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A Robotic Flexible Drill and Its Navigation System for Total Hip Arthroplasty

Overview
Journal Ann Biomed Eng
Date 2017 Nov 24
PMID 29168018
Citations 2
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Abstract

This paper presents a robotic flexible drill and its navigation system for total hip arthroplasty (THA). The new robotic system provides an unprecedented and unique capability to perform curved femoral milling under the guidance of a multimodality navigation system. The robotic system consists of three components. Firstly, a flexible drill manipulator comprises multiple rigid segments that act as a sheath to a flexible shaft with a drill/burr attached to the end. The second part of the robotic system is a hybrid tracking system that consists of an optical tracking system and a position tracking system. Optical tracking units are used to track the surgical objects and tools outside the drilling area, while a rotary encoder placed at each joint of the sheath is synchronized to provide the position information for the flexible manipulator with its virtual object. Finally, the flexible drill is integrated into a computer-aided navigation system. The navigation system provides real time guidance to a surgeon during the procedure. The flexible drill system is then able to implement THA by bone milling. The final section of this paper is an evaluation of the flexible and steerable drill and its navigation system for femoral bone milling in sawbones.

Citing Articles

An Active Steering Hand-held Robotic System for Minimally Invasive Orthopaedic Surgery Using a Continuum Manipulator.

Ma J, Sefati S, Taylor R, Armand M IEEE Robot Autom Lett. 2021; 6(2):1622-1629.

PMID: 33869745 PMC: 8052093. DOI: 10.1109/lra.2021.3059634.


Robotic-Assisted 3D Bio-printing for Repairing Bone and Cartilage Defects through a Minimally Invasive Approach.

Lipskas J, Deep K, Yao W Sci Rep. 2019; 9(1):3746.

PMID: 30842477 PMC: 6403301. DOI: 10.1038/s41598-019-38972-2.

References
1.
Mazoochian F, Pellengahr C, Huber A, Kircher J, Refior H, Jansson V . Low accuracy of stem implantation in THR using the CASPAR-system: anteversion measurements in 10 hips. Acta Orthop Scand. 2004; 75(3):261-4. DOI: 10.1080/00016470410001178. View

2.
Jaramaz B, Nikou C . Precision freehand sculpting for unicondylar knee replacement: design and experimental validation. Biomed Tech (Berl). 2012; 57(4):293-9. DOI: 10.1515/bmt-2011-0098. View

3.
Lonner J . Indications for unicompartmental knee arthroplasty and rationale for robotic arm-assisted technology. Am J Orthop (Belle Mead NJ). 2009; 38(2 Suppl):3-6. View

4.
Lavallee S, Sautot P, Troccaz J, Cinquin P, Merloz P . Computer-assisted spine surgery: a technique for accurate transpedicular screw fixation using CT data and a 3-D optical localizer. J Image Guid Surg. 1995; 1(1):65-73. DOI: 10.1002/(SICI)1522-712X(1995)1:1<65::AID-IGS10>3.0.CO;2-7. View

5.
Plinkert P, Lowenheim H . Trends and perspectives in minimally invasive surgery in otorhinolaryngology-head and neck surgery. Laryngoscope. 1997; 107(11 Pt 1):1483-9. DOI: 10.1097/00005537-199711000-00011. View