Application of robot in orthopedic surgery: reliability and room for improvement.

BACKGROUND: Orthopedic surgery robot is a new medical device which integrates many disciplines and fields, such as medicine, electronic informatics and mechanical physics. It is an important development direction of modem medical informationization, programmable control and intellectualization, and has a wide application prospect in orthopedic surgery. OBJECTIVE: To explore the application reliability and room for promotion of robots in orthopedic surgery. METHODS: CNKI, VIP, Wan Fang and PubMed databases were retrieved by using the keywords of "robot, orthopedics, surgery, accuracy" in Chinese and English, respectively for the articles published before June 2019. Forty-nine eligible articles were enrolled based on inclusion criteria. The key problems of surgery robot in orthopedics were reviewed. RESULTS AND CONCLUSION: (1) There are many researches on orthopedic surgical robots, and the methods are mature, but the domestic research on surgical robots Is still In the primary stage compared with developed countries. (2) The technology of orthopedic surgical robots Is moving towards the directions of human-machine intelligence, image refinement, morphological refinement, non-invasive surgery, and remote controllable fluidization. (3) Promoting independent research and development of orthopedic surgical robots, fonnulating industry standards and clinical standards in an all-round way will be an important direction for the devalopment of intelligent medical devices and equipment in China. [ABSTRACT FROM AUTHOR]