Evidence map›Paper›PMID 32984776›Full record

ArticleIEEE transactions on medical robotics and bionics2019

On the Use of a Continuum Manipulator and a Bendable Medical Screw for Minimally Invasive Interventions in Orthopedic Surgery.

Farshid Alambeigi, Mahsan Bakhtiarinejad, Shahriar Sefati, Rachel Hegeman, Iulian Iordachita, Harpal Khanuja, Mehran Armand

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in IEEE transactions on medical robotics and bionics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 66 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Influence of Antagonistic Tensions on Distributed Friction Forces of Multisegment Tendon-Driven Continuum Manipulators With Irregular Geometry.IEEE/ASME transactions on mechatronics : a joint publication of the IEEE Industrial Electronics Society and the ASME Dynamic Systems and Control Division · 2022
    Article
  10. Article
  11. SCADE: Simultaneous Sensor Calibration and Deformation Estimation of FBG-Equipped Unmodeled Continuum Manipulators.IEEE transactions on robotics : a publication of the IEEE Robotics and Automation Society · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Farshid AlambeigiLaboratory for Computational Sensing and Robotics, The Johns Hopkins University, Baltimore, MD 21218 USA.ORCID 0000-0001-6903-5939
Mahsan BakhtiarinejadLaboratory for Computational Sensing and Robotics, The Johns Hopkins University, Baltimore, MD 21218 USA.
Shahriar SefatiLaboratory for Computational Sensing and Robotics, The Johns Hopkins University, Baltimore, MD 21218 USA.
Rachel HegemanLaboratory for Computational Sensing and Robotics, The Johns Hopkins University, Baltimore, MD 21218 USA, and also with the Applied Physics Laboratory, The Johns Hopkins University, Laurel, MD 20723 USA.
Iulian IordachitaLaboratory for Computational Sensing and Robotics, The Johns Hopkins University, Baltimore, MD 21218 USA.
Harpal KhanujaDepartment of Orthopedic Surgery, The Johns Hopkins Medical School, Baltimore, MD 21205 USA.
Mehran ArmandLaboratory for Computational Sensing and Robotics, The Johns Hopkins University, Baltimore, MD 21218 USA, and also with the Applied Physics Laboratory, The Johns Hopkins University, Laurel, MD 20723 USA.
Johns Hopkins University · US

Funding

Image-Guided Workstation and Tools for the Treatment of Bone DefectsR01EB016703 · NIBIB · UNIVERSITY OF ARKANSAS AT FAYETTEVILLE · PI ARMAND, MEHRAN · 2013 to 2022
$3.4M
Robot-Assisted Femoroplasty with Intraoperative Biomechanical FeedbackR01EB023939 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI ARMAND, MEHRAN · 2017 to 2020
$1.6M
NIBIB NIH HHS R01 EB016703NIBIB NIH HHS R01 EB023939
6 · The paper itself

Abstract

Accurate placement and stable fixation are the main goals of internal fixation of bone fractures using the traditional medical screws. These goals are necessary to expedite and avoid improper fracture healing due to misalignment of the bone fragments. However, the rigidity of the screw, geometry of the fractured anatomy (e.g., femur and pelvis), and osteoporosis may cause an array of complications. To address these challenges, we propose the use of a continuum manipulator and a bendable medical screw (BMS) to drill curved tunnels and fixate the bone fragments. This novel approach provides the clinicians with a degree of freedom in selecting the drilling entry point as well as the navigation of drill in complex anatomical and osteoporotic bones. This technique can also facilitate the treatment of osteonecrosis and augmentation of the hip to prevent osteoporotic fractures. In this paper: 1) we evaluated the performance of the curved drilling technique on human cadaveric specimens by making several curved tunnels with different curvatures and 2) we also demonstrated the feasibility of internal fixation using the BMS versus a rigid straight screw by performing finite element simulation of fracture fixation in an osteoporotic femur.

Indexed as

continuum manipulatormedical device designMedical robots and systemsorthopedic surgery

Identifiers

PMID32984776
PMCPMC7518451
OpenAlexW2912013584

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.