Design and evaluation of a portable intra-operative unified-planning-and-guidance framework applied to distal radius fracture surgery View Full Text


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Article Info

DATE

2017-01

AUTHORS

Jessica Magaraggia, Wei Wei, Markus Weiten, Gerhard Kleinszig, Sven Vetter, Jochen Franke, Adrian John, Adrian Egli, Karl Barth, Elli Angelopoulou, Joachim Hornegger

ABSTRACT

PURPOSE: During a standard fracture reduction and fixation procedure of the distal radius, only fluoroscopic images are available for planning of the screw placement and monitoring of the drill bit trajectory. Our prototype intra-operative framework integrates planning and drill guidance for a simplified and improved planning transfer. METHODS: Guidance information is extracted using a video camera mounted onto a surgical drill. Real-time feedback of the drill bit position is provided using an augmented view of the planning X-rays. We evaluate the accuracy of the placed screws on plastic bones and on healthy and fractured forearm specimens. We also investigate the difference in accuracy between guided screw placement versus freehand. Moreover, the accuracy of the real-time position feedback of the drill bit is evaluated. RESULTS: A total of 166 screws were placed. On 37 plastic bones, our obtained accuracy was [Formula: see text] mm, [Formula: see text] and [Formula: see text] in tip position and orientation (azimuth and elevation), respectively. On the three healthy forearm specimens, our obtained accuracy was [Formula: see text] mm, [Formula: see text] and [Formula: see text]. On the two fractured specimens, we attained: [Formula: see text] mm, [Formula: see text] and [Formula: see text]. When screw plans were applied freehand (without our guidance system), the achieved accuracy was [Formula: see text] mm, [Formula: see text], while when they were transferred under guidance, we obtained [Formula: see text] mm, [Formula: see text]. CONCLUSIONS: Our results show that our framework is expected to increase the accuracy in screw positioning and to improve robustness w.r.t. freehand placement. More... »

PAGES

77-90

References to SciGraph publications

  • 2012. Radiation-Free Drill Guidance in Interlocking of Intramedullary Nails in MEDICAL IMAGE COMPUTING AND COMPUTER-ASSISTED INTERVENTION – MICCAI 2012
  • 2014. Improved Screw Placement for Slipped Capital Femoral Epiphysis (SCFE) Using Robotically-Assisted Drill Guidance in MEDICAL IMAGE COMPUTING AND COMPUTER-ASSISTED INTERVENTION – MICCAI 2014
  • 2015. A Portable Intra-Operative Framework Applied to Distal Radius Fracture Surgery in MEDICAL IMAGE COMPUTING AND COMPUTER-ASSISTED INTERVENTION -- MICCAI 2015
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11548-016-1432-1

    DOI

    http://dx.doi.org/10.1007/s11548-016-1432-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1026020009

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/27495998


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    HOW TO GET THIS DATA PROGRAMMATICALLY:

    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11548-016-1432-1'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11548-016-1432-1'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11548-016-1432-1'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11548-016-1432-1'


     

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