title: Improving accuracy of bone resections using robotics tool holder and a high speed milling cutting tool.
abstract: The use of non-cemented prosthetic components in implant surgery is demanding a high quality of bone beds in order to allow for a good level of osseointegration. Two parameters are significant in the evaluation of the quality of the host bone: roughness, which reports on the presence of gaps and peeks, and flatness, which reports on the total percentage of bone which lies in a given interval from the prosthesis. Robot assisted cutting of 32 pig femours and tibiae was performed using various techniques and options. This paper demonstrates roughness and flatness can be taken of the order of the limits necessary for osseointegration, by using a milling cutting tool mounted on a strong support, in this case a robot arm, improving on the results obtained by similar studies referred to hand sawed bones by 10 times.
authors.affiliation: Istituti Ortopedici Rizzoli, Laboratorio di Biomeccanica, Bologna, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Fadda
authors.forename: M
authors.initials: M
authors.lastname: Marcacci
authors.forename: S
authors.initials: S
authors.lastname: Toksvig-Larsen
authors.forename: T
authors.initials: T
authors.lastname: Wang
authors.forename: R
authors.initials: R
authors.lastname: Meneghello
mesh_terms: D000704:Analysis of Variance; D000818:Animals; D017076:Computer-Aided Design; D005269:Femur / Q000473:pathology / Q000601:surgery*; D007720:Knee Prosthesis; D016018:Least-Squares Analysis; D016348:Osseointegration; D010027:Osteotomy / Q000295:instrumentation*; D010865:Pilot Projects; D012371:Robotics / Q000295:instrumentation*; D013499:Surface Properties; D013552:Swine; D013977:Tibia / Q000473:pathology / Q000601:surgery*