Quantification of manipulation forces needed for robot-assisted reduction of the ankle syndesmosis: an initial cadaveric study.

Journal: International journal of computer assisted radiology and surgery
PMID: 35986832

Abstract

PURPOSE: Manual surgical manipulation of the tibia and fibula is necessary to properly align and reduce the space in ankle fractures involving sprain of the distal tibiofibular syndesmosis. However, manual reduction is highly variable and can result in malreduction in about half of the cases. Therefore, we are developing an image-guided robotic assistant to improve reduction accuracy. The purpose of this study is to quantify the forces associated with reduction of the ankle syndesmosis to define the requirements for our robot design.

Authors

  • Mikias Gebremeskel
    Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Health System, Washington, DC, USA. mikias2020@gwmail.gwu.edu.
  • Babar Shafiq
    Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, Maryland.
  • Ali Uneri
    Biomedical Engineering Department, Johns Hopkins University, Baltimore, MD, USA.
  • Niral Sheth
    Biomedical Engineering Department, Johns Hopkins University, Baltimore, MD, USA.
  • Corey Simmerer
    Biomedical Engineering Department, Johns Hopkins University, Baltimore, MD, USA.
  • Wojciech Zbijewski
    Biomedical Engineering Department, Johns Hopkins University, Baltimore, MD, USA.
  • Jeffrey H Siewerdsen
    Biomedical Engineering Department, Johns Hopkins University, Baltimore, MD, USA.
  • Kevin Cleary
  • Gang Li
    The Centre for Cyber Resilience and Trust, Deakin University, Australia.

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