Robotic-assisted femoral osteochondroplasty is more precise than a freehand technique in a Sawbone model.
Identifieur interne : 000060 ( PubMed/Corpus ); précédent : 000059; suivant : 000061Robotic-assisted femoral osteochondroplasty is more precise than a freehand technique in a Sawbone model.
Auteurs : Caroline N. Park ; Danyal H. Nawabi ; Jennifer Christopher ; Michael A. Conditt ; Anil S. RanawatSource :
- Journal of hip preservation surgery [ 2054-8397 ] ; 2015.
Abstract
Robotic-assistance has the potential to improve the accuracy of bony resections, when performing femoral osteochondroplasty in the treatment of cam-type femoroacetabular impingement (FAI). The purpose of this study was to determine the accuracy of robotic-assisted femoral osteochondroplasty and compare this to a conventional open, freehand technique. We hypothesized that robotic-assistance would increase the accuracy of femoral head-neck offset correction in cam FAI. Sixteen identical sawbones models with a cam-type impingement deformity were resected by a single surgeon, simulating an open femoral osteochondroplasty. Eight procedures were performed using an open freehand technique and eight were performed using robotic-assistance, through the creation of a three-dimensional haptic volume. A desired arc of resection of 117.7° was determined pre-operatively using an anatomic plan. Post-resection, all 16 sawbones were laser scanned to measure the arc of resection, volume of bone removed and depth of resection. For each sawbone, these measurements were compared with the pre-operatively planned desired resection, to determine the resection error. Freehand resection resulted in a mean arc of resection error of 42.0 ± 8.5° compared with robotic-assisted resection which had a mean arc of resection error of 1.2 ± 0.7° (P < 0.0001). Over-resection occurred with every freehand resection with a mean volume error of 758.3 ± 477.1 mm(3) compared with a mean robotic-assisted resection volume error of 31.3 ± 220.7 mm(3) (P < 0.01). This study has shown that robotic-assisted femoral osteochondroplasty in the treatment of cam-type FAI is more accurate than a conventional, freehand technique, which are currently in widespread use.
DOI: 10.1093/jhps/hnv007
PubMed: 27011830
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Nawabi</name><affiliation><nlm:affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</nlm:affiliation></affiliation></author><author><name sortKey="Christopher, Jennifer" sort="Christopher, Jennifer" uniqKey="Christopher J" first="Jennifer" last="Christopher">Jennifer Christopher</name><affiliation><nlm:affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</nlm:affiliation></affiliation></author><author><name sortKey="Conditt, Michael A" sort="Conditt, Michael A" uniqKey="Conditt M" first="Michael A" last="Conditt">Michael A. Conditt</name><affiliation><nlm:affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</nlm:affiliation></affiliation></author><author><name sortKey="Ranawat, Anil S" sort="Ranawat, Anil S" uniqKey="Ranawat A" first="Anil S" last="Ranawat">Anil S. Ranawat</name><affiliation><nlm:affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="doi">10.1093/jhps/hnv007</idno><idno type="RBID">pubmed:27011830</idno><idno type="pmid">27011830</idno><idno type="wicri:Area/PubMed/Corpus">000060</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Robotic-assisted femoral osteochondroplasty is more precise than a freehand technique in a Sawbone model.</title><author><name sortKey="Park, Caroline N" sort="Park, Caroline N" uniqKey="Park C" first="Caroline N" last="Park">Caroline N. Park</name><affiliation><nlm:affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</nlm:affiliation></affiliation></author><author><name sortKey="Nawabi, Danyal H" sort="Nawabi, Danyal H" uniqKey="Nawabi D" first="Danyal H" last="Nawabi">Danyal H. Nawabi</name><affiliation><nlm:affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</nlm:affiliation></affiliation></author><author><name sortKey="Christopher, Jennifer" sort="Christopher, Jennifer" uniqKey="Christopher J" first="Jennifer" last="Christopher">Jennifer Christopher</name><affiliation><nlm:affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</nlm:affiliation></affiliation></author><author><name sortKey="Conditt, Michael A" sort="Conditt, Michael A" uniqKey="Conditt M" first="Michael A" last="Conditt">Michael A. Conditt</name><affiliation><nlm:affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</nlm:affiliation></affiliation></author><author><name sortKey="Ranawat, Anil S" sort="Ranawat, Anil S" uniqKey="Ranawat A" first="Anil S" last="Ranawat">Anil S. Ranawat</name><affiliation><nlm:affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of hip preservation surgery</title><idno type="eISSN">2054-8397</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Robotic-assistance has the potential to improve the accuracy of bony resections, when performing femoral osteochondroplasty in the treatment of cam-type femoroacetabular impingement (FAI). The purpose of this study was to determine the accuracy of robotic-assisted femoral osteochondroplasty and compare this to a conventional open, freehand technique. We hypothesized that robotic-assistance would increase the accuracy of femoral head-neck offset correction in cam FAI. Sixteen identical sawbones models with a cam-type impingement deformity were resected by a single surgeon, simulating an open femoral osteochondroplasty. Eight procedures