Computer Assisted Orthopedic Surgery in TKA

A Historical Review of Medical Robotic Platforms

“…NeuroMate ® is one of the oldest running systems commercially available. By design, it has 6 Degrees of Freedom (DOFs) along with a stereotactic system, which enables it to perform various neurological procedures such as neuroendoscopy, deep brain stimulation, biopsy, transcranial magnetic stimulation, radiosurgery, and resection of brain tumors [1,14,16].…”

“…is system enables the surgeons to precisely define the hip bone cavity, size, and position of the prosthesis during the planning stage of operation. e system is programmed to cut the patient automatically, increasing the precision and accuracy of the procedure as compared to normal methods of incision by the human hand, as ROBODOC ® uses bone motion detectors fixed about 5 mm deep in the bone, which are not compromised by debris and fluids [14][15][16].…”

“…is system has 6-DOF and contains an interactive computer system used for the planning of surgery based on data obtained from CT scans. CASPAR ® has been used to perform total hip replacement and total knee replacement procedures [14,22]. While this system had advantages, such as an increase in accuracy and alignment, its disadvantages were significant; these included an increase in blood loss and procedure time that gave rise to more complications [7].…”

“…e most widely known robotic system, the Da Vinci ® Surgical System [5,13], is primarily used for performing minimally invasive surgery (MIS). Being a "master-slave" system, the Da Vinci ® platform helps surgeons perform tasks in which there is the possibility of failure to operate smoothly, through the use of advantageous features like the filtering of tremors [1,14,15]. e systems mentioned above are discussed in further detail in the following sections.…”

“…e systems mentioned above are discussed in further detail in the following sections. Some of the most renowned medical robotic systems, such as the Da Vinci ® Surgical System, have existed since the late 1990s [14]. As more than two decades have passed, most patents that were filed and granted have expired or are about to expire; therefore, the technology and methods provided in patents may be used by others to create systems with similar technologies.…”