Robotic-assisted Foot and Ankle Surgery: a Review of the Present Status and the Future

Overview

Journal Biomed Eng Lett

Specialty Biomedical Engineering

Date 2023 Oct 24

PMID 37872981

Authors

Yeo Kwon Yoon

Kwang Hwan Park

Dong Woo Shim

Seung Hwan Han

Jin Woo Lee

Min Jung

Affiliations

Soon will be listed here.

Abstract

The surgical application of robotics has increased significantly since its first application in 1985 for a brain biopsy acquisition. Robotic-assisted surgery has been one of the viable options in various surgical areas, and also in orthopaedic surgery. Robotic-assisted orthopaedic surgery has gained popularity as a mean of improving accuracy, reducing complications and achieving better patient satisfaction. Numerous clinical research studies have demonstrated advantages of robotic-assisted orthopaedic surgery, however, most of that researches were about the total knee arthroplasty, total hip arthroplasty and spine surgery. The application of robotic technology in foot and ankle surgery is in a very nascent stage. Furthermore, there has been little research on intraoperative use of robotics in foot and ankle surgery in literature. A review of previous preclinical studies in foot and ankle robotics and clinical research studies in various fields of robot-assisted orthopaedic surgery shows that its potential application and benefits over conventional techniques, such as total ankle arthroplasty, minimally invasive surgery for foot and ankle trauma or other corrective procedure, and intraoperative biomechanical testing. More studies on practical application of robotic technology to surgical procedure in the field of foot and ankle surgery are needed to confirm its clinical usefulness and cost effectiveness.

References

Figueroa F, Wakelin E, Twiggs J, Fritsch B . Comparison between navigated reported position and postoperative computed tomography to evaluate accuracy in a robotic navigation system in total knee arthroplasty. Knee. 2019; 26(4):869-875. DOI: 10.1016/j.knee.2019.05.004. View

Batailler C, Fernandez A, Swan J, Servien E, Haddad F, Catani F . MAKO CT-based robotic arm-assisted system is a reliable procedure for total knee arthroplasty: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2020; 29(11):3585-3598. DOI: 10.1007/s00167-020-06283-z. View

Sakakibara Y, Teramoto A, Takagi T, Yamakawa S, Shoji H, Okada Y . Effects of the Ankle Flexion Angle During Anterior Talofibular Ligament Reconstruction on Ankle Kinematics, Laxity, and In Situ Forces of the Reconstructed Graft. Foot Ankle Int. 2022; 43(5):725-732. DOI: 10.1177/10711007211069327. View

Hintermann B, Valderrabano V, Dereymaeker G, Dick W . The HINTEGRA ankle: rationale and short-term results of 122 consecutive ankles. Clin Orthop Relat Res. 2004; (424):57-68. DOI: 10.1097/01.blo.0000132462.72843.e8. View

Park K, Han C, Yang I, Lee W, Han J, Kwon H . Robot-assisted unicompartmental knee arthroplasty can reduce radiologic outliers compared to conventional techniques. PLoS One. 2019; 14(12):e0225941. PMC: 6890211. DOI: 10.1371/journal.pone.0225941. View

Gebremeskel M, Shafiq B, Uneri A, Sheth N, Simmerer C, Zbijewski W . Quantification of manipulation forces needed for robot-assisted reduction of the ankle syndesmosis: an initial cadaveric study. Int J Comput Assist Radiol Surg. 2022; 17(12):2263-2267. PMC: 10159082. DOI: 10.1007/s11548-022-02705-0. View

Bautista M, Manrique J, Hozack W . Robotics in Total Knee Arthroplasty. J Knee Surg. 2019; 32(7):600-606. DOI: 10.1055/s-0039-1681053. View

Al-Naseem A, Sallam A, Gonnah A, Masoud O, Abd-El-Barr M, Aleem I . Robot-assisted versus conventional percutaneous sacroiliac screw fixation for posterior pelvic ring injuries: a systematic review and meta-analysis. Eur J Orthop Surg Traumatol. 2021; 33(1):9-20. DOI: 10.1007/s00590-021-03167-x. View

Berlet G, Penner M, Lancianese S, Stemniski P, Obert R . Total Ankle Arthroplasty Accuracy and Reproducibility Using Preoperative CT Scan-Derived, Patient-Specific Guides. Foot Ankle Int. 2014; 35(7):665-76. DOI: 10.1177/1071100714531232. View

10.

Richter M, Zech S, Westphal R, Klimesch Y, Gosling T . Robotic cadaver testing of a new total ankle prosthesis model (German Ankle System). Foot Ankle Int. 2008; 28(12):1276-86. DOI: 10.3113/FAI.2007.1276. View

11.

Saito G, Sanders A, OMalley M, Deland J, Ellis S, Demetracopoulos C . Accuracy of patient-specific instrumentation in total ankle arthroplasty: A comparative study. Foot Ankle Surg. 2018; 25(3):383-389. DOI: 10.1016/j.fas.2018.02.008. View

12.

Kwoh Y, Hou J, Jonckheere E, Hayati S . A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery. IEEE Trans Biomed Eng. 1988; 35(2):153-60. DOI: 10.1109/10.1354. View

13.

Richter M, Frink M, Zech S, Vanin N, Geerling J, Droste P . Intraoperative pedography: a validated method for static intraoperative biomechanical assessment. Foot Ankle Int. 2006; 27(10):833-42. DOI: 10.1177/107110070602701014. View

14.

Yuan X, Tan K, Hu J, Zhang B, Zhang H . Does robot-assisted percutaneous hollow screw placement combined with tarsal sinus incision reduction in the treatment of calcaneal fracture perform better at a minimum two year follow-up compared with traditional surgical reduction and fixation?. Int Orthop. 2023; 47(6):1575-1581. DOI: 10.1007/s00264-023-05752-7. View

15.

Zeitlin J, Henry J, Ellis S . Preoperative Guidance With Weight-Bearing Computed Tomography and Patient-Specific Instrumentation in Foot and Ankle Surgery. HSS J. 2021; 17(3):326-332. PMC: 8436345. DOI: 10.1177/15563316211026325. View

16.

Paul H, Bargar W, Mittlestadt B, Musits B, Taylor R, Kazanzides P . Development of a surgical robot for cementless total hip arthroplasty. Clin Orthop Relat Res. 1992; (285):57-66. View

17.

Wang J, Han W, Su Y, Wang J, Jiang X . Comparison of Robot-Assisted Percutaneous Cannulated Screws Versus Open Reduction and Internal Fixation in Calcaneal Fractures. Orthop Surg. 2023; 15(3):724-730. PMC: 9977583. DOI: 10.1111/os.13650. View

18.

Kalidindi K, Sharma J, Jagadeesh N, Sath S, Chhabra H . Robotic spine surgery: a review of the present status. J Med Eng Technol. 2020; 44(7):431-437. DOI: 10.1080/03091902.2020.1799098. View

19.

Lee D, Davis B . Assessment of the effects of diabetes on midfoot joint pressures using a robotic gait simulator. Foot Ankle Int. 2009; 30(8):767-72. DOI: 10.3113/FAI.2009.0767. View

20.

Richter M . Computer aided surgery in foot and ankle: applications and perspectives. Int Orthop. 2013; 37(9):1737-45. PMC: 3764301. DOI: 10.1007/s00264-013-1922-5. View