Computer-Aided Orthopedic Surgery: Incremental Shift or Paradigm Change?

Author(s):  
Leo Joskowicz ◽  
Eric J. Hazan
2001 ◽  
Vol 6 (2) ◽  
pp. 104-110 ◽  
Author(s):  
Qingmao Hu ◽  
Ulrich Langlotz ◽  
Jeff Lawrence ◽  
Frank Langlotz ◽  
Lutz-Peter Nolte

Author(s):  
Esmitt Ramírez ◽  
Ernesto Coto

Preoperative planning is an essential step before performing any surgical procedure. Computer Aided Orthopedic Surgery (CAOS) systems are extensively used for the planning of surgeries for fractures of lower extremities. These systems are input an X-Ray image of the fracture and the planning can be digitally overlaid onto the image. In many cases, when an implant is added to the planning, it does not fit perfectly in the patient’s anatomy and therefore it is bended to be adjusted to the bone. This paper presents a new method for the deformation of implants in CAOS systems, based on the Moving Least Squares (MLS) method. Several improvements over the original MLS are introduced to achieve results visually similar to the real procedure and make the deformation process easier and simpler for the surgeon. Over 100 clinical surgeries have been already planned successfully using a CAOS system that employs the proposed technique.


PLoS ONE ◽  
2018 ◽  
Vol 13 (6) ◽  
pp. e0199136
Author(s):  
Kenan Niu ◽  
Jasper Homminga ◽  
Victor I. Sluiter ◽  
André Sprengers ◽  
Nico Verdonschot

2019 ◽  
Vol 18 (04) ◽  
pp. 583-594 ◽  
Author(s):  
Kadir Gok ◽  
Arif Gok ◽  
Yasin Kisioglu

Heat reveals during the bone drilling operations in orthopedic surgery because of friction between bone and surgical drill bit. The heating causes extremely important damages in bone and soft tissues. The heating has a critical threshold and it is known as 47∘C. If bone temperature value exceeds 47∘C, osteonecrosis occurs in bones and soft tissues. Many factors such as surgical drill bit geometry and material, drilling parameters, coolant has important roles for the temperature rise. Many methods are used to decrease the temperature rise. The most effective method among them is to use the coolant internally. Numeric simulations of a new driller system to avoid the overheating during the orthopedic operating processes were performed in this study. The numerical simulation with/without coolant was also performed using the finite element based software. Computer aided simulation studies were used to measure the bone temperatures occurred during the bone drilling processes. The outcomes from the simulations were compared with the experimental results. A good temperature level agreement between the experimental results and FEA simulations was found during the bone drilling process.


2015 ◽  
Vol 638 ◽  
pp. 303-309 ◽  
Author(s):  
Diana Popescu ◽  
Dan Lăptoiu ◽  
Anton Hadăr

Currently, the processes of developing new medical devices (in particular, patient specific guides for orthopedic surgery being of interest in our research), is hampered by the difficulty of correctly and efficiently quantifying and translating the specific medical requirements in terms of technical specifications. This is caused by the intrinsic difficulty of the demarche, but also by a complicated communication between surgeon and engineer given the different practical and research perspectives, specific constraints, motivation, evaluation criteria and professional language barrier. The advent and development of new technologies with applications in the medical field, such as robotics, haptic-based virtual and augmented reality, additive manufacturing, collaborative modeling, knowledge-based support decision systems, etc., make now possible to bridge the gap between surgeons’ ideas and needs and their practical materialization into new customized medical devices. The paper enrolls in this research trend, presenting a general framework for the development of an intelligent e-health platform, which provides in a collaborative environment the necessary knowledge and computer-aided tools for translating surgeons’ needs into technical specifications for the design and manufacturing of patient-specific guides for orthopedic surgery. These guides can be used in the minimally invasive surgical procedures and for reducing the x-ray radiation exposure during surgery, and for increasing accuracy in performing different types of specific orthopedic surgical procedures such as cutting, drilling, tapping and aligning, by transferring the tools trajectories from computer-aided planning to surgery.


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