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Robotic arthroscopic surgery: a new challenge in arthroscopic surgery Part‐I: Robotic shoulder arthroscopy; a cadaveric feasibility study
Author(s) -
Bozkurt Murat,
Apaydin Nihal,
Işik Çetin,
Bilgetekin Yenel Gurkan,
Acar Halil Ibrahim,
Elhan Alaittin
Publication year - 2011
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.436
Subject(s) - medicine , arthroscopy , labrum , rotator cuff , shoulder surgery , surgery , cadaveric spasm , da vinci surgical system , coracoid process , glenoid labrum , robotic surgery , cadaver , scapula
Abstract Background Arthroscopy of the shoulder is a well‐established diagnostic procedure which has widespread application. Advances in technology and the search for more minimal invasive surgery will always offer new techniques in any surgical field. Robotic technology is such an advance, offering technical advantages over standard laparoscopic approaches. The aim of the present study is to test whether robotic surgery can be used while performing shoulder arthroscopy or not. Methods Robotic shoulder arthroscopy was tried on two shoulder joints of a male fresh‐frozen human cadaver. The arthroscopic control of the biceps tendon, glenoid labrum, rotator cuff muscles, rotator interval, glenohumeral ligament, and the coracoid process were evaluated in beach chair and lateral decubitus positions. Results The arthroscopic control of the shoulder joint was possible for both beach chair and lateral decubitus positions. Conclusions Robotic shoulder arthroscopy seems feasible in a cadaveric model but has some significant limitations at this time. A clinical application could be performed as diagnostic arthroscopy and as simple arthroscopic surgery until more specific instrumentation is developed. It may also enable the surgeon to perform more complex and precise tasks in restricted spaces. Copyright © 2011 John Wiley & Sons, Ltd.