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The lower-limb assistance exoskeleton is increasingly being utilized in various fields due to its excellent performance in human body assistance. As a crucial component of robots, the joint is expected to be designed with a high-output torque to support hip and knee movement, and lightweight to enhance user experience. Contrasted with the elastic actuation with harmonic drive and other flexible transmission, the non-elastic quasi-direct actuation is more promising to be applied in exoskeleton due to its advanced dynamic performance and lightweight feature. Moreover, robot joints are commonly driven electrically, especially by a permanent magnet synchronous motor which is rapidly developed because of its compact structure and powerful output. Based on different topological structures, numerous research focus on torque density, ripple torque suppression, efficiency improvement, and thermal management to improve motor performance. Furthermore, the elaborated joint with powerful motors should be controlled compliantly to improve flexibility and interaction, and therefore, popular complaint control algorithms like impedance and admittance controls are discussed in this paper. Through the review and analysis of the integrated design from mechanism structure to control algorithm, it is expected to indicate developmental prospects of lower-limb assistance exoskeleton joints with optimized performance.
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http://dx.doi.org/10.3390/s25134016 | DOI Listing |
Cureus
August 2025
Orthopedics, College of Medicine, King Saud University, Riyadh, SAU.
Background: Gradual correction of lower-limb angular deformities using external fixators such as the Taylor Spatial Frame (TSF) is a well-established technique for addressing complex, multiplanar deformities. A common yet understudied adjunct to this method is the use of a distal tibio-fibular syndesmotic screw to stabilize the ankle mortise during correction. Despite being frequently practiced, the necessity and efficacy of this intervention remain unclear.
View Article and Find Full Text PDFPhlebology
September 2025
Department of Orthopeadics, DongGuan Tungwah Hospital, DongGuan, China.
ObjectiveLower extremity varicose veins are a common chronic venous disorder, affecting approximately 23% of adults globally. Although endovenous thermal ablation, particularly radiofrequency ablation (RFA), has become the preferred treatment, post-procedural deep vein thrombosis (DVT) remains a concern. The necessity of pharmacologic prophylaxis following RFA remains controversial.
View Article and Find Full Text PDFKnee Surg Sports Traumatol Arthrosc
September 2025
Department of Orthopaedic Surgery and Traumatology, Ghent University, Ghent, Belgium.
Purpose: Robot-assisted total knee arthroplasty (RATKA) aims to improve surgical precision and outcomes. This study compared clinical and radiological outcomes between RATKA and conventional total knee arthroplasty (CTKA).
Methods: A systematic review was conducted in accordance with PRISMA guidelines, including prospective studies (Level I/II evidence) from MEDLINE, Embase, Web of Science, and the Cochrane Library, up to 20 May 2025.
Ann Vasc Surg
September 2025
Department of Vascular Surgery, Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China. Electronic address:
Objective: To assess the efficacy and safety of ultrasound-guided electrocoagulation for pathological perforating veins in advanced lower extremity chronic venous insufficiency.
Methods: This study enrolled 455 patients (497 affected limbs) with venous insufficiency. Pathological perforating veins (diameter ≥3.
Microsurgery
September 2025
Department of Plastic Surgery and Burns, Hospital del Trabajador, Santiago, Chile.
Background: When indocyanine green lymphography (ICG-L) fails to display a linear pattern, preoperative planning for lymphovenous anastomosis (LVA) becomes challenging. Given the anatomical symmetry of lymphatics in extremities, the healthy limb can serve as a template for the affected one. This study introduces an accessible technique that uses augmented reality (AR) to mirror the lymphatic anatomy of the unaffected limb onto the affected side to assist in surgical planning.
View Article and Find Full Text PDF