Computer Navigation in Orthopaedic Tumour Surgery

2018 ◽  
pp. 315-326 ◽  
Author(s):  
Kwok-Chuen Wong ◽  
Xiaohui Niu ◽  
Hairong Xu ◽  
Yuan Li ◽  
Shekhar Kumta
Keyword(s):  
Computer Navigation

scholarly journals Surgical Advances in Osteosarcoma

Cancers ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 388
Author(s):  
Marcus J. Brookes ◽  
Corey D. Chan ◽  
Bence Baljer ◽  
Sachin Wimalagunaratna ◽  
Timothy P. Crowley ◽  
...  
Keyword(s):  
Fluorescent Dyes ◽  
Imaging Techniques ◽  
Intraoperative Imaging ◽  
Survival Rates ◽  
Computer Navigation ◽  
Bone Cancer ◽  
Technical Difficulty ◽  
Implant Design ◽  
Patient Specific ◽  
Patient Specific Instruments

Osteosarcoma (OS) is the most common primary bone cancer in children and, unfortunately, is associated with poor survival rates. OS most commonly arises around the knee joint, and was traditionally treated with amputation until surgeons began to favour limb-preserving surgery in the 1990s. Whilst improving functional outcomes, this was not without problems, such as implant failure and limb length discrepancies. OS can also arise in areas such as the pelvis, spine, head, and neck, which creates additional technical difficulty given the anatomical complexity of the areas. We reviewed the literature and summarised the recent advances in OS surgery. Improvements have been made in many areas; developments in pre-operative imaging technology have allowed improved planning, whilst the ongoing development of intraoperative imaging techniques, such as fluorescent dyes, offer the possibility of improved surgical margins. Technological developments, such as computer navigation, patient specific instruments, and improved implant design similarly provide the opportunity to improve patient outcomes. Going forward, there are a number of promising avenues currently being pursued, such as targeted fluorescent dyes, robotics, and augmented reality, which bring the prospect of improving these outcomes further.

scholarly journals Accuracy Evaluation of Surface-Based Registration Methods in a Computer Navigation System for Hip Surgery Performed Through a Posterolateral Approach

2001 ◽  
Vol 6 (4) ◽  
pp. 195-203 ◽  
Author(s):  
Nobuhiko Sugano ◽  
Toshihiko Sasama ◽  
Yoshinobu Sato ◽  
Yoshikazu Nakajima ◽  
Takashi Nishii ◽  
...  
Keyword(s):  
Navigation System ◽  
Computer Navigation ◽  
Hip Surgery ◽  
Posterolateral Approach ◽  
Accuracy Evaluation ◽  
Computer Navigation System

scholarly journals Defining the Origins of the Iliofemoral, Ischiofemoral, and Pubofemoral Ligaments of the Hip Capsuloligamentous Complex Utilizing Computer Navigation

2011 ◽  
Vol 7 (3) ◽  
pp. 239-243 ◽  
Author(s):  
Denis Nam ◽  
Daryl C. Osbahr ◽  
Daniel Choi ◽  
Anil S. Ranawat ◽  
Bryan T. Kelly ◽  
...  
Keyword(s):  
Computer Navigation

DOES NAVIGATION TOTAL KNEE REPLACEMENT REALLY MAKE A DIFFERENCE?

2013 ◽  
Vol 16 (02) ◽  
pp. 1350007
Author(s):  
P. Motwani ◽  
A. Jariwala ◽  
N. Valentine
Keyword(s):  
Total Knee Replacement ◽  
Tibial Component ◽  
Sagittal Plane ◽  
Computer Navigation ◽  
Component Alignment ◽  
Tibial Component Alignment ◽  
Significant Difference ◽  
Total Knee ◽  
The Mean

