Technologies evolution in robot-assisted fracture reduction systems: a comprehensive review

Front Robot AI. 2023 Nov 22:10:1315250. doi: 10.3389/frobt.2023.1315250. eCollection 2023.

Abstract

Background: Robot-assisted fracture reduction systems can potentially reduce the risk of infection and improve outcomes, leading to significant health and economic benefits. However, these systems are still in the laboratory stage and not yet ready for commercialization due to unresolved difficulties. While previous reviews have focused on individual technologies, system composition, and surgical stages, a comprehensive review is necessary to assist future scholars in selecting appropriate research directions for clinical use. Methods: A literature review using Google Scholar identified articles on robot-assisted fracture reduction systems. A comprehensive search yielded 17,800, 18,100, and 16,700 results for "fracture reduction," "computer-assisted orthopedic surgery," and "robot-assisted fracture reduction," respectively. Approximately 340 articles were selected, and 90 highly relevant articles were chosen for further reading after reviewing the abstracts. Results and Conclusion: Robot-assisted fracture reduction systems offer several benefits, including improved reduction accuracy, reduced physical work and radiation exposure, enhanced preoperative planning and intraoperative visualization, and shortened learning curve for skill acquisition. In the future, these systems will become integrated and practical, with automatic preoperative planning and high intraoperative safety.

Keywords: bone fracture reduction; fracture reduction robot; intraoperative registration; navigation; preoperative planning; robot-assisted fracture reduction; virtual surgery.

Publication types

  • Review

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This research was supported by the National Key Research and Development Program of China (grant number 2020YFB1313800).