Cold Ablation Robot-guided Laser Osteotomy in Hand, Wrist and Forearm Surgery-A Feasibility Study

Overview

Journal Int J Med Robot

Publisher Wiley

Specialties Biotechnology
General Surgery

Date 2022 Jun 30

PMID 35770622

Authors

Philipp Honigmann

Maximilian Hofer

Sibylle Hirsch

Marta Morawska

Magdalena Muller-Gerbl

Florian M Thieringer

Enrico Coppo

Affiliations

Soon will be listed here.

Abstract

Introduction: Traditional bone surgery using saws and chisels is associated with direct contact of instruments with the bone causing friction, heat and pressure and hence, damaging the bone and the surrounding soft tissues.

Method: Cold ablation laser osteotomy offers new possibilities to perform corrective osteotomies in the field of bone surgery. We introduce the technology of navigated cold ablation robot-guided laser osteotomy, present potential applications, and preliminary pre-clinical cadaver test results in the field of hand-, wrist- and forearm surgery.

Results: The cadaver tests showed first promising results for corrections in all planes and axes using different cutting patterns.

Conclusion: Cold ablation laser osteotomy seems to be a feasible new method to perform osteotomies in the field of hand-, wrist- and forearm surgery. Primary osseous stability could be achieved using various cutting patterns which could lead to reduction of the amount of hardware required for osteosynthesis. Further tests are required to proof the latter and precision.

Citing Articles

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Automation in Dentistry with Mechanical Drills and Lasers for Implant Osteotomy: A Narrative-Scoping Review.

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Cold ablation robot-guided laser osteotomy in hand, wrist and forearm surgery-A feasibility study.

Honigmann P, Hofer M, Hirsch S, Morawska M, Muller-Gerbl M, Thieringer F Int J Med Robot. 2022; 18(5):e2438.

PMID: 35770622 PMC: 9541476. DOI: 10.1002/rcs.2438.

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