Background: Computer Navigation in Total Knee Replacement (TKR) has completed more than a decade since its inception. From that time, numerous studies have been done to see its effect on the variables of surgery and its outcome. Some studies have shown that it is definitely beneficial while others have negated its superiority over conventional techniques. This is an early outcome study on the results of navigation TKR in terms of alignment and clinical outcome at three years post-operatively. Methods: In the present study, 128 patients who had undergone navigation TKR (128 TKR) between January 2006 and November 2009 were included. The navigation system used was orthoPilot®. Patients were assessed post-operatively at one and three year using knee society score (KSS) and knee function score (KFS). All patients completed one year follow-up and 55 patients completed three year follow-up. From 128 patients, 40 navigated TKR patients operated between November 2007 and 2009 and were compared with 40 patients operated by conventional TKR operated between July 2007 and December 2008. Results: The mean KSS at 1 year post-operatively was 85.60 and at 3 years was 85.87. The mean KFS at 1 year post-operatively was 69.30 and at 3 years was 68.00. There was no statistically significant difference between navigation TKR and conventional TKR in terms of anatomical femoro-tibial alignment, femoral component alignment in coronal and sagittal plane and tibial component alignment in coronal plane. However, there was statistically significant difference between tibial component alignment in sagittal plane (p = 0.000) between both the groups. Conclusion: Computer navigation TKR affords a possibility to place both the femoral and tibial component very precisely without the risk of any greater axis deviation from ideal value. It helps in reducing the outliers in alignment of the limb and that of component and that improves the overall implant survival for a long time post-operatively.

scholarly journals Periacetabular Osteotomy Performed with Imageless Computer-Assisted Navigation: Case Report

2019 ◽  
Vol 2 (1-3) ◽  
pp. 33-39
Author(s):  
Atul F. Kamath ◽  
Rachel R. Mays
Keyword(s):  
Surgical Navigation ◽  
Periacetabular Osteotomy ◽  
Computer Navigation ◽  
Developmental Dysplasia ◽  
Computer Assisted ◽  
Developmental Hip Dysplasia ◽  
Assisted Navigation ◽  
First Case ◽  
Acetabular Fragment ◽  
Pao Surgery

Periacetabular osteotomy (PAO) is an effective surgical treatment for developmental hip dysplasia. The goal of PAO is to reorient the acetabulum to increase acetabular coverage of the femoral head, as well as to reduce contact pressures within the hip joint. The primary challenge of PAO is to accurately achieve the desired acetabular fragment orientation, while maximizing containment and congruency. As key parts of the procedure are performed out of direct field of view of the surgeon, combined with this challenge of precise spatial orientation, there is a potential role for technologies such as surgical navigation. Adjunctive technology may provide information on the orientation of repositioned acetabulum and may offer a useful assist in performing PAO. Here, we present a case of developmental dysplasia of the hip treated via PAO with the addition of an imageless computer navigation device. Surgery was successful, and, at 3 months after procedure, the patient was progressing well. To our best knowledge, this is the first case using imageless computer-assisted navigation in PAO surgery.

scholarly journals The Significance of Computer Modeling and 3D Printing Technology for Facial Ectoprosthetics

2020 ◽  
pp. paper62-1-paper62-10
Author(s):  
Svetlana Cherebylo ◽  
Vyacheslav Vnuk ◽  
Evgeniy Ippolitov ◽  
Mikhail Novikov ◽  
Pavel Mitroshenkov ◽  
...  
Keyword(s):  
3D Printing ◽  
Computer Modeling ◽  
Information Technologies ◽  
Surgical Intervention ◽  
Computer Navigation ◽  
Navigation Systems ◽  
Facial Plastic ◽  
Laser Stereolithography ◽  
Huge Challenge

The integration of information technologies in healthcare practice significantly changes the methods of diagnosis and treatment, the forms of interaction of doctors with patients and colleagues, the organization of treatment and recovery of health. The field of reconstruction of the auricle is still a huge challenge for facial plastic surgeons and requires at various techniques to find the best treatment for each patient. The paper describes the application of computer modeling and laser stereolithography technology in surgical practice for auricular surfaces ectoprosthetics. To improve the accuracy and quality of the surgical intervention the positioning of external prosthesis is applied with the aid of personal templates and computer navigation. The accuracy of ectoprosthesis positioning when using a plastic mask template was 0.3-0.4 mm, while computer navigation was 0.1 - 0.2 mm. Using personalized templates is a simpler and more intuitive way of positioning that does not require expensive computer navigation systems. This example of ectoprosthetics shows the possibilities of various reconstructions of facial organs, not only the ear, but also, for example, the nose, using computer modeling and 3d printing technologies

Benefits of Computer Navigation in Total Knee Arthroplasty

2012 ◽  
Vol 23 (1) ◽  
pp. 18-23
Author(s):  
Arun Mullaji ◽  
Gautam M. Shetty
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Computer Navigation ◽  
Total Knee
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