were performed using an open freehand technique and eight were performed using robotic-assistance, through the creation of a three-dimensional haptic volume. A desired arc of resection of 117.7° was determined pre-operatively using an anatomic plan. Post-resection, all 16 sawbones were laser scanned to measure the arc of resection, volume of bone removed and depth of resection. For each sawbone, these measurements were compared with the pre-operatively planned desired resection, to determine the resection error. Freehand resection resulted in a mean arc of resection error of 42.0 ± 8.5° compared with robotic-assisted resection which had a mean arc of resection error of 1.2 ± 0.7° (P < 0.0001). Over-resection occurred with every freehand resection with a mean volume error of 758.3 ± 477.1 mm(3) compared with a mean robotic-assisted resection volume error of 31.3 ± 220.7 mm(3) (P < 0.01). This study has shown that robotic-assisted femoral osteochondroplasty in the treatment of cam-type FAI is more accurate than a conventional, freehand technique, which are currently in widespread use.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="PubMed-not-MEDLINE"><PMID Version="1">27011830</PMID><DateCreated><Year>2016</Year><Month>03</Month><Day>25</Day></DateCreated><DateCompleted><Year>2016</Year><Month>03</Month><Day>25</Day></DateCompleted><DateRevised><Year>2016</Year><Month>03</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2054-8397</ISSN><JournalIssue CitedMedium="Print"><Volume>2</Volume><Issue>2</Issue><PubDate><Year>2015</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Journal of hip preservation surgery</Title><ISOAbbreviation>J Hip Preserv Surg</ISOAbbreviation></Journal><ArticleTitle>Robotic-assisted femoral osteochondroplasty is more precise than a freehand technique in a Sawbone model.</ArticleTitle><Pagination><MedlinePgn>136-44</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/jhps/hnv007</ELocationID><Abstract><AbstractText>Robotic-assistance has the potential to improve the accuracy of bony resections, when performing femoral osteochondroplasty in the treatment of cam-type femoroacetabular impingement (FAI). The purpose of this study was to determine the accuracy of robotic-assisted femoral osteochondroplasty and compare this to a conventional open, freehand technique. We hypothesized that robotic-assistance would increase the accuracy of femoral head-neck offset correction in cam FAI. Sixteen identical sawbones models with a cam-type impingement deformity were resected by a single surgeon, simulating an open femoral osteochondroplasty. Eight procedures were performed using an open freehand technique and eight were performed using robotic-assistance, through the creation of a three-dimensional haptic volume. A desired arc of resection of 117.7° was determined pre-operatively using an anatomic plan. Post-resection, all 16 sawbones were laser scanned to measure the arc of resection, volume of bone removed and depth of resection. For each sawbone, these measurements were compared with the pre-operatively planned desired resection, to determine the resection error. Freehand resection resulted in a mean arc of resection error of 42.0 ± 8.5° compared with robotic-assisted resection which had a mean arc of resection error of 1.2 ± 0.7° (P < 0.0001). Over-resection occurred with every freehand resection with a mean volume error of 758.3 ± 477.1 mm(3) compared with a mean robotic-assisted resection volume error of 31.3 ± 220.7 mm(3) (P < 0.01). This study has shown that robotic-assisted femoral osteochondroplasty in the treatment of cam-type FAI is more accurate than a conventional, freehand technique, which are currently in widespread use.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Park</LastName><ForeName>Caroline N</ForeName><Initials>CN</Initials><AffiliationInfo><Affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nawabi</LastName><ForeName>Danyal H</ForeName><Initials>DH</Initials><AffiliationInfo><Affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Christopher</LastName><ForeName>Jennifer</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Conditt</LastName><ForeName>Michael A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ranawat</LastName><ForeName>Anil S</ForeName><Initials>AS</Initials><AffiliationInfo><Affiliation>Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021 USA and MAKO Surgical Corp., Fort Lauderdale, FL 33317 USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>06</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Hip Preserv Surg</MedlineTA><NlmUniqueID>101643347</NlmUniqueID><ISSNLinking>2054-8397</ISSNLinking></MedlineJournalInfo><OtherID Source="NLM">PMC4718491</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>10</Month><Day>9</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>12</Month><Day>9</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>12</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="epublish"><Year>2015</Year><Month>6</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>3</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>3</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>3</Month><Day>25</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1093/jhps/hnv007</ArticleId><ArticleId IdType="pii">hnv007</ArticleId><ArticleId IdType="pubmed">27011830</ArticleId><ArticleId IdType="pmc">PMC4718491</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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