Robotic control in knee joint replacement surgery

Proc Inst Mech Eng H. 2007 Jan;221(1):71-80. doi: 10.1243/09544119JEIM250.

Abstract

A brief history of robotic systems in knee arthroplasty is provided. The place of autonomous robots is then discussed and compared to more recent 'hands-on' robotic systems that can be more cost effective. The case is made for robotic systems to have a clear justification, with improved benefits compared to those from cheaper navigation systems. A number of more recent, smaller, robot systems for knee arthroplasty are also described. A specific example is given of an active constraint medical robot, the ACROBOT system, used in a prospective randomized controlled trial of unicondylar robotic knee arthroplasty in which the robot was compared to conventional surgery. The results of the trial are presented together with a discussion of the need for measures of accuracy to be introduced so that the efficacy of the robotic surgery can be immediately identified, rather than have to wait for a number of years before long-term clinical improvements can be demonstrated.

Publication types

  • Review

MeSH terms

  • Arthroplasty, Replacement, Knee / instrumentation*
  • Arthroplasty, Replacement, Knee / methods*
  • Equipment Design
  • Equipment Failure Analysis
  • Humans
  • Robotics / instrumentation*
  • Surgery, Computer-Assisted / instrumentation*
  • Surgery, Computer-Assisted / methods*