nach oben

International Orthopaedics

Erschienen in:

18.09.2017 | Original Paper

Computer aided planning of orthopaedic surgeries: the definition of generic planning steps for bone removal procedures

verfasst von: David Putzer, Jose Luis Moctezuma, Michael Nogler

Erschienen in: International Orthopaedics | Ausgabe 11/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

An increasing number of orthopaedic surgeons are using computer aided planning tools for bone removal applications. The aim of the study was to consolidate a set of generic functions to be used for a 3D computer assisted planning or simulation.

Methods

A limited subset of 30 surgical procedures was analyzed and verified in 243 surgical procedures of a surgical atlas. Fourteen generic functions to be used in 3D computer assisted planning and simulations were extracted.

Results

Our results showed that the average procedure comprises 14 ± 10 (SD) steps with ten different generic planning steps and four generic bone removal steps.

Conclusions

In conclusion, the study shows that with a limited number of 14 planning functions it is possible to perform 243 surgical procedures out of Campbell’s Operative Orthopedics atlas. The results may be used as a basis for versatile generic intraoperative planning software.

Lundstrom C, Rydell T, Forsell C, Persson A, Ynnerman A (2011) Multi-touch table system for medical visualization: application to orthopedic surgery planning. IEEE Trans Vis Comput Graph 17(12):1775–1784. https://doi.org/10.1109/TVCG.2011.224 CrossRefPubMed

Fadero PE, Shah M (2014) Three dimensional (3D) modelling and surgical planning in trauma and orthopaedics. Surgeon 12(6):328–333. https://doi.org/10.1016/j.surge.2014.03.008 CrossRefPubMed

Hara S, Mitsugi M, Kanno T, Nomachi A, Wajima T, Tatemoto Y (2013) Three-dimensional virtual operations can facilitate complicated surgical planning for the treatment of patients with jaw deformities associated with facial asymmetry: a case report. Int J Oral Sci 5(3):176–182. https://doi.org/10.1038/ijos.2013.48 CrossRefPubMedPubMedCentral

Hassani H, Cherix S, Ek ET, Rudiger HA (2014) Comparisons of preoperative three-dimensional planning and surgical reconstruction in primary cementless total hip arthroplasty. J Arthroplast 29(6):1273–1277. https://doi.org/10.1016/j.arth.2013.12.033 CrossRef

Hirao M, Ikemoto S, Tsuboi H, Akita S, Ohshima S, Saeki Y, Yoshikawa H, Sugamoto K, Murase T, Hashimoto J (2014) Computer assisted planning and custom-made surgical guide for malunited pronation deformity after first metatarsophalangeal joint arthrodesis in rheumatoid arthritis: a case report. Comput Aided Surg 19(1-3):13–19. https://doi.org/10.3109/10929088.2014.885992 CrossRefPubMedPubMedCentral

Lee SW, Shinohara H, Matsuki M, Okuda J, Nomura E, Mabuchi H, Nishiguchi K, Takaori K, Narabayashi I, Tanigawa N (2003) Preoperative simulation of vascular anatomy by three-dimensional computed tomography imaging in laparoscopic gastric cancer surgery. J Am Coll Surg 197(6):927–936. https://doi.org/10.1016/j.jamcollsurg.2003.07.021 CrossRefPubMed

Hu Y, Malthaner RA (2007) The feasibility of three-dimensional displays of the thorax for preoperative planning in the surgical treatment of lung cancer. Eur J Cardiothorac Surg 31(3):506–511. https://doi.org/10.1016/j.ejcts.2006.11.054 CrossRefPubMed

Shiozawa M, Sata N, Endo K, Koizumi M, Yasuda Y, Nagai H, Takakusaki H (2009) Preoperative virtual simulation of adrenal tumors. Abdom Imaging 34(1):113–120. https://doi.org/10.1007/s00261-008-9364-z CrossRefPubMed

Handels H, Ehrhardt J, Plotz W, Poppl SJ (2000) Virtual planning of hip operations and individual adaption of endoprostheses in orthopaedic surgery. Int J Med Inform 58-59:21–28CrossRefPubMed

10.

