Review
Nutrition & Dietetics
Pietro Gregori, Edoardo Franceschetti, Susanna Basciani, Lorenzo Impieri, Biagio Zampogna, Alfredo Matano, Carlo Manzi, Ludovico Carbone, Luigi Marano, Rocco Papalia
Summary: The role of nutrition intervention in surgical settings is continuously evolving and expanding. Immunonutrition has shown potential in reducing complications for surgical oncology patients, but there is limited research in the orthopedic field. This review aimed to summarize the current state of using immune-enhanced compounds in surgical, orthopedic, and traumatic patients. Eight studies were included, with positive findings in orthopedic and trauma surgeries. More extensive randomized controlled trials are needed to fully investigate the impact and applications of immunonutrition in orthopedic and traumatic fields.
Article
Radiology, Nuclear Medicine & Medical Imaging
Niral Sheth, Prasad Vagdargi, Alejandro Sisniega, Ali Uneri, Gregory Osgood, Jeffrey H. Siewerdsen
Summary: This study presents a system for guiding wire placement in the treatment of pelvic fractures, using a drill-mounted video camera and fiducial markers. Preclinical studies demonstrated the accuracy and utility of the system, supporting its translation to clinical studies.
JOURNAL OF MEDICAL IMAGING
(2022)
Article
Engineering, Mechanical
Xinyi Qiu, Pengnan Li, Changping Li, Qiulin Niu, Shujian Li, Tae Jo Ko, Lingyan Tang
Summary: This study investigates the variation patterns of tool wear and the causes of drill failure in CFRP drilling through drilling experiments and the comparison of evaluation indexes, and concludes that the reverse edge compound drill is suitable for drilling CFRP.
JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY
(2022)
Review
Biotechnology & Applied Microbiology
Zhanqi Wei, Ze Zhang, Wei Zhu, Xisheng Weng
Summary: Polyetheretherketone (PEEK) has been widely used in the medical field as an implant material, especially in bone tissue engineering and orthopedic surgery, recently. Many approaches have been applied to improve its performance, including the modulation of physical morphology, chemical composition and antimicrobial agents. PEEK implants have shown better outcomes than traditional metal implants in studies on spine surgery, joint surgery, and trauma repair.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2023)
Article
Engineering, Electrical & Electronic
Joonhwan Kim, Michel de Mathelin, Koji Ikuta, Dong-Soo Kwon
Summary: Flexible surgical robots have become increasingly important in surgeries. This review covers the key technical issues associated with flexible surgical robotics and introduces the features and clinical values of emerging flexible surgical robot systems.
PROCEEDINGS OF THE IEEE
(2022)
Article
Acoustics
Shibo Zhang, Zhirui Chen, Hanqiang Wu, Gengzhuo Li, Yongbo Wu
Summary: Bone cutting is a vital surgical procedure, and ultrasonic orthopedic scalpels (UOSs) are commonly used due to their safety and convenience. However, studies on the characteristics of ultrasonic cutting are lacking. This study focused on defining the bone-cutting processes and bone removal behavior of UOSs based on the bone structure. The research identified different cutting characteristics and modes based on the direction of ultrasonic vibration and analyzed crack propagation, chip formation, surface damage, and cutting forces. The study provided valuable insights for analyzing bone tissue injuries, improving the surgical process, optimizing instrument design, and enhancing the basic theory of bone cutting.
Article
Multidisciplinary Sciences
Jung Hwan Choi, Young Seok Lee, Kyu-Tae Hwang, Young-Hoon Jo, Hyun Sik Shin, Jihwan Kim, Ki-Chul Park
Summary: This study introduces a novel technique of using a drill stopper to limit drill penetration depth and prevent iatrogenic injuries in orthopedic surgeries. The study found that the drill stopper was highly effective in controlling drill penetration depth and reducing the risk of soft tissue damage. It is recommended to incorporate the drill stopper, especially when using a blunt drill bit or when an inexperienced surgeon operates in an unfamiliar anatomical area. This can minimize the risk of severe injuries from excessive drill penetration and improve patient safety and surgical outcomes.
Article
Orthopedics
Abdulaziz Z. Alomar
Summary: A survey of orthopedic trainees in Saudi Arabia revealed that most trainees prefer multiple fellowship programs, with female trainees more likely to choose a single fellowship and male trainees more likely to choose multiple fellowships. The main influencing factors for pursuing multiple fellowships are private job opportunities, financial gains, and job guarantees.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Automation & Control Systems
Aisheng Jiang, Zhanqiang Liu, Shequan Wang, Juan Wen, Yi Li, Jinfu Zhao
Summary: The radial cutting force balance of an indexable insert drill directly affects the workpiece's depth, dimensional accuracy, and surface quality. Accurate evaluation of the radial cutting force of the indexable insert drill is necessary to guide for the improvement of the drilling performance. In this research, a new finite element simulation model of radial cutting force for indexable insert drill was proposed, and the optimal geometric parameters of the indexable insert drill were obtained based on the simulated radial cutting force balance. The accuracy of the new proposed model was verified according to the diameter deviation between the hole and the tool, showing an 80% reduction compared to the former radial cutting force model.
