BACKGROUND: There are many ways in which computer-assisted orthopedic and trauma surgery (CAOS) procedures can help surgeons to plan and execute an intervention. METHODS: This study is based on data derived from a selective search of the literature in the PubMed database, supported by a Google Scholar search. RESULTS: For most applications the evidence is weak. In no sector did the use of computer-assisted surgery yield any relevant clinical or functional improvement. In trauma surgery, 3D-navigated sacroiliac screw fixation has become clinically established for the treatment of pelvic fractures. One randomized controlled trial showed a reduction in the rate of screw misplacement: 0% with 3D navigation versus 20.4% with the conventional procedure und 16.6% with 2D navigation. Moreover, navigation-assisted pedicle screw stabilization lowers the misplacement rate. In joint replacements, the long-term results showed no difference in respect of clinical/functional scores, the time for which the implant remained in place, or aseptic loosening. CONCLUSION: Computer-assisted procedures can improve the precision of certain surgical interventions. Particularly in joint replacement and spinal surgery, the research is moving away from navigation in the direction of robotic procedures. Future studies should place greater emphasis on clinical and functional results.
RCT Entities:
BACKGROUND: There are many ways in which computer-assisted orthopedic and trauma surgery (CAOS) procedures can help surgeons to plan and execute an intervention. METHODS: This study is based on data derived from a selective search of the literature in the PubMed database, supported by a Google Scholar search. RESULTS: For most applications the evidence is weak. In no sector did the use of computer-assisted surgery yield any relevant clinical or functional improvement. In trauma surgery, 3D-navigated sacroiliac screw fixation has become clinically established for the treatment of pelvic fractures. One randomized controlled trial showed a reduction in the rate of screw misplacement: 0% with 3D navigation versus 20.4% with the conventional procedure und 16.6% with 2D navigation. Moreover, navigation-assisted pedicle screw stabilization lowers the misplacement rate. In joint replacements, the long-term results showed no difference in respect of clinical/functional scores, the time for which the implant remained in place, or aseptic loosening. CONCLUSION: Computer-assisted procedures can improve the precision of certain surgical interventions. Particularly in joint replacement and spinal surgery, the research is moving away from navigation in the direction of robotic procedures. Future studies should place greater emphasis on clinical and functional results.
Authors: Tobias Hüfner; Jens Geerling; Maurício Kfuri; Axel Gänsslen; Musa Citak; Timm Kirchhoff; Andrea H Sott; Christian Krettek Journal: Comput Aided Surg Date: 2003
Authors: Nael Hawi; Jonas Haentjes; Eduardo M Suero; Emmanouil Liodakis; Christian Krettek; Timo Stübig; Tobias Hüfner; Musa Citak Journal: Technol Health Care Date: 2012 Impact factor: 1.285
Authors: Marcus Christian Müller; Peter Belei; Peter H Pennekamp; Koroush Kabir; Dieter C Wirtz; Christof Burger; Oliver Weber Journal: Int Orthop Date: 2012-02-23 Impact factor: 3.075
Authors: Andrew D Pearle; Fintan J Shannon; Carinne Granchi; Thomas L Wickiewicz; Russell F Warren Journal: Am J Sports Med Date: 2008-04-03 Impact factor: 6.202
Authors: J Theopold; P Pieroh; M L Scharge; B Marquaß; T Hohmann; C Josten; P Hepp Journal: Orthop Traumatol Surg Res Date: 2016-04-27 Impact factor: 2.256
Authors: Jelle P van der List; Harshvardhan Chawla; Leo Joskowicz; Andrew D Pearle Journal: Knee Surg Sports Traumatol Arthrosc Date: 2016-09-06 Impact factor: 4.342