Ribeiro CH, Severino NR, Fucs PM (2013) Preoperative surgical planning versus navigation system in valgus tibial osteotomy: a cross-sectional study. Int Orthop 37(8):1483–1486. https://doi.org/10.1007/s00264-013-1960-z CrossRefPubMedPubMedCentral

11.

Cartiaux O, Paul L, Francq BG, Banse X, Docquier PL (2014) Improved accuracy with 3D planning and patient-specific instruments during simulated pelvic bone tumor surgery. Ann Biomed Eng 42(1):205–213. https://doi.org/10.1007/s10439-013-0890-7 CrossRefPubMed

12.

Cartiaux O, Docquier PL, Paul L, Francq BG, Cornu OH, Delloye C, Raucent B, Dehez B, Banse X (2008) Surgical inaccuracy of tumor resection and reconstruction within the pelvis: an experimental study. Acta Orthop 79(5):695–702. https://doi.org/10.1080/17453670810016731 CrossRefPubMed

13.

Bellanova L, Paul L, Docquier PL (2013) Surgical guides (patient-specific instruments) for pediatric tibial bone sarcoma resection and allograft reconstruction. Sarcoma 2013:787653. https://doi.org/10.1155/2013/787653 CrossRefPubMedPubMedCentral

14.

Scholes C, Sahni V, Lustig S, Parker DA, Coolican MR (2014) Patient-specific instrumentation for total knee arthroplasty does not match the pre-operative plan as assessed by intra-operative computer-assisted navigation. Knee Surg Sports Traumatol Arthrosc 22(3):660–665. https://doi.org/10.1007/s00167-013-2670-1 CrossRefPubMed

15.

Pietsch M, Djahani O, Hochegger M, Plattner F, Hofmann S (2013) Patient-specific total knee arthroplasty: the importance of planning by the surgeon. Knee Surg Sports Traumatol 21(10):2220–2226. https://doi.org/10.1007/s00167-013-2624-7 CrossRef

16.

Canale ST (2003) Campbell's operative orthopaedics, vol 4, 10th edn. Mosby, St. Louis, MO, USA

17.

Canale ST (2003) Campbell's operative orthopaedics, vol 2, 10th edn. Mosby, St. Louis, MO, USA

18.

Canale ST (2003) Campbell's operative orthopaedics, vol 3, 10th edn. Mosby, St. Louis, MO, USA

19.

Canale ST (2003) Campbell's operative orthopaedics, vol 1, 10th edn. Mosby, St. Louis, MO, USA

20.

Chin PL, Yang KY, Yeo SJ, Lo NN (2005) Randomized control trial comparing radiographic total knee Arthroplasty implant placement using computer navigation versus conventional technique. J Arthroplast 20(5):618–626. https://doi.org/10.1016/j.arth.2005.04.004 CrossRef

21.

Manzotti A, Cerveri P, De Momi E, Pullen C, Confalonieri N (2011) Does computer-assisted surgery benefit leg length restoration in total hip replacement? Navigation versus conventional freehand. Int Orthop 35(1):19–24. https://doi.org/10.1007/s00264-009-0903-1 CrossRefPubMed

22.

Baier C, Wolfsteiner J, Otto F, Zeman F, Renkawitz T, Springorum HR, Maderbacher G, Grifka J (2017) Clinical, radiological and survivorship results after ten years comparing navigated and conventional total knee arthroplasty: a matched-pair analysis. Int Orthop. https://doi.org/10.1007/s00264-017-3509-z

23.

Molfetta L, Caldo D (2008) Computer navigation versus conventional implantation for varus knee total arthroplasty: a case-control study at 5 years follow-up. Knee 15(2):75–79. https://doi.org/10.1016/j.knee.2007.12.006 CrossRefPubMed

24.

Synder M, Altimimi MA, Borowski A, Sibinski M, Drobniewski M (2016) Evaluation of outcomes of total knee replacement with and without a navigation system. Ortop Traumatol Rehabil 18(3):251–261. https://doi.org/10.5604/15093492.1212869 CrossRefPubMed

25.

