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Orthopedic
                                                Osteomorphs – the                                                             surgical robots

                                                power ranger bone cells

                                                                                                                              Orthopedic procedures using robots are less
                                                Institute of Medical Research have                                            intrusive and deliver reproducible accuracy,
                                                discovered a new type of bone cell                                            resulting in shorter hospital stays and quicker
                                                called ‘osteomorphs’ that may                                                 recovery times.
                                                reveal new therapeutic approaches
                                                for osteoporosis and other skeletal                                           i. Semi-active robots-
                                                diseases. Osteoclasts split into                                              By offering an eminent combination of
                                                smaller fragments to form                                                     flexibility and accuracy, these robots are
                                                osteomorphs which fuse together                                               outperforming the conventional orthopedic
                                                forming osteoclasts again.                                                    surgical robots and proving their mettle in
                                                Therefore, the cosmos has called it                                           delivering effective care. Semi-active robots
                                                a “recyclable cell”.                                                          also provide user-friendly interfaces for easy
                                                                                       Figure - 3D microscopy image of
                                                                                                                              access and make the surgeries minimally
                                                                                              osteomorphs
                                                They are also found in the blood                                              invasive as well as highly accurate.
                                                                                       (source-cosmosmagazine.com)
                                                and bone marrow wherein they are                                                                                                Smart sensors will have
                                                maintained as reserve of cells that                                           ii. Patient-specific templates
                                                                                    A better understanding of these
     Frodosome -                                are ready to fuse and deploy when   cells and the genes that control          These templates enable the development of         applications in four arenas-
                                                osteoclasts are needed again.
                                                                                                                              3-dimensional surgical plans for
                                                                                    them may reveal new therapeutic
     new organelle                              Researchers found that 17 out of a   targets for skeletal disease.            implementation, along with rapid designing        i. Smart Tools in the OR: Smart instruments with embed-
                                                total of 40 genes detected in
     named after                                osteomorphs impact the amount of     rug-targets-for-osteoporosis-and-other-s  and manufacturing of tailor-made drilling and    ded sensors will help surgeons position the implant and balance
                                                                                                                              cutting templates. Robotic intervention in
     'the hobbit' hero                          bone and bone strength, indicating   keletal-diseases/                        orthopedic surgeries offers immense scope for     the load during surgery.
                                                a critical role in bone maintenance.
                                                                                                                              the effective application of these templates
                                                                                     2.https://cosmosmagazine.com/science/                                                      ii. Smart Diagnostics on Demand: It will relay diagnos-
                                                During animal experiments have       biology/new-recyclable-bone-cell/        onto the affected joint surfaces.
     Scientists have recently discovered a      been linked to human gene                                                                                                       tic data from inside the patient to the surgeon during regular
     new membrane-less fluid-like                variants that lead to skeletal       3.https://www.eurekalert.org/pub_releas                                                    patient follow-up visits.
     structure involved in bone metastasis.     dysplasia and control bone mineral   es/2021-02/giom-nto021821.php#:~:text=   Smart sensors for better
     It is unofficially named as the                                                  The%20new%20cells%2C%20which%20t         diagnosis and                                     iii. Smart Diagnostics by Exception: It will send
                                                                                     he,yet%20unexplored%20targets%20for
     "frodosome" or "wise" organelle.           density.                             %20therapy.                                                                                wireless data when they detect issues, like early infection,
                                                Source -                                                                      patient-care                                      osteolysis and stress shielding.
     It was discovered accidently while         1.https://www.genengnews.com/news/new-
     scientist were studying DACT1 gene         bone-cell-type-identified-could-point-to-d                                     Smart implants provide built-in sensors to
     which suppresses critical signaling                                                                                      offer real-time tracking and post-operative       iv. Treatment by Exception: It will detect a problem and
     pathways in cells that help in early                                                                                     evaluation details to surgeons for better         “self-treat” the patient by delivering drug therapies or stimula-
     bone development and influence                                                                                                                                              tion locally as needed. They may deliver antibiotics or growth
     cancer progression.  The researchers                                                                                     patient safety across the clinical process.       factors long after surgery.
     think that frodosomes form when the
     protein DACT1 binds to other               Source -
     free-floating proteins and molecules
     in the cell.                               1.https://www.news-medical.net/news/20210309/Princeton-researche
                                                rs-discover-previously-unknown-organelle-that-plays-role-in-bone-m
     The DCT1 gene regulates the Wnt            etastasis.aspx
     signaling pathway of cancer                                                                                                                                                Source -
     metastasis. The frodosome plays a          2.https://www.livescience.com/new-frodosome-organelle-cancer.html                                                               1.https://www.persistencemarketresearch.com/market-research/orthopedic-s
     part in the spread of bone tumor by                                                                                                                                        urgical-robots-market.asp
     suppressing the Wnt pathway.               3.https://www.princeton.edu/news/2021/03/09/princeton-team-disco                                                                2.https://orthostreams.com/2020/09/update-on-the-12-major-surgical-roboti
                                                                                                                                                                                cs-systems-today/
     It's too early to say whether the          vers-new-organelle-involved-cancer-metastasis#:~:text=Princeton%20                                                              3.https://orthostreams.com/disruptive-trend-in-orthopedics-the-smart-impla
     frodosome will be a good drug              cancer%20researchers%20Yibin%20Kang,materials%20merge%20into                                                                    nt-revolution/
     target in metastatic cancer, but the       %20each%20other.                                                                                                                4.https://www.imcgrupo.com/the-latest-technological-innovations-in-orthop
     discovery is definitely an exciting                                                                                                                                         edic-surgery-2020-technology/
     phenomenon.                                                                                                                                                                Disclaimer: The contents of this page are formulated solely to render information about
                                                                                                                                       Smart                                    the latest technologies and inventions in orthopedics. This information is sourced from
                                                                                                                                       sensors                                  various online resources and may contain repetition of words, thoughts and ideas
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