Preliminary Results of an Early Clinical Experience with the AcrobotTM System for Total Knee Replacement Surgery

Early clinical experience with a "hands-on" robotic system for total knee replacement surgery is presented. The system consists of a pre-operative CT based planning software, a small special purpose robot called Acrobot (active constraint robot) mounted on a gross positioning device and special leg fixtures. The surgeon guides the Acrobot under active constraint control, which constrains the motion into a predefined region, and thus allows surfaces of the bones to be machined safely and with high accuracy. A non-invasive anatomical registration method is used. The system was clinically tested on 7 patients with encouraging results.

[1]  Brian L. Davies,et al.  Interactive Pre-Operative Selection of Cutting Constraints, and Interactive Force Controlled Knee Surgery by a Surgical Robot , 1998, MICCAI.

[2]  W Waugh,et al.  Tibiofemoral alignment and the results of knee replacement. , 1985, The Journal of bone and joint surgery. British volume.

[3]  Peter Kazanzides,et al.  An image-directed robotic system for precise orthopaedic surgery , 1994, IEEE Trans. Robotics Autom..

[4]  Brian L. Davies,et al.  Intra-operative Application of a Robotic Knee Surgery System , 1999, MICCAI.

[5]  S. J. Harris,et al.  The first clinical application of a "hands-on" robotic knee surgery system. , 2001, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[6]  Paul J. Besl,et al.  A Method for Registration of 3-D Shapes , 1992, IEEE Trans. Pattern Anal. Mach. Intell..

[7]  R. D. Hibberd,et al.  Robot assisted knee surgery , 1995 .