Weng Y-J, Hsu RW-W, Hsu W-H (2009) Comparison of computer-assisted navigation and conventional instrumentation for bilateral total knee arthroplasty. J Arthroplast 24(5):668–673. https://doi.org/10.1016/j.arth.2008.03.006 CrossRef

Titel: Computer aided planning of orthopaedic surgeries: the definition of generic planning steps for bone removal procedures
verfasst von: David Putzer
Jose Luis Moctezuma
Michael Nogler
Publikationsdatum: 18.09.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 11/2017
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-017-3626-8

Incidence and risk factors for symptomatic spinal epidural haematoma following lumbar spinal surgery

Original Paper

Results of lateral ankle ligament repair surgery in one hundred and nineteen patients: do surgical method and arthroscopy timing matter?

Original Paper

The push-through total femoral prosthesis offers a functional alternative to total femoral replacement: a case series

Open Access
Original Paper

The degree of cartilage degradation assessed by serum biomarker levels changes after arthroscopic knee synovectomy in rheumatoid arthritis patients

Original Paper

Mortality and cardiorespiratory complications in trochanteric femoral fractures: a ten year retrospective analysis

Original Paper

How safe and effective is denosumab for bone giant cell tumour?

Review Article

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie erweitert durch Fallbeispiele, Videos und Abbildungen. Zur Fortbildung und Wissenserweiterung, verfasst und geprüft von Expertinnen und Experten der Gesellschaft für Arthroskopie und Gelenkchirurgie (AGA).

Jetzt entdecken!

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Viele Versäumnisse bei Psoriasis-Arthritis

17.04.2025
Psoriasis-Arthritis
Nachrichten

Menschen mit Psoriasis-Arthritis (PsA) müssen länger auf die Diagnose warten und werden zögerlicher behandelt als an rheumatoider Arthritis (RA) Erkrankte. Diese Defizite hat eine Untersuchung in Großbritannien aufgedeckt.

Yoga gegen Kniearthrose nicht schlechter als Krafttraining

15.04.2025
Gonarthrose
Nachrichten

Menschen mit Gonarthrose profitieren von Yogaübungen nicht weniger als von gezielten Kräftigungsübungen für die lädierten Knie. In einer Vergleichsstudie haben sich für Yogis und Yoginis sogar einige Vorteile ergeben.

Muskelrelaxanzien wohl nur bei akuten Kreuzschmerzen hilfreich

14.04.2025
Rückenschmerzen
Nachrichten

Bei akuten Rückenschmerzen können Muskelrelaxanzien, eventuell in Kombination mit NSAR, zur Schmerzlinderung beitragen. Wegen der Nebenwirkungen wird jedoch empfohlen, die Medikamente nur über wenige Tage einzusetzen.

Thoracic-Outlet-Syndrom nur in Ausnahmefällen operieren!

08.04.2025
DCK 2025
Nachrichten

Das Thoracic-Outlet-Syndrom erfordert nur in ganz bestimmten Fällen ein operatives Vorgehen. Beim DCK wurde vor schwerwiegenden Komplikationen des anspruchsvollen Eingriffs gewarnt.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Computer aided planning of orthopaedic surgeries: the definition of generic planning steps for bone removal procedures

Abstract

Purpose

Methods

Results

Conclusions

Weitere Artikel der Ausgabe 11/2017

Incidence and risk factors for symptomatic spinal epidural haematoma following lumbar spinal surgery

Results of lateral ankle ligament repair surgery in one hundred and nineteen patients: do surgical method and arthroscopy timing matter?

The push-through total femoral prosthesis offers a functional alternative to total femoral replacement: a case series

The degree of cartilage degradation assessed by serum biomarker levels changes after arthroscopic knee synovectomy in rheumatoid arthritis patients

Mortality and cardiorespiratory complications in trochanteric femoral fractures: a ten year retrospective analysis

How safe and effective is denosumab for bone giant cell tumour?

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Viele Versäumnisse bei Psoriasis-Arthritis

Yoga gegen Kniearthrose nicht schlechter als Krafttraining

Muskelrelaxanzien wohl nur bei akuten Kreuzschmerzen hilfreich

Thoracic-Outlet-Syndrom nur in Ausnahmefällen operieren!

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten