Lim Joon-Ryul, Chun Yong-Min
Department of Orthopaedic Surgery, Severance Hospital, Arthroscopy and Joint Research Institute, Yonsei University College of Medicine, 134, Shinchon-dong, Seodaemun-gu, CPO Box 8044, Seoul, 120-752 Korea.
Biomed Eng Lett. 2023 Oct 17;13(4):553-559. doi: 10.1007/s13534-023-00324-5. eCollection 2023 Nov.
This study aims to comprehensively review the current literatures about robot-assisted techniques for shoulder joint arthroplasty and also in experimental articles or case series about around shoulder soft tissue surgeries including arthroscopy, tendon transfer and brachial plexus surgeries. This article evaluates the existing literature and clinical studies to suggests future direction of robotic-assisted techniques in shoulder joint surgeries. Robotic surgery has emerged as an innovative and transformative technology in orthopedics, offering advancements in surgical precision and optimization particularly during total hip and knee arthroplasty. In shoulder joint, patients specific instrumentation with preoperative planning and intraoperative navigation system are being used. Robotic-assisted shoulder arthroplasty will be introduced. In soft tissue surgery, robot-assisted tendon transfer and around brachial plexus surgeries is being clinically tried. In additions, postoperative robot-assisted rehabilitation after may have potential advantages. With the overall development of several industries including robotic technology, robot-assisted pre-, intra- and post-operative techniques could be an essential part of the overall shoulder surgery. However, further research and larger-scale studies are needed to establish its long-term efficacy, and potential complications.
本研究旨在全面回顾目前有关机器人辅助肩关节置换技术的文献,以及有关肩部周围软组织手术(包括关节镜检查、肌腱转移和臂丛神经手术)的实验文章或病例系列。本文评估现有文献和临床研究,以提出机器人辅助技术在肩关节手术中的未来发展方向。机器人手术已成为骨科领域一项创新和变革性技术,尤其在全髋关节和膝关节置换术中,在手术精度和优化方面取得了进展。在肩关节手术中,正在使用具有术前规划和术中导航系统的患者特异性器械。将介绍机器人辅助肩关节置换术。在软组织手术中,机器人辅助肌腱转移和臂丛神经周围手术正在进行临床尝试。此外,术后机器人辅助康复可能具有潜在优势。随着包括机器人技术在内的多个行业的整体发展,机器人辅助的术前、术中和术后技术可能成为整个肩部手术的重要组成部分。然而,需要进一步的研究和大规模研究来确定其长期疗效和潜在并发症。