Automated continuous distraction osteogenesis system for limb lengthening and reconstruction

Distraction osteogenesis (DO) is a classical surgical technique for limb lengthening and reconstruction (LLR). Most existing DO devices for LLR are operated manually, and the accurate DO process is user dependant, which could affect new bone formation. Recently, automated devices have been introduce...

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Main Authors: Yiyuan Fu, Fanwu Meng, Xinghua Yin, Jianming Gu, Zhuyi Ma, Yixin zhou
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:IPEM-Translation
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667258823000018
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author Yiyuan Fu
Fanwu Meng
Xinghua Yin
Jianming Gu
Zhuyi Ma
Yixin zhou
author_facet Yiyuan Fu
Fanwu Meng
Xinghua Yin
Jianming Gu
Zhuyi Ma
Yixin zhou
author_sort Yiyuan Fu
collection DOAJ
description Distraction osteogenesis (DO) is a classical surgical technique for limb lengthening and reconstruction (LLR). Most existing DO devices for LLR are operated manually, and the accurate DO process is user dependant, which could affect new bone formation. Recently, automated devices have been introduced for continuous DO processes to aid in tissue healing. To the best of our knowledge, few automated continuous distraction osteogenesis (ACDO) devices have focused on DO surgery for the long bones of the extremities and monitoring of their status during the surgical process. This study presents a novel ACDO device, which is driven by a deceleration stepper motor for further reduction in total mass and amplification in distraction force, including a precise and programmable man–machine-interaction system to allow surgeons to control and monitor the treatment remotely. The mechanical device was verified to be capable of generating a continuous and controllable distraction force and rate. The proposed man–machine-interaction system possesses the functions of customizing and following up on treatment plan by clinicians, including setting the DO process, measuring and displaying parameters, and uploading DO information to the data cloud. During electromechanical system simulation and prototype experiments, the performance of the proposed system was consistent with the setting DO parameters and treatment plan.
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spelling doaj.art-d8797dcd110044399e8d27c8d312536c2024-01-26T05:35:45ZengElsevierIPEM-Translation2667-25882023-03-015100016Automated continuous distraction osteogenesis system for limb lengthening and reconstructionYiyuan Fu0Fanwu Meng1Xinghua Yin2Jianming Gu3Zhuyi Ma4Yixin zhou5School of Mechanical Engineering, Beijing Institute of Technology, Beijing, ChinaSchool of Mechanical Engineering, Beijing Institute of Technology, Beijing, ChinaDepartment of Orthopaedics, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Xinjiekou East Street, Xicheng District, Beijing 100035, ChinaDepartment of Orthopaedics, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Xinjiekou East Street, Xicheng District, Beijing 100035, ChinaDepartment of Orthopaedics, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Xinjiekou East Street, Xicheng District, Beijing 100035, ChinaDepartment of Orthopaedics, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Xinjiekou East Street, Xicheng District, Beijing 100035, China; Corresponding author.Distraction osteogenesis (DO) is a classical surgical technique for limb lengthening and reconstruction (LLR). Most existing DO devices for LLR are operated manually, and the accurate DO process is user dependant, which could affect new bone formation. Recently, automated devices have been introduced for continuous DO processes to aid in tissue healing. To the best of our knowledge, few automated continuous distraction osteogenesis (ACDO) devices have focused on DO surgery for the long bones of the extremities and monitoring of their status during the surgical process. This study presents a novel ACDO device, which is driven by a deceleration stepper motor for further reduction in total mass and amplification in distraction force, including a precise and programmable man–machine-interaction system to allow surgeons to control and monitor the treatment remotely. The mechanical device was verified to be capable of generating a continuous and controllable distraction force and rate. The proposed man–machine-interaction system possesses the functions of customizing and following up on treatment plan by clinicians, including setting the DO process, measuring and displaying parameters, and uploading DO information to the data cloud. During electromechanical system simulation and prototype experiments, the performance of the proposed system was consistent with the setting DO parameters and treatment plan.http://www.sciencedirect.com/science/article/pii/S2667258823000018Automated continuous distractorLimb lengtheningDistraction osteogenesisMedical devices
spellingShingle Yiyuan Fu
Fanwu Meng
Xinghua Yin
Jianming Gu
Zhuyi Ma
Yixin zhou
Automated continuous distraction osteogenesis system for limb lengthening and reconstruction
IPEM-Translation
Automated continuous distractor
Limb lengthening
Distraction osteogenesis
Medical devices
title Automated continuous distraction osteogenesis system for limb lengthening and reconstruction
title_full Automated continuous distraction osteogenesis system for limb lengthening and reconstruction
title_fullStr Automated continuous distraction osteogenesis system for limb lengthening and reconstruction
title_full_unstemmed Automated continuous distraction osteogenesis system for limb lengthening and reconstruction
title_short Automated continuous distraction osteogenesis system for limb lengthening and reconstruction
title_sort automated continuous distraction osteogenesis system for limb lengthening and reconstruction
topic Automated continuous distractor
Limb lengthening
Distraction osteogenesis
Medical devices
url http://www.sciencedirect.com/science/article/pii/S2667258823000018
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AT xinghuayin automatedcontinuousdistractionosteogenesissystemforlimblengtheningandreconstruction
AT jianminggu automatedcontinuousdistractionosteogenesissystemforlimblengtheningandreconstruction
AT zhuyima automatedcontinuousdistractionosteogenesissystemforlimblengtheningandreconstruction
AT yixinzhou automatedcontinuousdistractionosteogenesissystemforlimblengtheningandreconstruction