Abstract
Typical osteotomy procedures around the knee joint involve the removal of a wedged shaped section of bone from either the proximal tibia or distal femur in order to correct a deformity and alter the alignment of the lower extremities. Unfortunately, the subjective nature of the preoperative planning and free-hand surgical techniques currently employed can lead to significant outcome variability and high complication rates. A prototype computer-robotic system, KneeCAS-1 (Knee Computer-Assisted System), has been developed to assist such osteotomy procedures around the knee joint. It consists of a custom-built six degree-of-freedom “fail-hard” surgical robot, with an instrumented saw driver unit, and a computer based planning system. It is intended to perform automated cutting (sawing) of the osteotomy planes under surgeon supervision.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Bibliography
Berman, A.T., Bosacco, S.J., Kirshner, S. and Avolio, A. Factors influencing long-term results in high tibial osteotomy. Clinical Orthopaedics and Related research, 1991, 272, 192–198.
Coventry, M.B., Ilstrup, D.M. and Wallrichs, S.L. Proximal tibial osteotomy: A critical long-term study of eighty-seven cases. Journal of Bone & Joint Surgery, 1993, 75A(2), 196–201.
Insall, J.N., Joseph, D.M. and Msika, C. High tibial osteotomy for varus gonarthrosis: A long-term follow-up study. Journal of Bone & Joint Surgery, 1984, 66A(7), 1040–1048.
Insall, J.N. Osteotomy. In: Insall, J.N., Windsor, R.E., Scott, W.N., Kelly, M.A. and Aglietti, P. (eds.), Surgery of the Knee, Churchill Livingstone, New York, 1993, pp. 635–676.
Mathews, J., Cobb, A.G., Richardson, S. and Bentley, G. Distal femoral osteotomy for lateral compartment osteoarthritis of the knee. Orthopaedics, 1998, 21(4), 437–440.
Moctezuma, J.L., Gossé, F. and Schultz, H.-J. A computer and robotic aided surgery system for accomplishing osteotomies. Proceedings of the 1st International Symposium on Medical Robotics and Computer Assisted Surgery. (MRCAS’94), Pittsburgh, Pennsylvania, 22–24 Sept. 1994, 31–35.
Moctezuma, J.L., Schuster, D., Gosse, F. and Schulz, HJ. New oscillating saw for robotic aided surgery. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 1997, 211(4), 301–308.
Rinonapoli, E., Mancini, G.B., Corvaglia, A. and Musiello, S. Tibial osteotomy for varus gonarthrosis: A 10-to 21-year follow-up study. Clinical Orthopaedics and Related Research, 1998, 353, 185–193.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2006 CISM, Udine
About this chapter
Cite this chapter
Bouazza-Marouf, K. et al. (2006). Robotic System for Femoral & Tibial Osteotomies Assistance. In: Zielińska, T., Zieliński, C. (eds) Romansy 16. CISM Courses and Lectures, vol 487. Springer, Vienna. https://doi.org/10.1007/3-211-38927-X_39
Download citation
DOI: https://doi.org/10.1007/3-211-38927-X_39
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-36064-4
Online ISBN: 978-3-211-38927-0
eBook Packages: EngineeringEngineering (R0)