Background: The demand for total hip replacement (THR) for treating osteoarthritis has grown substantially worldwide. The existing robotic systems used in THR are invasive and costly. This study aims to develop a less-invasive and low-cost robotic system to assist THR surgery.
Methods: A preliminary robotic reaming system was developed based on a UR10 robot equipped with a reamer to cut acetabulum. A novel approach was proposed to cut through a 5 mm hole in femur such that the operation is less invasive to the patients.
Results: The average error of the cutting hemisphere by the robotic reaming system is 0.1182 mm which is smaller than the average result reaming by hand (0.1301 mm).
Conclusion: The robotic reaming can help make THR procedures less invasive and more accurate. Moreover, the system is expected to be significantly less expensive than the robotic systems available in the market at present.
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http://dx.doi.org/10.1002/rcs.2359 | DOI Listing |
J Orthop
April 2025
The Rubin Institute for Advance Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD, USA.
Introduction: The adoption of new techniques, such as the direct anterior (DA) approach, and technologies, such as robotic assistance, in total hip arthroplasty (THA) has the potential to alleviate the intraoperative physical and mental demand that surgeons experience. Therefore, the aim of this study is to compare the physical and mental demand of surgeons performing conventional DA THA with fluoroscopy and robotic-assisted DA THA without fluoroscopy.
Methods: Two orthopaedic surgeons completed bilateral DA THA's on six cadaveric specimens.
J Orthop
January 2025
The Rubin Institute for Advance Orthopedics, Sinai Hospital of Baltimore, Maryland, USA.
Arch Bone Jt Surg
January 2024
Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.
The robotic arm-assisted system (MAKO) has pioneered a transformative approach to hip joint restoration, excelling in reinstating innate hip joint anatomy and biomechanics. This case represents the initial application of the system in revision surgery following a cut-out complication. A 69-year-old female, previously independent and mobile, presented with left hip pain.
View Article and Find Full Text PDFInt J Med Robot
February 2024
Robotics Institute, Faculty of Engineering and Information Technology, University of Technology Sydney (UTS), Sydney, New South Wales, Australia.
Background: In Total Hip replacement (THR) surgery, a critical step is to cut an accurate hemisphere into the acetabulum so that the component can be fitted accurately and obtain early stability. This study aims to determine whether burring rather than reaming the acetabulum can achieve greater accuracy in the creation of this hemisphere.
Methods: A preliminary robotic system was developed to demonstrate the feasibility of burring the acetabulum using the Universal Robot (UR10).
Surg Technol Int
July 2024
The Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland.
Introduction: Manual techniques for total hip arthroplasty (THA) have been widely utilized and proven to be clinically successful. However, the use of advanced computed tomography (CT) scan-based planning and haptically-bounded reamers in robotic-arm assisted total hip arthroplasty (RTHA) holds promise for potentially limiting surrounding soft-tissue damage. This cadaver-based study aimed to compare the extent of soft-tissue damage between a robotic-arm assisted, haptically-guided THA (RTHA) and a manual, fluoroscopic-guided THA (MTHA) direct anterior approach.
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