论文标题

基于自定位和光学测量的新型髋关节手术机器人系统

Novel total hip surgery robotic system based on self-localization and optical measurement

论文作者

Ning, Weibo, Zhu, Jiaqi, Chen, Hongjiang, Zhou, Weijun, He, Shuxing, Tan, Yecheng, Xu, Qianrui, Yuan, Ye, Hu, Jun, Fan, Zhun

论文摘要

本文介绍了全髋关节置换术(THA)的手术机器人系统的开发和实验评估。尽管在关节置换手术中使用的现有机器人系统已经取得了一些进展,但机器人组必须在操作过程中准确地位于目标位置,这在很大程度上取决于外科医生的经验。此外,手持式髋臼铰刀通常表现出不均匀的强度和研磨文件。此外,缺乏实时测量股骨颈长度的技术可能导致结果不佳。为了应对这些挑战,我们提出了一种可实时的可追踪光学定位策略,以减少手术期间对机器人臂的不必要的手动调整,一种稳定磨削的最终效用系统,并进行了光学探测,以提供对股骨颈部长度和其他参数的实时测量,用于选择适当的假释。下肢的长度在安装假体时测量。实验评估结果表明,根据其准确性,执行能力和鲁棒性,提出的手术机器人系统对于THA是可行的。

This paper presents the development and experimental evaluation of a surgical robotic system for total hip arthroplasty (THA). Although existing robotic systems used in joint replacement surgery have achieved some progresses, the robot arm must be situated accurately at the target position during operation, which depends significantly on the experience of the surgeon. In addition, handheld acetabulum reamers typically exhibit uneven strength and grinding file. Moreover, the lack of techniques to real-time measure femoral neck length may lead to poor outcomes. To tackle these challenges, we propose a real-time traceable optical positioning strategy to reduce unnecessary manual adjustments to the robotic arm during surgery, an end-effector system to stabilise grinding, and an optical probe to provide real-time measurement of the femoral neck length and other parameters used to choose the proper prosthesis. The lengths of the lower limbs are measured as the prosthesis is installed. The experimental evaluation results show that, based on its accuracy, execution ability, and robustness, the proposed surgical robotic system is feasible for THA.

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