Robot-assisted anterior cruciate ligament reconstruction based on three-dimensional images
Abstract Background Tunnel placement is a key step in anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to evaluate the accuracy of bone tunnel drilling in arthroscopic ACL reconstruction assisted by a three-dimensional (3D) image-based robot system. Methods Robot-assist...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-024-04732-w |
| _version_ | 1827277054926651392 |
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| author | Gang Yang Dingge Liu Guangjin Zhou Qining Wang Xin Zhang |
| author_facet | Gang Yang Dingge Liu Guangjin Zhou Qining Wang Xin Zhang |
| author_sort | Gang Yang |
| collection | DOAJ |
| description | Abstract Background Tunnel placement is a key step in anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to evaluate the accuracy of bone tunnel drilling in arthroscopic ACL reconstruction assisted by a three-dimensional (3D) image-based robot system. Methods Robot-assisted ACL reconstruction was performed on twelve freshly frozen knee specimens. During the operation, three-dimensional images were used for ACL bone tunnel planning, and the robotic arm was used for navigation and drilling. Twelve patients who underwent traditional arthroscopic ACL reconstruction were included. 3D computed tomography was used to measure the actual position of the ACL bone tunnel and to evaluate the accuracy of the robotic and traditional ACL bone tunnel. Results On the femoral side, the positions of robotic and traditional surgery tunnels were 29.3 ± 1.4% and 32.1 ± 3.9% in the deep-to-shallow direction of the lateral femoral condyle (p = 0.032), and 34.6 ± 1.2% and 21.2 ± 9.4% in the high-to-low direction (p < 0.001), respectively. On the tibial side, the positions of the robotic and traditional surgical tunnels were located at 48.4 ± 0.9% and 45.8 ± 2.8% of the medial-to-lateral diameter of the tibial plateau (p = 0.008), 38.1 ± 0.8% and 34.6 ± 6.0% of the anterior-to-posterior diameter (p = 0.071), respectively. Conclusions In this study, ACL reconstruction was completed with the assistance of a robot arm and 3D images, and the robot was able to drill the bone tunnel more accurately than the traditional arthroscopic ACL reconstruction. |
| first_indexed | 2024-04-24T07:14:28Z |
| format | Article |
| id | doaj.art-c7d49f9d52ac40478ec3d0e30d7b2bd1 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-24T07:14:28Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-c7d49f9d52ac40478ec3d0e30d7b2bd12024-04-21T11:25:03ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2024-04-0119111010.1186/s13018-024-04732-wRobot-assisted anterior cruciate ligament reconstruction based on three-dimensional imagesGang Yang0Dingge Liu1Guangjin Zhou2Qining Wang3Xin Zhang4Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking UniversityDepartment of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking UniversityDepartment of Radiology, Peking University Third HospitalDepartment of Advanced Manufacturing and Robotics, Peking UniversityDepartment of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking UniversityAbstract Background Tunnel placement is a key step in anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to evaluate the accuracy of bone tunnel drilling in arthroscopic ACL reconstruction assisted by a three-dimensional (3D) image-based robot system. Methods Robot-assisted ACL reconstruction was performed on twelve freshly frozen knee specimens. During the operation, three-dimensional images were used for ACL bone tunnel planning, and the robotic arm was used for navigation and drilling. Twelve patients who underwent traditional arthroscopic ACL reconstruction were included. 3D computed tomography was used to measure the actual position of the ACL bone tunnel and to evaluate the accuracy of the robotic and traditional ACL bone tunnel. Results On the femoral side, the positions of robotic and traditional surgery tunnels were 29.3 ± 1.4% and 32.1 ± 3.9% in the deep-to-shallow direction of the lateral femoral condyle (p = 0.032), and 34.6 ± 1.2% and 21.2 ± 9.4% in the high-to-low direction (p < 0.001), respectively. On the tibial side, the positions of the robotic and traditional surgical tunnels were located at 48.4 ± 0.9% and 45.8 ± 2.8% of the medial-to-lateral diameter of the tibial plateau (p = 0.008), 38.1 ± 0.8% and 34.6 ± 6.0% of the anterior-to-posterior diameter (p = 0.071), respectively. Conclusions In this study, ACL reconstruction was completed with the assistance of a robot arm and 3D images, and the robot was able to drill the bone tunnel more accurately than the traditional arthroscopic ACL reconstruction.https://doi.org/10.1186/s13018-024-04732-wAnterior cruciate ligament reconstructionRobot-assisted surgeryArthroscopyTunnel placement |
| spellingShingle | Gang Yang Dingge Liu Guangjin Zhou Qining Wang Xin Zhang Robot-assisted anterior cruciate ligament reconstruction based on three-dimensional images Journal of Orthopaedic Surgery and Research Anterior cruciate ligament reconstruction Robot-assisted surgery Arthroscopy Tunnel placement |
| title | Robot-assisted anterior cruciate ligament reconstruction based on three-dimensional images |
| title_full | Robot-assisted anterior cruciate ligament reconstruction based on three-dimensional images |
| title_fullStr | Robot-assisted anterior cruciate ligament reconstruction based on three-dimensional images |
| title_full_unstemmed | Robot-assisted anterior cruciate ligament reconstruction based on three-dimensional images |
| title_short | Robot-assisted anterior cruciate ligament reconstruction based on three-dimensional images |
| title_sort | robot assisted anterior cruciate ligament reconstruction based on three dimensional images |
| topic | Anterior cruciate ligament reconstruction Robot-assisted surgery Arthroscopy Tunnel placement |
| url | https://doi.org/10.1186/s13018-024-04732-w |
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