Design and testing of an orthopedic robot for deformity correction

Xiaoyong Wu , Cao Yang , Jie Wang , Jie Zhou , Kanglai Tang , Lin Guo

Biomimetic Intelligence and Robotics ›› 2026, Vol. 6 ›› Issue (1) : 100279

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Biomimetic Intelligence and Robotics ›› 2026, Vol. 6 ›› Issue (1) :100279 DOI: 10.1016/j.birob.2026.100279
Research Article
research-article
Design and testing of an orthopedic robot for deformity correction
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Abstract

Deformity correction has positive significance for limb function reconstruction. To reduce the workload of the physicians and enhance the intelligence level of deformity correction, a wearable orthopedic robot based on traditional deformity correction devices is proposed, and the methodology for deformity correction is studied. By utilizing the homogeneous coordinate transformation method, the inverse kinematics of the robot is derived. Based on the approach of PointNet++, the small-batch gradient descent optimization method is used to train the model, achieving effective segmentation of the point cloud of the robotic system. The mirrored registration strategy based on the healthy contralateral bone is adopted, with the SAC-IA (Sample Consensus Initial Alignment) method for coarse registration and the ICP (Iterative Closest Point) method for fine registration, to measure the deformity parameters of the bone accurately. A physical prototype of the orthopedic robot is constructed, relevant experimental parameters are obtained through the optical measurement equipment, and the robot is driven to perform the deformity correction task based on the inverse kinematics solution. Experimental results confirm the clinical viability of the proposed orthopedic robot.

Keywords

Limb deformity / Orthopedic robot / Parameter measurement / Deformity correction

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Xiaoyong Wu, Cao Yang, Jie Wang, Jie Zhou, Kanglai Tang, Lin Guo. Design and testing of an orthopedic robot for deformity correction. Biomimetic Intelligence and Robotics, 2026, 6(1): 100279 DOI:10.1016/j.birob.2026.100279

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CRediT authorship contribution statement

Xiaoyong Wu: Writing – original draft, Funding acquisition. Cao Yang: Formal analysis, Data curation. Jie Wang: Software, Investigation. Jie Zhou: Visualization, Validation. Kanglai Tang: Supervision, Conceptualization. Lin Guo: Supervision, Methodology.

Declaration of competing interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Acknowledgments

This research is supported the National Natural Science Foundation of China (52305248), the China Postdoctoral Science Foundation, China (2023M734262), the Chongqing Science and Technology Commission of China (CSTB2024NSCQ-MSX0405), the Chongqing Postdoctoral Research Project, China (2023CQBSHTB3070), the Science and Technology Research Program of Chongqing Municipal Education Commission, China (HZ2021011). The first author acknowledges the scholarship from the Chinese Scholarship Council to support his research at the National University of Singapore, Singapore.

Appendix A. Supplementary data

Supplementary material related to this article can be found online at https://doi.org/10.1016/j.birob.2026.100279.

References

[1]

S. Riganti, V. Coppa, L.A. Nasto, M. Di Stadio, M.G. Calevo, A.P. Gigante, S. Boero, Treatment of complex foot deformities with hexapod external fixator in growing children and young adult patients, Foot Ankle Surg. 25 (5) (2019) 623-629, https://doi.org/10.1016/j.fas.2018.07.001.

[2]

J.X. Zhao, C. Li, H. Ren, M. Hao, L.C. Zhang, P.F. Tang, Evolution and current applications of robot-assisted fracture reduction: a comprehensive review, Ann. Biomed. Eng. 48 (1) (2020) 203-224, https://doi.org/10.1007/s10439-019-02332-y.

[3]

Q. Zhu, B. Liang, X. Wang, X. Sun, L. Wang, Minimally invasive treatment of displaced femoral shaft fractures with a teleoperated robot-assisted surgical system, Inj. 48 (10) (2017) 2253-2259, https://doi.org/10.1016/j.injury.2017.07. 014.

[4]

P. Su, Y. Lai, L. Zhang, L. Liu, J. Li, Design and analysis of centering orthopedic bone external fixation robot, Chin. J. Sci. Instrum. 43 (11) (2022) 262-273, https://doi.org/10.19650/j.cnki.cjsi. J2209995.

[5]

K.N.D. Widanage, M.J. De Silva, T. Dulantha Lalitharatne, A.M.J. Bull, R.A.R.C. Gopura, Developments in circular external fixators: A review, Inj. 54 (12) (2023) 111157, https://doi.org/10.1016/j.injury.2023.111157.

[6]

P. Fernando, A. Abeygunawardane, P.C.I. Wijesinghe, P. Dharmaratne, P. Silva, An engineering review of external fixators, Med. Eng. Phys. 98 (2021) 91-103, https://doi.org/1010.1016/j.medengphy.2021.11.002.

[7]

T.A. Einhorn, L.C. Gerstenfeld, Fracture healing: mechanisms and interventions, Nat. Rev. Rheumatol. 11 (1) (2015) 45-54, https://doi.org/10.1038/nrrheum.2014.164.

[8]

T. Liu, Y. Lu, Y. Zhu, Z. Cui, Z. Wang, Study on orthopaedic path planning of taylor spatial frame, Int. J. Med. Robot. Comput. Assist. Surg. 20 (1) (2024) e2606, https://doi.org/10.1002/rcs.2606.

[9]

L.N. Solomin, D. Paley, E.A. Shchepkina, V.A. Vilensky, P.V. Skomoroshko, A comparative study of the correction of femoral deformity between the Ilizarov apparatus and Ortho-SUV frame, Int. Orthop. 38 (4) (2014) 865-872, https://doi.org/10.1007/s00264-013-2247-0.

