Robotic Surgery
is a breakthrough in the field of medical science, aiming to improve the
accuracy and precision of surgical procedures. In case of orthopaedics, robots
are mainly focused on increasing the precision of preparing bony surfaces,
which cannot, otherwise, be achieved by human surgeons. Robots were first used
for hip replacement and on successful execution of it, it was also used for
knee arthroplasty. It has been observed that the use of orthopaedic surgical
robots have improved primary stability and secondary bone integration
demonstrating not only more reliable outcomes but also better accuracy and
precision.
While some of
the robotic systems use serial manipulators, few others use parallel
manipulators. For cases with low nominal load per weight ratio, involving low
stiffness and accuracy, the use of serial manipulators are usually observed.
However in cases of high stiffness, to avoid positioning errors, parallel manipulators
are preferred. Besides, a control architecture is used to track and determine
the safety and accuracy of the procedure.
In spite of the
promising future associated with orthopaedic surgical robots, most orthopaedic
surgeons are not very keen on investing their time on training these robots.
They are of the opinion that enough research on the efficacy and safety of the
system has not been done and therefore, they are not certain whether putting
efforts on it will be fruitful. Besides, the cost associated with research and
implementation is so high that it seldom leaves anything for marketing which is
of prime importance in this case. An absence of study on the long-term effects
of using orthopaedic surgical robots is also one of the reasons which has been
restricting the momentum that it had gained initially. Therefore, despite
promoting better pre-planning and execution of surgery, research on the
long-term effects and safety of the procedure besides reducing the cost
associated with it, is of vital importance to widespread the use of this
powerful invention.
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