lonner</name>
</region>
<name sortKey="Hamlin, Brian" sort="Hamlin, Brian" uniqKey="Hamlin B" first="Brian" last="Hamlin">Brian Hamlin</name>
<name sortKey="Smith, Julie R" sort="Smith, Julie R" uniqKey="Smith J" first="Julie R." last="Smith">Julie R. Smith</name>
</country>
<country name="Royaume-Uni"><noRegion><name sortKey="Smith, Julie R" sort="Smith, Julie R" uniqKey="Smith J" first="Julie R." last="Smith">Julie R. Smith</name>
</noRegion>
<name sortKey="Picard, Frederic" sort="Picard, Frederic" uniqKey="Picard F" first="Frederic" last="Picard">Frederic Picard</name>
<name sortKey="Riches, Philip E" sort="Riches, Philip E" uniqKey="Riches P" first="Philip E." last="Riches">Philip E. Riches</name>
<name sortKey="Rowe, Philip J" sort="Rowe, Philip J" uniqKey="Rowe P" first="Philip J." last="Rowe">Philip J. Rowe</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001151 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001151 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Ticri/CIDE |area= HapticV1 |flux= Main |étape= Exploration |type= RBID |clé= PMC:4390929 |texte= High Degree of Accuracy of a Novel Image-free Handheld Robot for Unicondylar Knee Arthroplasty in a Cadaveric Study }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:25002214" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \ | NlmPubMed2Wicri -a HapticV1
This area was generated with Dilib version V0.6.23. |