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Comparison of novel machine vision spinal image guidance system with existing 3D fluoroscopy-based navigation system: a randomized prospective study.新型机器视觉脊柱图像引导系统与现有基于三维荧光透视的导航系统的比较:一项随机前瞻性研究。
Spine J. 2022 Apr;22(4):561-569. doi: 10.1016/j.spinee.2021.10.002. Epub 2021 Oct 16.
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Functional alignment achieves soft-tissue balance in total knee arthroplasty as measured with quantitative sensor-guided technology.功能对线可通过定量传感器引导技术测量,实现全膝关节置换中的软组织平衡。
Bone Joint J. 2021 Mar;103-B(3):507-514. doi: 10.1302/0301-620X.103B.BJJ-2020-0940.R1. Epub 2021 Jan 20.
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Telerobotic Spinal Surgery Based on 5G Network: The First 12 Cases.基于5G网络的远程机器人脊柱手术:首批12例病例
Neurospine. 2020 Mar;17(1):114-120. doi: 10.14245/ns.1938454.227. Epub 2020 Mar 31.
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4D-CT deformable image registration using multiscale unsupervised deep learning.基于多尺度无监督深度学习的 4D-CT 形变图像配准。
Phys Med Biol. 2020 Apr 20;65(8):085003. doi: 10.1088/1361-6560/ab79c4.
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Evaluation of a Bi-Planar Robot Navigation System for Insertion of Cannulated Screws in Femoral Neck Fractures.双平面机器人导航系统在股骨颈骨折空心螺钉插入术中的应用评估。
Orthop Surg. 2019 Jun;11(3):373-379. doi: 10.1111/os.12450. Epub 2019 May 23.
6
Robot-assisted percutaneous scaphoid fracture fixation: a report of ten patients.机器人辅助经皮舟骨骨折固定术:10例患者的报告
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Orthop Surg. 2019 Jun;11(3):386-396. doi: 10.1111/os.12461. Epub 2019 May 11.
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Intramedullary Nail Fixation Assisted by Orthopaedic Robot Navigation for Intertrochanteric Fractures in Elderly Patients.骨科机器人导航辅助髓内钉固定治疗老年股骨转子间骨折。
Orthop Surg. 2019 Apr;11(2):255-262. doi: 10.1111/os.12447. Epub 2019 Apr 19.
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Robot-assisted Minimally-invasive Internal Fixation of Pelvic Ring Injuries: A Single-center Experience.机器人辅助微创骨盆环损伤内固定术:单中心经验
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机器人辅助技术在创伤骨科中的发展与临床应用

[Development and clinical application of robot-assisted technology in traumatic orthopedics].

作者信息

Zhu Zhenzhong, Zheng Guoyan, Zhang Changqing

机构信息

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Shanghai Sixth People's Hospital, Shanghai, 200233, P. R. China.

Institute of Medical Robotics, Shanghai Jiao Tong University, Shanghai, 200030, P. R. China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022 Aug 15;36(8):915-922. doi: 10.7507/1002-1892.202206097.

DOI:10.7507/1002-1892.202206097
PMID:35979779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9379455/
Abstract

OBJECTIVE

To review and evaluate the basic principles and advantages of orthopedic robot-assisted technology, research progress, clinical applications, and limitations in the field of traumatic orthopedics, especially in fracture reduction robots.

METHODS

An extensive review of research literature on the principles of robot-assisted technology and fracture reduction robots was conducted to analyze the technical advantages and clinical efficacy and shortcomings, and to discuss the future development trends in this field.

RESULTS

Orthopedic surgical robots can assist orthopedists in intuitive preoperative planning, precise intraoperative control, and minimally invasive operations. It greatly expands the ability of doctors to evaluate and treat orthopedic trauma. Trauma orthopedic surgery robot has achieved a breakthrough from basic research to clinical application, and the preliminary results show that the technology can significantly improve surgical precision and reduce surgical trauma. However, there are still problems such as insufficient evaluation of effectiveness, limited means of technology realization, and narrow clinical indications that need to be solved.

CONCLUSION

Robot-assisted technology has a broad application prospect in traumatic orthopedics, but the current development is still in the initial stage. It is necessary to strengthen the cooperative medical-industrial research, the construction of doctors' communication platform, standardized training and data sharing in order to continuously promote the development of robot-assisted technology in traumatic orthopedics and better play its clinical application value.

摘要

目的

回顾和评估骨科机器人辅助技术的基本原则和优势、研究进展、临床应用以及在创伤骨科领域,尤其是骨折复位机器人方面的局限性。

方法

广泛查阅有关机器人辅助技术原理及骨折复位机器人的研究文献,分析其技术优势、临床疗效及不足之处,并探讨该领域未来的发展趋势。

结果

骨科手术机器人可辅助骨科医生进行直观的术前规划、精确的术中控制以及微创操作。它极大地拓展了医生评估和治疗骨科创伤的能力。创伤骨科手术机器人已实现从基础研究到临床应用的突破,初步结果表明该技术可显著提高手术精度并减少手术创伤。然而,仍存在有效性评估不足,技术实现手段有限以及临床适应证较窄等问题有待解决。

结论

机器人辅助技术在创伤骨科领域具有广阔的应用前景,但目前仍处于发展初期。有必要加强医工合作研究、医生交流平台建设、规范培训及数据共享,以不断推动创伤骨科机器人辅助技术的发展,更好地发挥其临床应用价值。