00臀部骨置换机器人系统.pdf

Rorsodinl.dthc1992IEBE ImsmanmrlGmfumw m Robociclmd Autaiutim ,pnng- may 1992 A Surgical Robot for Total Hip Replacement Surgery Howard A. Paul (l),Brent Mittlestadt (l),William L. Bargar (l),Bela Musits (l),Russell H. Taylor (2), Peter Kazanzides (l),Joel Zuhars (l),Bill Williimson (1) and William Hanson (3) (1) Integrated Surgical Systems,Inc., 829 W. Stadium Lane, Sacramento,CA 95834 (2) IBM, T.J. Watson Research Center, Yorktown Heights, NY 10598 (3) IBM,Scientific Center,Palo Alto,CA Abstract These problems motivated us to seek an alternative Surgical robots may represent the next mujor technology for femoral preparation and explore the advance in total hip replacement (THR) surgery, feasibility of using a robot, rather than a mallet and replacing the hand-held reamers and mallet-driven broach to prepare the cavity. The robotics system we broaches that are currently used to prepare a cavity in the developed creates cavities with a dimensional accuracy femur for implantation of a prosthesis. Advances in more than 50 times greater than broached cavities, prothesis technology include the development of porous- exceeds the tolerances to which implants are coated components that encourage bone ingrowth and do manufactured, and does not produce gaps that prevent not rely upon bone cement for fixation and stability. bone ingrowth (10). Orthopaedic surgeons have discovered that uncemented prostheses are especially suitable for younger, more 2.0: Development of a Surgical Robot active patients who are likely to loosen cement and require revision