Orthopedic surgical robotic systems in knee arthroplasty: a comprehensive review.

IF 4.8 3区工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Frontiers in Bioengineering and Biotechnology Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI:10.3389/fbioe.2025.1523631

Xuanze Fan, Yan Wang, Shouwei Zhang, Yuan Xing, Jinhua Li, Xinlong Ma, Jianxiong Ma

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Abstract

In conjunction with the accelerated evolution of robotics, the advancement of robot-assisted minimally invasive surgical systems is occurring at a similarly accelerated pace, and is becoming increasingly accepted. It is employed in numerous surgical specialties, including orthopedics, and has significantly transformed traditional surgical techniques. Among these applications, knee arthroplasty represents one of the most prevalent and efficacious procedures within the domain of robot-assisted orthopedic surgery. The implementation of surgical robotic systems has the potential to enhance the precision and accuracy of surgical outcomes, facilitate reproducibility, reduce technical variability, mitigate patient discomfort, and accelerate recovery. In this paper, a literature review of the Web of Science and PubMed databases was conducted to search for all articles on orthopedic surgical robotics through November 2024. It mainly summarizes the most commonly used and widely accepted robotic systems in the field of orthopedic surgery, with a particular focus on their application in knee arthroplasty procedures. Orthopedic robotic systems can be classified into three principal categories: autonomous robotic systems, semi-autonomous robotic systems, and teleoperated robotic systems. In the context of knee arthroplasty, the characteristics of different robotic systems are examined in relation to three types of Total Knee Arthroplasty (TKA), Unicompartmental Knee Arthroplasty (UKA) and Patellofemoral Arthroplasty (PFA). In conclusion, the current state of orthopedic surgical robotics is reviewed, and future development prospects and challenges are proposed.

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膝关节置换术中的骨科手术机器人系统：综合综述。

随着机器人技术的加速发展，机器人辅助微创手术系统的发展也在以同样的速度加快，并越来越被人们所接受。它被用于许多外科专业，包括骨科，并显著地改变了传统的外科技术。在这些应用中，膝关节置换术是机器人辅助骨科手术领域中最普遍和最有效的手术之一。手术机器人系统的实施有可能提高手术结果的精确度和准确性，促进可重复性，减少技术可变性，减轻患者不适，并加速恢复。本文对Web of Science和PubMed数据库进行了文献综述，检索了截至2024年11月关于骨科手术机器人的所有文章。它主要总结了骨科手术领域中最常用和被广泛接受的机器人系统，特别关注它们在膝关节置换术中的应用。骨科机器人系统可以分为三大类：自主机器人系统、半自主机器人系统和远程操作机器人系统。在膝关节置换术的背景下，研究了不同机器人系统的特点，涉及三种类型的全膝关节置换术（TKA）、单腔膝关节置换术（UKA）和髌骨股骨置换术（PFA）。最后，对骨科手术机器人的发展现状进行了综述，并提出了未来的发展前景和挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Bioengineering and Biotechnology Chemical Engineering-Bioengineering

CiteScore

8.30

自引率

5.30%

发文量

2270

审稿时长

12 weeks

期刊介绍： The translation of new discoveries in medicine to clinical routine has never been easy. During the second half of the last century, thanks to the progress in chemistry, biochemistry and pharmacology, we have seen the development and the application of a large number of drugs and devices aimed at the treatment of symptoms, blocking unwanted pathways and, in the case of infectious diseases, fighting the micro-organisms responsible. However, we are facing, today, a dramatic change in the therapeutic approach to pathologies and diseases. Indeed, the challenge of the present and the next decade is to fully restore the physiological status of the diseased organism and to completely regenerate tissue and organs when they are so seriously affected that treatments cannot be limited to the repression of symptoms or to the repair of damage. This is being made possible thanks to the major developments made in basic cell and molecular biology, including stem cell science, growth factor delivery, gene isolation and transfection, the advances in bioengineering and nanotechnology, including development of new biomaterials, biofabrication technologies and use of bioreactors, and the big improvements in diagnostic tools and imaging of cells, tissues and organs. In today`s world, an enhancement of communication between multidisciplinary experts, together with the promotion of joint projects and close collaborations among scientists, engineers, industry people, regulatory agencies and physicians are absolute requirements for the success of any attempt to develop and clinically apply a new biological therapy or an innovative device involving the collective use of biomaterials, cells and/or bioactive molecules. “Frontiers in Bioengineering and Biotechnology” aspires to be a forum for all people involved in the process by bridging the gap too often existing between a discovery in the basic sciences and its clinical application.