Gloria Coden, Patrick Greenwell, Ruijia Niu, Christopher Fang, Carl Talmo, Eric L. Smith
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We sought to compare the energy expenditure associated with femoral broaching using two techniques: manual and automated.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We recorded energy expenditure, minute ventilation, heart rate, and total broaching time of a single surgeon while broaching the femoral canal during direct anterior THA using two different techniques: Manual broaching (<i>n</i> = 26) and automated broaching (<i>n</i> = 20).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Manual broaching required a longer time than automated broaching (6.1 ± 1.1 vs. 3.7 ± 0.9 min; <i>p</i> < 0.001) with an increase in energy expenditure (32.6 ± 7.0 vs. 16.0 ± 7.1 Calories; <i>p</i> < 0.001). Heart rate was higher with manual broaching (99.4 ± 9.8 vs. 90.1 ± 9.8 beats per min; <i>p</i> = 0.003), along with minute ventilation (36.5 ± 7.0 vs. 30.3 ± 5.8 L/min; <i>p</i> = 0.003). 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引用次数: 0
摘要
引言:关于全髋关节置换术中外科医生能量消耗的信息很少。我们试图比较使用两种技术(手动和自动)与股骨拉削相关的能量消耗。方法:我们记录了一名外科医生在直接前路THA中牵引股管时的能量消耗、分钟通气量、心率和总牵引时间，使用两种不同的技术:手动牵引(n = 26)和自动牵引(n = 20)。结果:手动拉削比自动拉削所需时间更长(6.1±1.1 vs 3.7±0.9 min);结论:与手动技术相比，THA期间自动股骨拉削可以减少50%的拉削能量消耗和40%的拉削时间。临床试验注册:本研究不是临床试验。
Energy expenditure of femoral broaching in direct anterior total hip replacements—Comparison between manual and automated techniques
Introduction
Little information is known regarding the energy expenditure of the surgeon during total hip arthroplasty (THA). We sought to compare the energy expenditure associated with femoral broaching using two techniques: manual and automated.
Methods
We recorded energy expenditure, minute ventilation, heart rate, and total broaching time of a single surgeon while broaching the femoral canal during direct anterior THA using two different techniques: Manual broaching (n = 26) and automated broaching (n = 20).
Results
Manual broaching required a longer time than automated broaching (6.1 ± 1.1 vs. 3.7 ± 0.9 min; p < 0.001) with an increase in energy expenditure (32.6 ± 7.0 vs. 16.0 ± 7.1 Calories; p < 0.001). Heart rate was higher with manual broaching (99.4 ± 9.8 vs. 90.1 ± 9.8 beats per min; p = 0.003), along with minute ventilation (36.5 ± 7.0 vs. 30.3 ± 5.8 L/min; p = 0.003). There were no intraoperative complications.
Conclusions
Automated femoral broaching during THA can decrease the energy expenditure of broaching by 50% and time of broaching by 40%, when compared to manual technique.
期刊介绍：
The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.
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