Robotic-assisted femoral osteochondroplasty is more precise than a freehand technique in a Sawbone model
Identifieur interne : 000596 ( Main/Curation ); précédent : 000595; suivant : 000597Robotic-assisted femoral osteochondroplasty is more precise than a freehand technique in a Sawbone model
Auteurs : Caroline N. Park [États-Unis] ; Danyal H. Nawabi [États-Unis] ; Jennifer Christopher [États-Unis] ; Michael A. Conditt [États-Unis] ; Anil S. Ranawat [États-Unis]Source :
- 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° (
Url:
DOI: 10.1093/jhps/hnv007
PubMed: 27011830
PubMed Central: 4718491
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PMC:4718491Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>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° (<italic>P</italic>
< 0.0001). Over-resection occurred with every freehand resection with a mean volume error of 758.3 ± 477.1 mm<sup>3</sup>
compared with a mean robotic-assisted resection volume error of 31.3 ± 220.7 mm<sup>3</sup>
(<italic>P</italic>
< 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.</p>
</div>
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