INTERNATIONAL JOURNAL OF ADVANCED MANUFACTURING TECHNOLOGY
(2023)
Article
Multidisciplinary Sciences
Josef Sedlak, Jan Zouhar, Stepan Kolomy, Martin Slany, Emil Necesanek
Summary: Drilling is a basic technological operation that creates a cylindrical hole in an appropriate time with required quality. Proper removal of chips is crucial for good drilling operation, and suitable modification of drill geometry can improve the machining process. The experiment showed that with the correct geometry of the tool, effective drilling can be achieved without using internal cooling.
SCIENTIFIC REPORTS
(2023)
Article
Chemistry, Physical
Dragana Gabric, Damir Aumiler, Marko Vuletic, Elizabeta Gjorgievska, Marko Blaskovic, Mitko Mladenov, Verica Pavlic
Summary: The study revealed that osteotomy performed with Er:YAG laser in contact mode and piezoelectric surgery were effective in reducing the risk of bone tissue overheating, highlighting the potential benefits of these techniques in bone healing processes.
Review
Medicine, General & Internal
Aparna Chunduri, Amit Kumar Aggarwal
Summary: Multimodal analgesia has become a preferred method in orthopedic pain management, reducing early postoperative opioid usage and decreasing dependence on opioids.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Engineering, Manufacturing
Liming Shu, Shihao Li, Zhenglong Fang, Toru Kizaki, Katsuyo Kimura, Giichi Arai, Koichi Arai, Naohiko Sugita
Summary: The study altered the drilling approach for CFRP from crushing/compression fracture to shear cutting to suppress thermomechanical loads, achieving a significant improvement in performance. The dedicated drill bit outperformed the conventional drill bit in terms of thrust force, temperature elevation, burr, and exit-delamination, highlighting the effectiveness of the new design approach.
COMPOSITES PART A-APPLIED SCIENCE AND MANUFACTURING
(2021)
Article
Automation & Control Systems
Ali Ebrahimi, Farshid Alambeigi, Shahriar Sefati, Niravkumar Patel, Changyan He, Peter Gehlbach, Iulian Iordachita
Summary: This study utilized Kalman filtering to improve estimates of tool tip position and insertion depth, resulting in significant improvements of 77% and 94% in the measurements of tool tip position and insertion depth, respectively.
IEEE-ASME TRANSACTIONS ON MECHATRONICS
(2021)
Article
Chemistry, Physical
Lukasz Nowakowski, Michal Skrzyniarz, Slawomir Blasiak, Jaroslaw Rolek, Dimka Vasileva, Tanya Avramova
Summary: Drilling with standard twist drill bits is common, but 3D printed drill bits made with direct metal laser melting (DMLM) offer more convenience for both standard and nonstandard drilling operations. This study compared the performance of a 3D printed drill bit made from steel 1.2709 with a conventionally manufactured bit, analyzing dimensional accuracy, geometric accuracy, forces, and torques during drilling in cast polyamide 6 (PA6).
Article
Orthopedics
Gwenllian Fflur Tawy, Philip Rowe, Leela Biant
Article
Public, Environmental & Occupational Health
S. Kelso, S. Mitchell, P. J. Rowe, P. Gore
Article
Chemistry, Analytical
Manunchaya Samala, Philip Rowe, Jutima Rattanakoch, Gary Guerra
Article
Clinical Neurology
Elizabeth Ann Chandler, Thomas Stone, Valerie Moyra Pomeroy, Allan Brian Clark, Andrew Kerr, Phillip Rowe, Ukadike Chris Ugbolue, Jessica Smith, Nicola Joanne Hancock
Summary: This study aimed to identify the biomechanical characteristics of sit-to-stand (STS) and sit-to-walk (STW) in people early after stroke, and determine any differences in movement fluidity and duration, as well as their correlations with commonly used measures of walking speed and step length ratio. The results showed that participants spent significantly more time in the initial movement phase during STS than during STW, with STS being completed more smoothly but with more hesitation and greater coordination. No strong relationships were found between movement fluidity or duration with walking speed or step length symmetry.
FRONTIERS IN NEUROLOGY
(2021)
Article
Orthopedics
M. Banger, J. Doonan, P. Rowe, B. Jones, A. MacLean, M. J. B. Blyth
Summary: Unicompartmental knee arthroplasty is a bone-preserving treatment option for osteoarthritis localized to a single compartment in the knee. Robotic arm-assisted UKA provides technological assistance to improve surgical accuracy and is associated with lower reintervention rates compared to manual instrumentation.
