Research hotspots and trends of robot-assisted orthopedic surgery from 2003 to 2023_West China Medical Journal

Authors：

ZHANG Zhilei , SONG Jingang , YIN Zhenyu , YANG Gangyi , CHU Jiasheng , WEI Yulin ,  ZHAO Bing

Department of Spinal Surgery, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;

Corresponding author：

ZHAO Bing, Email: zhaob651@sohu.com

Keywords：

Robot-assisted surgery; orthopedics; bibliometrics; total knee arthroplasty

DOI：

10.7507/1002-0179.202409007

Video：

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Objective To conduct a systematic bibliometric analysis of recent research on robot-assisted orthopedic surgery, in order to reveal the research trends, hotspots, main contributors, and future development directions in this field. Methods On August 27, 2024, WoSCC (Web of Science Core Collection Database) was searched and relevant literature on robot-assisted orthopedic surgery from 2003 to 2023 was included. Excel 2016, VOSviewer (version 1.6.10), and CiteSpace (version 6.2.R6) were used for data collection and analysis. Results The total citation frequency of 1718 retrieved literature was 28978 times, with an average citation frequency of 16.87 times per article. The total citation frequency of articles in 2019 was the highest (4330 times), and the publication volume in 2023 was the highest (315 articles). Among the top 5 countries in terms of publication volume, the United States had the highest publication volume and total citation frequency, while China ranked second in terms of publication volume, but had the lowest average citation frequency per article. Analysis of cooperation between countries showed that the United States, China, Germany, and other countries had the most cooperation. Babar Kayani’s articles were cited the most frequently. Among the top 10 institutions in terms of publication volume, the Hospital for Special Surgery (United States) had the highest publication volume, the Pennsylvania State System of Higher Education (United States) had the highest total citation frequency for publications, and the average citation frequency of each article published by the University of Pittsburgh (United States) was the highest. The dynamic evolution of research hotspots suggested that early research mainly focused on the combination of traditional surgical techniques and navigation, while in recent years, research had mainly focused on computer-aided surgery, augmented reality, and medical robotics technology. Conclusions In recent years, significant progress has been made in the research of robot-assisted orthopedic surgery, with the United States taking a leading position in this field and having extensive global cooperation. Research hotspots show that with the continuous development of computer-aided surgery, augmented reality, and robotics technology, the field of orthopedic surgery is evolving towards more precise, individualized, and minimally invasive directions.

Citation： ZHANG Zhilei, SONG Jingang, YIN Zhenyu, YANG Gangyi, CHU Jiasheng, WEI Yulin, ZHAO Bing. Research hotspots and trends of robot-assisted orthopedic surgery from 2003 to 2023. West China Medical Journal, 2024, 39(12): 1917-1921. doi: 10.7507/1002-0179.202409007 Copy

1.	Woodley SJ, Lawrenson P, Boyle R, et al. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev, 2020, 5(5): CD007471.
2.	Lemos JL, Welch JM, Xiao M, et al. Is Frailty associated with adverse outcomes after orthopaedic surgery?: a systematic review and assessment of definitions. JBJS Rev, 2021, 9(12): e21.
3.	Karthik K, Colegate-Stone T, Dasgupta P, et al. Robotic surgery in trauma and orthopaedics: a systematic review. Bone Joint J, 2015, 97B(3): 292-299.
4.	Innocenti B, Bori E. Robotics in orthopaedic surgery: why, what and how?. Arch Orthop Trauma Surg, 2021, 141(12): 2035-2042.
5.	Parsley BS. Robotics in orthopedics: a brave new world. J Arthroplasty, 2018, 33(8): 2355-2357.
6.	Biswas P, Sikander S, Kulkarni P. Recent advances in robot-assisted surgical systems. Biomed Eng Adv, 2023: 100109.
7.	Suarez-Ahedo C, Lopez-Reyes A, Martinez-Armenta C, et al. Revolutionizing orthopedics: a comprehensive review of robot-assisted surgery, clinical outcomes, and the future of patient care. J Robot Surg, 2023, 17(6): 2575-2581.
8.	李苗苗, 吴雪, 景城阳, 等. 快速综述在医学研究领域应用现状的文献计量学分析. 中国全科医学, 2024, 27(33): 4215-4224.
9.	Rahman J, Al-Tawil K, Khan WS. Use of robotic-assisted surgery in orthopedics//Iyer KM, Khan WS. General principles of orthopedics and trauma. Cham: Springer International Publishing, 2019: 629-637.
10.	Li C, Wang L, Perka C, et al. Clinical application of robotic orthopedic surgery: a bibliometric study. BMC Musculoskelet Disord, 2021, 22(1): 968.
11.	Sparacino A, Giacomini M, Paoli G, et al. Robotic arm assisted surgery in orthopaedics: a health technology assessment evaluation in Liguria region. Mediterranean: IEEE, 2020: F16-F18.
12.	Kayani B, Konan S, Tahmassebi J, et al. Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study. Bone Joint J, 2018, 100B(7): 930-937.
13.	Chang J, Yu L, Li Q, et al. Development and clinical trial of a new orthopedic surgical robot for positioning and navigation. J Clin Med, 2022, 11(23): 7091.
14.	Ren Y, Cao S, Wu J, et al. Efficacy and reliability of active robotic-assisted total knee arthroplasty compared with conventional total knee arthroplasty: a systematic review and meta-analysis. Postgrad Med J, 2019, 95(1121): 125-133.
15.	Yu CC, Carreon LY, Glassman SD, et al. Propensity-matched comparison of 90-day complications in robotic-assisted versus non-robotic assisted lumbar fusion. Spine (Phila Pa 1976), 2022, 47(3): 195-200.
16.	Ghaednia H, Fourman MS, Lans A, et al. Augmented and virtual reality in spine surgery, current applications and future potentials. Spine J, 2021, 21(10): 1617-1625.
17.	Godzik J, Farber SH, Urakov T, et al. “Disruptive technology” in spine surgery and education: virtual and augmented reality. Oper Neurosurg (Hagerstown), 2021, 21(Suppl 1): S85-S93.
18.	Verhey JT, Haglin JM, Verhey EM, et al. Virtual, augmented, and mixed reality applications in orthopedic surgery. Int J Med Robot, 2020, 16(2): e2067.
19.	Sousa PL, Sculco PK, Mayman DJ, et al. Robots in the operating room during hip and knee arthroplasty. Curr Rev Musculoskelet Med, 2020, 13(3): 309-317.
20.	Bautista M, Manrique J, Hozack WJ. Robotics in total knee arthroplasty. J Knee Surg, 2019, 32(7): 600-606.

