Surgeon-instructed , Image-guided and Robot-assisted Long Bone Fractures Reduction

Bones are dynamic structures, being supported by muscles, tendons, and ligaments. When some or all the structures are disturbed i.e. in fractures, the alignment of the bone in respect to the rest of the body is deranged. This gives rise to axial as well as rotational deformity in three dimensional planes. The correct alignment and position of the long bones are to be maintained to heal the bone in the best possible anatomical and functional position. The objective of this research is to address the problems in the current practice involving surgeon, assistant, fluoroscopy and crude mechanical means and to see if a robotic solution exists to solve the problems of manipulating and reducing long bone fractures. This paper presents various design aspects of the proposed surgeon-instructed, image-guided and robotic system including the system design specification, robot design and analysis, motion control and implementation, and x-ray image processing and incorporation in CAD environment.

[1]  W. Bargar,et al.  Primary and Revision Total Hip Replacement Using the Robodoc® System , 1998, Clinical orthopaedics and related research.

[2]  Raffaele Di Gregorio,et al.  Kinematics of a six-dof fixation device for long-bone fracture reduction , 2001, J. Field Robotics.

[3]  Guoyan Zheng,et al.  Computer aided reduction and imaging. , 2004, Injury.

[4]  P Merloz,et al.  Pedicle Screw Placement Using Image Guided Techniques , 1998, Clinical orthopaedics and related research.

[5]  M Viceconti,et al.  A software simulation of tibial fracture reduction with external fixator. , 1993, Computer methods and programs in biomedicine.

[6]  K Bouazza-Marouf,et al.  Robotic-Assisted Internal Fixation of Femoral Fractures , 1995, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[7]  V. Zdravkovic,et al.  Osteotomy for deformity of the radius. Computer-assisted three-dimensional modelling. , 1994, The Journal of bone and joint surgery. British volume.

[8]  Branislav Jaramaz,et al.  Computer-Assisted Orthopaedic Surgery , 1998, Proceedings of the IEEE.

[9]  D. Kahler,et al.  Closed reduction and percutaneous fixation of anterior column acetabular fractures. , 2002, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[10]  A. Mohsen,et al.  Letter of the reviewers , 2004 .

[11]  L. Joskowicz,et al.  FRACAS: a system for computer-aided image-guided long bone fracture surgery. , 1998, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[12]  C Krettek,et al.  Computer-assisted fracture reduction: novel method for analysis of accuracy. , 2001, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[13]  Alon Wolf,et al.  Feasibility Study of a Mini, Bone-Attached, Robotic System for Spinal Operations: Analysis and Experiments , 2004, Spine.

[14]  A. Jacob,et al.  Surgical navigation based on fluoroscopy--clinical application for computer-assisted distal locking of intramedullary implants. , 2000, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[15]  Michael Nerlich,et al.  Reduction of femoral shaft fractures in vitro by a new developed reduction robot system 'RepoRobo'. , 2004, Injury.

[16]  Judith E. Deutsch,et al.  A Stewart Platform-Based System for Ankle Telerehabilitation , 2001, Auton. Robots.

[17]  Leo Joskowicz Robot-guided long bone intramedullary distal locking: concept and preliminary results , 2002 .