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Robots and tools for remodeling bone

Hill, D; Williamson, T; Lai, CY; Leary, M; Brandt, M; (2020) Robots and tools for remodeling bone. IEEE Reviews in Biomedical Engineering , 13 pp. 184-198. 10.1109/RBME.2019.2949749. Green open access

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The field of robotic surgery has progressed from small teams of researchers repurposing industrial robots, to a competitive and highly innovative subsection of the medical device industry. Surgical robots allow surgeons to perform tasks with greater ease, accuracy, or safety, and fall under one of four levels of autonomy; active, semi-active, passive, and remote manipulator. The increased accuracy afforded by surgical robots has allowed for cementless hip arthroplasty, improved postoperative alignment following knee arthroplasty, and reduced duration of intraoperative fluoroscopy among other benefits. Cutting of bone has historically used tools such as hand saws and drills, with other elaborate cutting tools now used routinely to remodel bone. Improvements in cutting accuracy and additional options for safety and monitoring during surgery give robotic surgeries some advantages over conventional techniques. This article aims to provide an overview of current robots and tools with a common target tissue of bone, proposes a new process for defining the level of autonomy for a surgical robot, and examines future directions in robotic surgery.

Type: Article
Title: Robots and tools for remodeling bone
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1109/RBME.2019.2949749
Publisher version: http://dx.doi.org/10.1109/RBME.2019.2949749
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: surgical robotics, bone remodeling, arthroplasty, robot-assisted neurosurgery, robotassisted spine surgery, autonomous surgery, CORTICAL BONE, IN-VIVO, SURGERY, ACCURACY, PIEZOSURGERY, IMPLANT, SAFETY, BREAKTHROUGH, ARTHROPLASTY, REGISTRATION
UCL classification: UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Electronic and Electrical Eng
UCL > Provost and Vice Provost Offices > UCL BEAMS
URI: https://discovery.ucl.ac.uk/id/eprint/10155688
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