1. Woodley SJ, Lawrenson P, Boyle R, et al. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev, 2020, 5(5): CD007471.
2. Lemos JL, Welch JM, Xiao M, et al. Is Frailty associated with adverse outcomes after orthopaedic surgery?: a systematic review and assessment of definitions. JBJS Rev, 2021, 9(12): e21.
3. Karthik K, Colegate-Stone T, Dasgupta P, et al. Robotic surgery in trauma and orthopaedics: a systematic review. Bone Joint J, 2015, 97B(3): 292-299.
4. Innocenti B, Bori E. Robotics in orthopaedic surgery: why, what and how?. Arch Orthop Trauma Surg, 2021, 141(12): 2035-2042.
5. Parsley BS. Robotics in orthopedics: a brave new world. J Arthroplasty, 2018, 33(8): 2355-2357.
6. Biswas P, Sikander S, Kulkarni P. Recent advances in robot-assisted surgical systems. Biomed Eng Adv, 2023: 100109.
7. Suarez-Ahedo C, Lopez-Reyes A, Martinez-Armenta C, et al. Revolutionizing orthopedics: a comprehensive review of robot-assisted surgery, clinical outcomes, and the future of patient care. J Robot Surg, 2023, 17(6): 2575-2581.
8. 李苗苗, 吴雪, 景城阳, 等. 快速综述在医学研究领域应用现状的文献计量学分析. 中国全科医学, 2024, 27(33): 4215-4224.
9. Rahman J, Al-Tawil K, Khan WS. Use of robotic-assisted surgery in orthopedics//Iyer KM, Khan WS. General principles of orthopedics and trauma. Cham: Springer International Publishing, 2019: 629-637.
10. Li C, Wang L, Perka C, et al. Clinical application of robotic orthopedic surgery: a bibliometric study. BMC Musculoskelet Disord, 2021, 22(1): 968.
11. Sparacino A, Giacomini M, Paoli G, et al. Robotic arm assisted surgery in orthopaedics: a health technology assessment evaluation in Liguria region. Mediterranean: IEEE, 2020: F16-F18.
12. Kayani B, Konan S, Tahmassebi J, et al. Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study. Bone Joint J, 2018, 100B(7): 930-937.
13. Chang J, Yu L, Li Q, et al. Development and clinical trial of a new orthopedic surgical robot for positioning and navigation. J Clin Med, 2022, 11(23): 7091.
14. Ren Y, Cao S, Wu J, et al. Efficacy and reliability of active robotic-assisted total knee arthroplasty compared with conventional total knee arthroplasty: a systematic review and meta-analysis. Postgrad Med J, 2019, 95(1121): 125-133.
15. Yu CC, Carreon LY, Glassman SD, et al. Propensity-matched comparison of 90-day complications in robotic-assisted versus non-robotic assisted lumbar fusion. Spine (Phila Pa 1976), 2022, 47(3): 195-200.
16. Ghaednia H, Fourman MS, Lans A, et al. Augmented and virtual reality in spine surgery, current applications and future potentials. Spine J, 2021, 21(10): 1617-1625.
17. Godzik J, Farber SH, Urakov T, et al. “Disruptive technology” in spine surgery and education: virtual and augmented reality. Oper Neurosurg (Hagerstown), 2021, 21(Suppl 1): S85-S93.
18. Verhey JT, Haglin JM, Verhey EM, et al. Virtual, augmented, and mixed reality applications in orthopedic surgery. Int J Med Robot, 2020, 16(2): e2067.
19. Sousa PL, Sculco PK, Mayman DJ, et al. Robots in the operating room during hip and knee arthroplasty. Curr Rev Musculoskelet Med, 2020, 13(3): 309-317.
20. Bautista M, Manrique J, Hozack WJ. Robotics in total knee arthroplasty. J Knee Surg, 2019, 32(7): 600-606.

West China Medical Journal

Research hotspots and trends of robot-assisted orthopedic surgery from 2003 to 2023

Abstract Full text Figures/Tables Video References Cited by

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