Article

The future of robotics in hand surgery.

Unité SOS Mains, Centre de Chirurgie Orthopédique et de la Main, Hôpitaux Universitaires de Strasbourg, 10 Avenue Achille-Baumann, 67403 Illkirch Cedex, France.
Chirurgie de la Main (impact factor: 0.53). 08/2009; 28(5):278-85. DOI:10.1016/j.main.2009.08.002 pp.278-85
Source: PubMed

ABSTRACT Robotics has spread over many surgical fields over the last decade: orthopaedic, cardiovascular, urologic, gynaecologic surgery and various other types of surgery. There are five different types of robots: passive, semiactive and active robots, telemanipulators and simulators. Hand surgery is at a crossroad between orthopaedic surgery, plastic surgery and microsurgery; it has to deal with fixing all sorts of tissues from bone to soft tissues. To our knowledge, there is not any paper focusing on potential clinical applications in this realm, even though robotics could be helpful for hand surgery. One must point out the numerous works on bone tissue with regard to passive robots (such as fluoroscopic navigation as an ancillary for percutaneous screwing in the scaphoid bone). Telemanipulators, especially in microsurgery, can improve surgical motion by suppressing physiological tremor thanks to movement demultiplication (experimental vascular and nervous sutures previously published). To date, the robotic technology has not yet become simple-to-use, cheap and flawless but in the future, it will probably be of great technical help, and even allow remote-controlled surgery overseas.

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    Article: PROGNOSTIC SCORING SYSTEM FOR PERIPHERAL NERVEREPAIR IN THE UPPER EXTREMITY
    SPYRIDON P. GALANAKOS, M.D, ARISTIDES B. ZOUBOS, IORDANIS MOUROUZIS, IOANNIS IGNATIADIS
    [show abstract] [hide abstract]
    ABSTRACT: So far, predictive models with individualized estimates of prognosis for patients with peripheral nerve injuries are lacking. Our group has previously shown the prognostic value of a standardized scoring system by examining the functional outcome after acute, sharp complete laceration and repair of median and/or ulnar nerves at various levels in the forearm. In the present study, we further explore the potential mathematical model in order to devise an effective prognostic scoring system. We retrospectively collected medical record data of 73 cases with a peripheral nerve injury in the upper extremity in order to estimate which patients would return to work, and what time was necessary to return to the pre-injury work. Postoperative assessment followed the protocol described by Rose´n and Lundborg. We found that return to pre-injury work can be predicted with high sensitivity (100%) and specificity (95%) using the total numerical score of the Rose´n and Lundborg protocol at the third follow-up interval (TS3) as well as the difference between the TS3 and the total score at second follow-up interval (TS2). In addition, the factors age and type of injured nerve (median, ulnar, or combined) can determine the time of return to work based on a mathematical model. This prognostic protocol can be a useful tool to provide information about the functional and social prospects of the patients with these types of injuries. VVC 2012 Wiley Periodicals, Inc. Microsurgery 00:000–000, 2012.
    Microsurgery 01/2012; J_ID: CRO Customer A_ID: 11-0248.R4 Cadmus Art: MICR22000 Date: 25-APRIL-12 Stage: I Page: 1(J_ID: CRO Customer A_ID: 11-0248.R4 Cadmus Art: MICR22000 Date: 25-APRIL-12 Stage: I Page: 1-J_ID: CRO Customer A_ID: 11-0248.R4 Cadmus Art: MICR22000 Date: 25-APRIL-12 Stage: I Page: 1):1. · 1.61 Impact Factor
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    Article: Prognostic scoring system for peripheral nerve repair in the upper extremity.
    Spyridon P Galanakos, Aristides B Zoubos, Iordanis Mourouzis, Ioannis Ignatiadis, Arjan G J Bot, Panayotis N Soucacos
    [show abstract] [hide abstract]
    ABSTRACT: So far, predictive models with individualized estimates of prognosis for patients with peripheral nerve injuries are lacking. Our group has previously shown the prognostic value of a standardized scoring system by examining the functional outcome after acute, sharp complete laceration and repair of median and/or ulnar nerves at various levels in the forearm. In the present study, we further explore the potential mathematical model in order to devise an effective prognostic scoring system. We retrospectively collected medical record data of 73 cases with a peripheral nerve injury in the upper extremity in order to estimate which patients would return to work, and what time was necessary to return to the pre-injury work. Postoperative assessment followed the protocol described by Rosén and Lundborg. We found that return to pre-injury work can be predicted with high sensitivity (100%) and specificity (95%) using the total numerical score of the Rosén and Lundborg protocol at the third follow-up interval (TS3) as well as the difference between the TS3 and the total score at second follow-up interval (TS2). In addition, the factors age and type of injured nerve (median, ulnar, or combined) can determine the time of return to work based on a mathematical model. This prognostic protocol can be a useful tool to provide information about the functional and social prospects of the patients with these types of injuries. © 2012 Wiley Periodicals, Inc. Microsurgery 2012.
    Microsurgery 06/2012; · 1.61 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

bone tissue
 
fluoroscopic navigation
 
great technical
 
Hand surgery
 
last decade
 
movement demultiplication
 
nervous sutures
 
numerous works
 
orthopaedic surgery
 
passive robots
 
percutaneous screwing
 
plastic surgery
 
potential clinical applications
 
remote-controlled surgery
 
robotic technology
 
scaphoid bone
 
soft tissues
 
suppressing physiological tremor thanks
 
surgical fields
 
surgical motion
 

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