RESUMO
Computer-assisted orthopedic surgery (CAOS) systems have become one of the most important and challenging types of system in clinical orthopedics, as they enable precise treatment of musculoskeletal diseases, employing modern clinical navigation systems and surgical tools. This paper brings a comprehensive review of recent trends and possibilities of CAOS systems. There are three types of the surgical planning systems, including: systems based on the volumetric images (computer tomography (CT), magnetic resonance imaging (MRI) or ultrasound images), further systems utilize either 2D or 3D fluoroscopic images, and the last one utilizes the kinetic information about the joints and morphological information about the target bones. This complex review is focused on three fundamental aspects of CAOS systems: their essential components, types of CAOS systems, and mechanical tools used in CAOS systems. In this review, we also outline the possibilities for using ultrasound computer-assisted orthopedic surgery (UCAOS) systems as an alternative to conventionally used CAOS systems.
Assuntos
Doenças Musculoesqueléticas/cirurgia , Procedimentos Ortopédicos/tendências , Robótica/tendências , Cirurgia Assistida por Computador/tendências , Humanos , Imageamento Tridimensional/tendências , Doenças Musculoesqueléticas/fisiopatologia , Tomografia Computadorizada por Raios X/tendênciasRESUMO
INTRODUCTION: Equinus contracture is a serious disability and attention should be paid to proper and effective treatment. Most attention is given to neurologically impaired patients, but the incidence of equinus contracture is much higher, for example, in post-traumatic patients. In addition to conventional physical therapy, robotic rehabilitation treatment is one of the promising procedures to precede severe contraction cases and the need for surgery. AREAS COVERED: This study aims to cover the description of different types of stationary and wearable ankle rehabilitation devices suitable for the treatment of equinus contracture and point to deficiency in research, clinical trials, and launch of the market. EXPERT OPINION: This review provides insight into ankle rehabilitation devices with a focus on equinus contracture. Due to the fact that robotic devices successfully restore the condition of patients, attention should not be paid only to those with neurological impairments. This paper points that future research should be effectively linked to clinical practice with the aim of covering a wider range of disabilities and make an effort to successfully introduce devices from development into the practice.
Assuntos
Pé Equino , Procedimentos Ortopédicos , Humanos , Pé Equino/etiologia , Pé Equino/cirurgia , Tornozelo/cirurgia , Articulação do Tornozelo/cirurgia , Resultado do TratamentoRESUMO
The aim of the paper is to design, manufacture, and test an off-axis composite profile of circular cross-section. Composite profile based on continuous carbon fibers reinforcing the onyx matrix, i.e., a matrix that consists of nylon and micro carbon fibers, was produced by fused deposition modeling (FDM) method. A buckling test of the six printed composite specimens was performed on a tensile test machine. The values of the experiment were compared with the values of the computational simulation using the Finite Element Method (FEM) analysis. The mean value of the experimentally determined critical force at which the composite profile failed was 3102 N, while the value of the critical force by FEM analysis was calculated to be 2879 N. Thus, reliability of the simulation to determine the critical force differed from the experimental procedure by only 7%. FEM analysis revealed that the primary failure of 3D printed composite parts was not due to loss of stability, but due to material failure. With great accuracy, the results of the comparison show that it is possible to predict the mechanical properties of 3D printed composite laminates on the basis of a theoretical model.