[10]

J. Kim, J.J. Panakkal, C. Kovoor, S. Kannan, J. Cho, S.S. Lee, Midterm results after tibiotalar or tibiotalocalcaneal fusion using an Ilizarov external fixator, Clin. Orthop. Surg. 16 (4) (2024) 636-640, https://doi.org/10.4055/cios24003.

[11]

M. Danişman, E.T. Yilmaz, E. Özdemir, O. Tuncay, G. Yilmaz, Accuracy of the hexapod external fixator in treating tibial angular deformities with or without limb length discrepancy: a retrospective study, J. Pediatr. Orthop. B 32 (6) (2023) 611-616, https://doi.org/10.1097/BPB.

[12]

V.A. Vilensky, A.P. Pozdeev, E.V. Bukharev, A.A. Pozdeev, T.F. Zubairov, L.N. Solomin, Orthopedic hexapods: history, present and prospects, Pediatr. Traumatol. Orthop. Reconstr. Surg. 3 (1) (2015) 61-69, https://doi.org/10.17816/PTORS3161-69.

[13]

N. Ferreira, F. Birkholtz, Radiographic analysis of hexapod external fixators: fundamental differences between the taylor spatial frame and TrueLok-Hex, J. Med. Eng. Technol. 39 (3) (2015) 173-176, https://doi.org/10.3109/03091902.2015.1025993.

[14]

M. Dhawan, A. Sharma, R. Chauhan, V. Vig, M. Prasad, Taylor spatial frame versus ortho SUV for correction of lower limb deformities: A comparative study, J. Mar. Med. Soc. 25 (2) (2023) 109-114, https://doi.org/10.4103/jmms.jmms_130_22.

[15]

Y. Manggala, C. Angthong, A. Primadhi, S. Kungwan, The deformity correction and fixator-assisted treatment using Ilizarov versus Taylor spatial frame in the foot and ankle, Orthop. Rev. 9 (4) (2018) 7337, https://doi.org/10.4081/or. 2017.7337.

[16]

S. Dabash, E. Potter, G. Catlett, W. McGarvey, Taylor spatial frame in treatment of equinus deformity, Strat. Trauma Limb Reconstr. 15 (1) (2020) 28-33, https://doi.org/10.5005/jp-journals-10080-1452.

[17]

Z. He, P. Wang, Y. Song, T. Sun, A wearable robot for lower limb fracture reduction and rehabilitation: Design and experimental verification, Mech. Mach. Theory 203 (2024) 105806, https://doi.org/10.1016/j.mechmachtheory.2024.105806.

[18]

S. Dabash, E. Potter, G. Catlett, W. McGarvey, Taylor spatial frame in treatment of equinus deformity, Strat. Trauma. Limb Reconstr. 15 (1) (2020) 28-33, https://doi.org/10.5005/jp-journals-10080-1452.

[19]

P. Tang, L. Hu, H. Du, M. Gong, L. Zhang, Novel 3D hexapod computer-assisted orthopaedic surgery system for closed diaphyseal fracture reduction, Int. J. Med. Robot. Comput. Assist. Surg. 8 (1) (2012) 17-24, https://doi.org/10.1002/rcs.417.

[20]

C. Fu, J. Fan, S. Wang, Q. Liang, Modelling of spatial pose of ortho-SUV frame and mathematical solution, J. Shanghai Jiaotong Univ. 54 (10) (2020) 1007, https://doi.org/10.16183/j.cnki.jsjtu.2019.017.

[21]

M.H. Abedinnasab, F. Farahmand, J. Gallardo-Alvarado, The wide-open three-legged parallel robot for long-bone fracture reduction, ASME J. Mech. Robot. 9 (1) (2017) 015001, https://doi.org/10.1115/1.4035495.

[22]

X. Wu, J. Zhou, J. Ding, K. Wang, K. Tang, H. Yu, S. Bai, Stiffness modulation of an orthopedic robot based on large-range variable stiffness mechanisms, Mech. Mach. Theory 215 (2025) 106184, https://doi.org/10.1016/j.mechmach theory.2025.106184.

[23]

D. Liu, J. Liang, H. Yang, Combining robotics and 3D printing facilitates closed reduction of humeral shaft fractures using a minimally invasive plate as a reduction template: A proof-of-concept study, Int. J. Med. Robot. Comput. Assist. Surg. 20 (4) (2024) e2656, https://doi.org/10.1002/rcs.2656.

[24]

X. Wu, S. Bai, Architectural singularities of parallel mechanisms with prismatic joints due to special designs of platform shapes, Mech. Sci. 10 (2) (2019) 449-464, https://doi.org/10.5194/ms-10-449-2019.

[25]

B. An, J. Chen, H. Sun, M. Yin, Z. Song, C. Zhuang, C. Chang, M. Liu, Optimization of fracture reduction robot controller based on improved sparrow algorithm, Biomim. Intell. Robot. 3 (4) (2023) 100120, https://doi.org/10.1016/j.birob.2023.100120.

[26]

C. Li, X. Lin, Z. Liao, H. Wu, Z. Xu, X. Zhou, A fast registration method for multi-view point clouds with low overlap in robotic measurement, Biomim. Intell. Robot. 5 (2) (2025) 100195, https://doi.org/10.1016/j.birob.2024. 100195.

[27]

B. Akhbari, K.N. Shah, A.M. Morton, J. Molino, D.C. Moore, S.W. Wolfe, A.C. Weiss, J.J. Crisco, Total wrist arthroplasty alignment and its potential association with clinical outcomes, J. Wrist Surg. 10 (4) (2021) 308-315, https://doi.org/10.1055/s-0041-1725172.

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