Improving surgical precision - application of navigation system in orthopedic surgery

• Autorzy: Świątek-Najwer E. , Będziński R. , Krowicki P. , Krysztoforski K. , Keppler P , Kozak J.
• Języki publikacji: EN

Abstrakty

EN

Navigation systems track objects with precision expressed as root mean square equalling even up to 0.15 mm. Application of navigation system combined with imaging technique makes surgical operations less invasive, which results in the reduced risk of infection, smaller scar and a shorter time of rehabilitation. Imaging techniques allow surgeon to create individual virtual models for virtual surgery planning. Navigation system tracks the positions of surgical tools in relation to the patient's coordinate systems. Medical imaging enables low-invasive surgery, whereas the position of surgical instruments is monitored on screen. The paper presents a newly developed computer-aided surgical system consisting of ultrasonographic probe and tracking system to measure bone geometry, design surgical scenario virtually and follow it intraoperatively. The system assists surgeon to correct bone deformities. The paper presents the results of several accuracy tests, which demonstrate good repeatability and accuracy.

Słowa kluczowe

EN

biomedical engineering; computer-aided surgery; sonography; computer navigation

PL

inżynieria biomedyczna; komputerowe wspomaganie operacji; USG; nawigacja komputerowa

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2008
• Tom: Vol. 10, nr 4
• Strony: 55--62
• Opis fizyczny: Bibliogr. 18 poz., rys., tab.

Twórcy

autor

Świątek-Najwer E.

autor

Będziński R.

autor

Krowicki P.

autor

Krysztoforski K.

autor

Keppler P

autor

Kozak J.

• Institute of Machine Design and Operation, Department of Biomedical Engineering and Experimental Mechanics, Wrocław University of Technology,

Bibliografia

• [1] BĘDZIŃSKI R., ŚCIGAŁA K., FEM analysis of strain distribution in tibia bone and relationship strains and adaptation of bone tissue, 2nd European Conference on Computational Mechanics, Solid, Structures and Coupled Problems in Engineering, June 26–29, 2001, Kraków.
• [2] BOVIO D. et al., 3D freehand ultrasound-based bone modeling for total knee replacement, Computer Assisted Orthopaedic Surgery, June 20–23, 2007, Heidelberg, Germany.
• [3] DAANEN V., TONETTI J., TROCCAZ J., An Information Fusion Method for the Automatic Delineation of the Bone-Soft Tissues Interface in Ultrasound Images, M. Sonka et al. (Eds.), CVAMIA-MMBIA 2004, LNCS 3117, Springer-Verlag, Berlin, Heidelberg, 2004, 218–229.
• [4] DEKOMIEN et al., Registration of intraoperative 3D ultrasound with preoperative MRI data for navigated surgery – first results at the knee, Computer Assisted Orthopaedic Surgery, June 20–23, 2007, Heidelberg, Germany.
• [5] DIGIOIA A.M. et al., Computer assisted measurement of cup placement in total hip replacement, Clinical Orthopaedics and Research, 1998, No. 354, 70–81, Lippincott Williams & Wilkins.
• [6] DIGIOIA A.M. et al., Image guided navigation system to measure intraoperatively acetabular implant alignment, Clinical Orthopaedics and Research, 1998, No. 355, S 8–S 22, Lippincott Williams & Wilkins.
• [7] http://www.ndigital.com/ – website of Polaris system manufactory
• [8] http://www.telemed.lt/ – website of EchoBlaster128 ultrasonographic system manufactory.
• [9] JEFFERY R.S. et. al., Coronal alignment after total knee replacement, Journal of Bone and Joint Surgery – British Volume, Vol. 73-B, Issue 5, 709–714.
• [10] KIEFER H., OrthoPilot cup navigation – how to optimize cup positioning? International Orthopaedics (SICOT), 2003, 27, Suppl. 1, Springer-Verlag, 37–42.
• [11] KIEFER H., Ultrasound based versus pointer palpation method in THA navigation – A comparative pilot study, Computer Assisted Orthopaedic Surgery, June 20–23, 2007, Heidelberg, Germany.
• [12] KOZAK J. et al., Evaluation of noninvasive referencing for navigated ultrasound registration in pre-, intra- and postoperative procedures, Computer Assisted Orthopaedic Surgery, June 20–23, 2007, Heidelberg, Germany.
• [13] KULIG K., BURNFIELD M., The role biomechanics in orthopedic and neurological rehabilitation, Acta of Bioengineering and Biomechanics, 2008, Vol. 10, No. 2.
• [14] MAINARD et al., Ultrasounds registration of the anterior pelvic plane (APP): Comparison with X-ray and OrthoPilot palpation measurements, Computer Assisted Orthopaedic Surgery, June 20–23, 2007, Heidelberg, Germany.
• [15] PALEY, D., Principles of Deformity Correction, Springer- Verlag, Berlin, Heidelberg, New York, 2002.
• [16] Standard Methods for Calibration of 2-Dimensional and 3-Dimensional Spatial Measurement Capabilities of Pulse Echo Ultrasound Imaging Systems, developed by The Spatial Measurement Phantom Task Group of the American Institute of Ultrasound in Medicine Technical Standards Committee, copyright 2004 by the American Institute of Ultrasound in Medicine.
• [17] ŚWIĄTEK-NAJWER E., BĘDZIŃSKI R., KROWICKI P., KRYSZTOFORSKI K., Investigation of bone geometry by sonography combined with tracking system, Proceedings of 24th Danubia-Adria Symposium on Advances in Experimental Mechanics, September 19–22, 2007, Sibiu, Romania.
• [18] ŚWIĄTEK-NAJWER E., KROWICKI P., KRYSZTOFORSKI K., DRAGAN S., CT-based measurements of human femur geometry. Idea of alternative method of examination, Proceedings of 7th Youth Symposium on Experimental Solid Mechanics, 14–17 May 2008, Wojcieszyce, Poland