BONE & JOINT JOURNAL
(2021)
Article
Geriatrics & Gerontology
Rebecca Marshall-McKenna, Evan Campbell, Frederick Ho, Matthew Banger, Jane Ireland, Philip Rowe, Christine McAlpine, Kate McArthur, J. Terence Quinn, R. Stuart Gray, Christiaan Leeuwenburgh
Summary: This trial successfully recruited and retained participants for an 8-week resistance training intervention among frail and non-frail older adults, demonstrating feasibility and safety of training to skeletal muscle failure. The study found no significant differences in outcomes between low and high repetition-load groups, suggesting that load may not influence efficacy in this context. Further research into this simplified model of resistance training is recommended.
EXPERIMENTAL GERONTOLOGY
(2021)
Article
Orthopedics
Andrew N. Clark, Adam Hounat, Sinead O'Donnell, Pauline May, James Doonan, Philip Rowe, Bryn G. Jones, Mark J. G. Blyth
Summary: This study found that there were continued improvements in clinical scores of patients in both conventional and navigated surgery groups at 5 years, with no statistical difference in patient-reported outcome measures. However, improved implant survivorship was observed in the navigated surgery group compared to the conventional group. Further research is needed to evaluate long-term implant survivorship and cost effectiveness of electromagnetic computer navigated technology.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
M. J. G. Blyth, M. S. Banger, J. Doonan, B. G. Jones, A. D. MacLean, P. J. Rowe
Summary: The study aimed to compare the clinical outcomes of robotic arm-assisted bi-unicompartmental knee arthroplasty (bi-UKA) with conventional mechanically aligned total knee arthroplasty (TKA). Results showed no significant differences in outcomes and complication rates between the two groups, with both procedures offering similar early clinical outcomes and complication rates up to one year postoperatively. Subgroup analysis also did not reveal any differences in outcomes based on preoperative psychological state, activity levels, and BMI.
BONE & JOINT JOURNAL
(2021)
Article
Psychology, Developmental
Yu Wei Chua, Szu-Ching Lu, Anna Anzulewicz, Krzystof Sobota, Christos Tachtatzis, Ivan Andonovic, Philip Rowe, Jonathan Delafield-Butt
Summary: The study revealed differences in feedforward and feedback mechanisms of prospective action organization between autistic and neurotypical children, suggesting specific developmental trends in movement kinematics in autistic children.
DEVELOPMENTAL SCIENCE
(2022)
Article
Orthopedics
Omer M. Farhan-Alanie, Tareq Altell, Sinead O'Donnell, Pauline May, James Doonan, Philip Rowe, Bryn Jones, Mark J. G. Blyth
Summary: This study compares the ten-year revision rates and patient-reported outcome measures of electromagnetically (EM) navigated and conventional total knee arthroplasty. The results show that there is no difference in revision rates or clinical outcomes between the two methods after ten years of follow-up. Patients who received EM navigated surgery had better outcomes at 3 months post-operatively, but the outcomes were equivalent between the two interventions from 1 to 10 years post-operatively.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Article
Engineering, Multidisciplinary
Omar Shalash, Philip Rowe
Summary: The aim of this research is to develop a low-cost autonomous system for robotic-assisted knee arthroplasty, with a novel image-free registration process to eliminate the need for radioactive scans. The system was tested on artificial tibia bones and compared to the Mako and BlueBelt systems, showing smaller mean and maximum errors.
ALEXANDRIA ENGINEERING JOURNAL
(2023)
Article
Orthopedics
M. S. Banger, J. Doonan, B. G. Jones, A. D. MacLean, P. J. Rowe, M. J. G. Blyth
Summary: This study aimed to compare the differences in the primary outcome of biphasic flexion knee moment during gait between robotic arm-assisted bi-unicompartmental knee arthroplasty (bi-UKA) and conventional mechanically aligned total knee arthroplasty (TKA) at one year post-surgery. The results showed that both interventions were effective in improving gait, but there were residual deficits compared to a healthy age-matched control group.
BONE & JOINT JOURNAL
(2022)
Article
Rehabilitation
Andy Kerr, Madeleine Ann Grealy, Anja Kuschmann, Rosie Rutherford, Philip Rowe
Summary: The prevalence of disabling conditions is increasing globally, and the limited workforce cannot deliver intensive rehabilitation. Technology provides tools for self-rehabilitation but access is limited due to barriers such as cost and poor design. A new centre has been established to develop accessible rehabilitation technology through a co-creation model, currently undergoing testing with stroke survivors, with the potential to revolutionize the way rehabilitation is delivered.
FRONTIERS IN REHABILITATION SCIENCES
(2022)
Article
Orthopedics
M. S. Banger, W. D. Johnston, N. Razii, J. Doonan, P. J. Rowe, B. G. Jones, A. D. MacLean, M. J. G. Blyth
BONE & JOINT JOURNAL
(2020)
Article
Rehabilitation
Nicola J. Hancock, Lee Shepstone, Philip Rowe, Valerie M. Pomeroy
PHYSIOTHERAPY RESEARCH INTERNATIONAL
(2020)