{"title":"基于机器人的微创球形截骨系统提高了所得表面的准确性和可重复性","authors":"Ruo-Tao Liu, Qian Tang, Jin-Shan Zhang, Zhi-Chao Hu, Zi-Jun Lin, Zhen Ye, Chao-Zheng Zhou, Yong-Qiang Zheng, Chang-Qing Zhang, Guo-Yan Zheng, Zhen-Zhong Zhu","doi":"10.1002/rcs.70051","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>A minimally invasive spherical osteotomy assistant system (MISOS) based on a multi-axis surgical robot was designed to improve the control and precision of manual spherical osteotomy.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Based on human sawbone models, the feasibility of MISOS was verified by comparing the osteotomy centre deviation and the section curvature of the acetabulum, femur, and tibia.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Compared with freehand spherical osteotomy, the MISOS system demonstrated superior centre deviation for the acetabulum (1.48 ± 0.93 vs. 11.15 ± 3.97 mm), femur (3.12 ± 0.75 vs. 8.81 ± 3.04 mm), and tibia (1.91 ± 0.84 vs. 7.33 ± 1.53 mm) as well as superior curvature deviation for the acetabulum (1.40 ± 0.08 vs. 3.16 ± 0.56 mm), femur (0.26 ± 0.07 vs. 0.491 ± 0.21 mm), and tibia (0.21 ± 0.02 vs. 0.46 ± 0.18 mm). These results indicate that MISOS can assist surgeons in performing accurate and stable spherical osteotomy.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The MISOS system demonstrates promise as a precise assistive tool for minimally invasive orthopaedic spherical osteotomy, with potential for broader clinical applications.</p>\n </section>\n </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 2","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Robot-Based Minimally Invasive Spherical Osteotomy System Improves the Accuracy and Reproducibility of the Resulting Surface\",\"authors\":\"Ruo-Tao Liu, Qian Tang, Jin-Shan Zhang, Zhi-Chao Hu, Zi-Jun Lin, Zhen Ye, Chao-Zheng Zhou, Yong-Qiang Zheng, Chang-Qing Zhang, Guo-Yan Zheng, Zhen-Zhong Zhu\",\"doi\":\"10.1002/rcs.70051\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>A minimally invasive spherical osteotomy assistant system (MISOS) based on a multi-axis surgical robot was designed to improve the control and precision of manual spherical osteotomy.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Based on human sawbone models, the feasibility of MISOS was verified by comparing the osteotomy centre deviation and the section curvature of the acetabulum, femur, and tibia.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Compared with freehand spherical osteotomy, the MISOS system demonstrated superior centre deviation for the acetabulum (1.48 ± 0.93 vs. 11.15 ± 3.97 mm), femur (3.12 ± 0.75 vs. 8.81 ± 3.04 mm), and tibia (1.91 ± 0.84 vs. 7.33 ± 1.53 mm) as well as superior curvature deviation for the acetabulum (1.40 ± 0.08 vs. 3.16 ± 0.56 mm), femur (0.26 ± 0.07 vs. 0.491 ± 0.21 mm), and tibia (0.21 ± 0.02 vs. 0.46 ± 0.18 mm). These results indicate that MISOS can assist surgeons in performing accurate and stable spherical osteotomy.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The MISOS system demonstrates promise as a precise assistive tool for minimally invasive orthopaedic spherical osteotomy, with potential for broader clinical applications.</p>\\n </section>\\n </div>\",\"PeriodicalId\":50311,\"journal\":{\"name\":\"International Journal of Medical Robotics and Computer Assisted Surgery\",\"volume\":\"21 2\",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-02-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Medical Robotics and Computer Assisted Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/rcs.70051\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Medical Robotics and Computer Assisted Surgery","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/rcs.70051","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
摘要
背景为提高手工球形截骨术的控制和精度，设计了一种基于多轴手术机器人的微创球形截骨辅助系统（MISOS）。方法以人锯骨模型为基础，通过比较截骨中心偏差和髋臼、股骨、胫骨的断面曲率来验证MISOS的可行性。结果与徒手球形截骨术相比，MISOS系统对髋臼（1.48±0.93 vs. 11.15±3.97 mm）、股骨（3.12±0.75 vs. 8.81±3.04 mm）、胫骨（1.91±0.84 vs. 7.33±1.53 mm）的中心偏差更大，对髋臼（1.40±0.08 vs. 3.16±0.56 mm）、股骨（0.26±0.07 vs. 0.491±0.21 mm）、胫骨（0.21±0.02 vs. 0.46±0.18 mm）的曲率偏差更大。这些结果表明MISOS可以帮助外科医生进行准确和稳定的球形截骨。结论MISOS系统作为微创骨科球形截骨术的精确辅助工具，具有广泛的临床应用潜力。
Robot-Based Minimally Invasive Spherical Osteotomy System Improves the Accuracy and Reproducibility of the Resulting Surface
Background
A minimally invasive spherical osteotomy assistant system (MISOS) based on a multi-axis surgical robot was designed to improve the control and precision of manual spherical osteotomy.
Methods
Based on human sawbone models, the feasibility of MISOS was verified by comparing the osteotomy centre deviation and the section curvature of the acetabulum, femur, and tibia.
Results
Compared with freehand spherical osteotomy, the MISOS system demonstrated superior centre deviation for the acetabulum (1.48 ± 0.93 vs. 11.15 ± 3.97 mm), femur (3.12 ± 0.75 vs. 8.81 ± 3.04 mm), and tibia (1.91 ± 0.84 vs. 7.33 ± 1.53 mm) as well as superior curvature deviation for the acetabulum (1.40 ± 0.08 vs. 3.16 ± 0.56 mm), femur (0.26 ± 0.07 vs. 0.491 ± 0.21 mm), and tibia (0.21 ± 0.02 vs. 0.46 ± 0.18 mm). These results indicate that MISOS can assist surgeons in performing accurate and stable spherical osteotomy.
Conclusion
The MISOS system demonstrates promise as a precise assistive tool for minimally invasive orthopaedic spherical osteotomy, with potential for broader clinical applications.
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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