Computer-aided robotics for applications in fracture reduction surgery: Advances, challenges, and opportunities
Xianzheng Zhou,
Yimiao Chen,
Genyuan Miao,
Yanchao Guo,
Qinhe Zhang,
Jianping Bi
Affiliations
Xianzheng Zhou
School of Mechanical Engineering, Shandong University, Jinan 250061, P.R. China; Key Laboratory of High-efficiency and Clean Mechanical Manufacture, Ministry of Education, Shandong University, Jinan 250061, P.R. China
Yimiao Chen
School of Mechanical Engineering, Shandong University, Jinan 250061, P.R. China; Key Laboratory of High-efficiency and Clean Mechanical Manufacture, Ministry of Education, Shandong University, Jinan 250061, P.R. China
Genyuan Miao
School of Mechanical Engineering, Shandong University, Jinan 250061, P.R. China; Key Laboratory of High-efficiency and Clean Mechanical Manufacture, Ministry of Education, Shandong University, Jinan 250061, P.R. China
Yanchao Guo
School of Mechanical Engineering, Shandong University, Jinan 250061, P.R. China; Key Laboratory of High-efficiency and Clean Mechanical Manufacture, Ministry of Education, Shandong University, Jinan 250061, P.R. China
Qinhe Zhang
School of Mechanical Engineering, Shandong University, Jinan 250061, P.R. China; Key Laboratory of High-efficiency and Clean Mechanical Manufacture, Ministry of Education, Shandong University, Jinan 250061, P.R. China; Corresponding author
Jianping Bi
The First Clinical College, Shandong University of Traditional Chinese Medicine, Jinan 250013, P.R. China; Departments of Orthopedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, P.R. China
Summary: The advancement of information technology and AI has boosted global economic and social development. Robot systems (RS) and computer-aided technology (CAT) are used in various domains, including social production and human existence. Traditional fracture reduction surgery relies on the expertise and surgical skills of surgeons to realign fractures in patients. Researchers have developed robotic and assisted systems to automate fracture reduction surgery in recent decades. Computer-aided fracture reduction robot system (CARS) is used to replace the manual reduction performed by conventional physicians. A partial CARS has been used successfully in clinical fracture reduction surgery. This study provides an overview of CARS. First, the RS and CAT used in fracture reduction surgery are overviewed. Furthermore, a comprehensive analysis of CARS is presented, encompassing their design, experimental validation, and clinical applications, while highlighting recent advancements and potential future directions in this domain. The suggested CARS for fracture reduction are compared in different ways. The learning curve and technical ethics of CARS are summarized. The paper addresses unresolved research gaps and technical challenges, providing recommendations to guide future study.