Technical Approaches to Computer-Assisted Orthopedic Surgery

AbstractSurgical navigation systems and medical robotic devices are increasingly being used during trauma and orthopedic surgery. This article tries to present the underlying technology of these devices and to describe different approaches to the various aspects of the methods. To structure the variety of available products and presented research modules, a new categorization for these approaches is proposed. Examples of pre- or intraoperative imaging modalities, of trackers for navigation systems, of different surgical robots, and of methods for registration as well as referencing are discussed. Many applications that have been realized for numerous surgical procedures will be presented and their advantages, disadvantages, and possible implications will be elucidated.

[1]  S A Banks,et al.  Computer Assistance in Arthroscopic Anterior Cruciate Ligament Reconstruction , 1998, Clinical orthopaedics and related research.

[2]  F. Langlotz,et al.  Computer-aided fixation of spinal implants. , 1995, Journal of image guided surgery.

[3]  G H Barnett,et al.  Application of frameless stereotaxy to pedicle screw fixation of the spine. , 1995, Journal of neurosurgery.

[4]  H Labelle,et al.  Computer‐Assisted Pedicle Screw Fixation‐ A Feasibility Study , 1995, Spine.

[5]  D. Simon,et al.  Virtual Fluoroscopy: Computer-Assisted Fluoroscopic Navigation , 2001, Spine.

[6]  H Labelle,et al.  Comparative results between conventional and computer-assisted pedicle screw installation in the thoracic, lumbar, and sacral spine. , 2000, Spine.

[7]  S. Delp,et al.  Computer assisted knee replacement. , 1998, Clinical orthopaedics and related research.

[8]  N. Glossop,et al.  Computer‐Aided Pedicle Screw Placement Using Frameless Stereotaxis , 1996, Spine.

[9]  F. Langlotz,et al.  Accuracy of Computer‐Assisted Pedicle Screw Placement: An In Vivo Computed Tomography Analysis , 1997, Spine.

[10]  S. J. Harris,et al.  The first clinical application of a "hands-on" robotic knee surgery system. , 2001, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[11]  David J. Hawkes,et al.  AcouStick: A Tracked A-Mode Ultrasonography System for Registration in Image-Guided Surgery , 1999, MICCAI.

[12]  A L Hof,et al.  Ultrasonic motion analysis system--measurement of temporal and spatial gait parameters. , 2002, Journal of biomechanics.

[13]  Philippe Cinquin,et al.  Computer assisted spine surgery: A first step toward clinical, application in orthopaedics , 1992, 1992 14th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[14]  Michael M Morlock,et al.  Comparison of robotic-assisted and manual implantation of a primary total hip replacement. A prospective study. , 2003, The Journal of bone and joint surgery. American volume.

[15]  A Hamadeh,et al.  Automated 3-dimensional computed tomographic and fluoroscopic image registration. , 1998, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[16]  P Merloz,et al.  Pedicle Screw Placement Using Image Guided Techniques , 1998, Clinical orthopaedics and related research.

[17]  J. Dansereau,et al.  Registration and geometric modelling of the spine during scoliosis surgery: a comparison study of different pre-operative reconstruction techniques and intra-operative tracking systems , 1999, Medical & Biological Engineering & Computing.

[18]  D. D’Lima,et al.  The Effect of the Orientation of the Acetabular and Femoral Components on the Range of Motion of the Hip at Different Head-Neck Ratios* , 2000, The Journal of bone and joint surgery. American volume.

[19]  W. Bargar,et al.  Primary and Revision Total Hip Replacement Using the Robodoc® System , 1998, Clinical orthopaedics and related research.

[20]  R. Kober,et al.  Technique and first clinical results of robot-assisted total knee replacement. , 2002, The Knee.

[21]  F. V. D. van der Helm,et al.  Calibration of the "Flock of Birds" electromagnetic tracking device and its application in shoulder motion studies. , 1999, Journal of biomechanics.

[22]  Philippe Cinquin,et al.  Computer Assisted Knee Anterior Cruciate Ligament Reconstruction: First Clinical Tests , 1995, CVRMed.

[23]  R Schmelzle,et al.  3D-imaging of the facial skeleton with an isocentric mobile C-arm system (Siremobil Iso-C3D). , 2003, Dento maxillo facial radiology.

[24]  Leo Joskowicz,et al.  Bone-mounted miniature robot for surgical procedures: Concept and clinical applications , 2003, IEEE Trans. Robotics Autom..

[25]  A. Jacob,et al.  A whole-body registration-free navigation system for image-guided surgery and interventional radiology. , 2000, Investigative radiology.

[26]  T. Wallny,et al.  [Three-dimensional ultrasonography and intraoperative navigation:a new application of ultrasonograms in osteotomy of the proximal femur]. , 1999, Ultraschall in der Medizin.

[27]  J Troccaz,et al.  Clinical results of percutaneous pelvic surgery. Computer assisted surgery using ultrasound compared to standard fluoroscopy. , 2001, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[28]  Frank Langlotz,et al.  State-of-the-art in orthopaedic surgical navigation with a focus on medical image modalities , 2002, Comput. Animat. Virtual Worlds.

[29]  L. Nolte,et al.  Present state and future perspectives of computer aided surgery in the field of ENT and skull base. , 2002, Acta oto-rhino-laryngologica Belgica.

[30]  C. Bach,et al.  Knee pain caused by a fiducial marker in the medial femoral condyle: A clinical and anatomic study of 20 cases , 2001, Acta orthopaedica Scandinavica.

[31]  Stéphane Lavallée,et al.  Incorporating a statistically based shape model into a system for computer-assisted anterior cruciate ligament surgery , 1999, Medical Image Anal..

[32]  D L Myers,et al.  Complications of Lumbar Spinal Fusion with Transpedicular Instrumentation , 1992, Spine.

[33]  Branislav Jaramaz,et al.  Comparison of a mechanical acetabular alignment guide with computer placement of the socket. , 2002, The Journal of arthroplasty.

[34]  Maurice M. Smith,et al.  Image-guided spine surgery. , 1996, Neurosurgery clinics of North America.

[35]  M Sati,et al.  Real-time computerized in situ guidance system for ACL graft placement. , 2002, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[36]  M H Krag,et al.  Hole Preparation Techniques for Transpedicle Screws Effect on Pull‐Out Strength from Human Cadaveric Vertebrae , 1991, Spine.

[37]  Randy E. Ellis,et al.  Fixation-Based Surgery: A New Technique for Distal Radius Osteotomy , 2000, MICCAI.

[38]  L. Joskowicz,et al.  FRACAS: a system for computer-aided image-guided long bone fracture surgery. , 1998, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[39]  T. Laine,et al.  Accuracy of pedicle screw insertion with and without computer assistance: a randomised controlled clinical study in 100 consecutive patients , 2000, European Spine Journal.

[40]  Takeo Kanade,et al.  Excerpts from the final report for the Second International Workshop on Robotics and Computer Assisted Medical Interventions, June 23-26, 1996, Bristol, England. , 1997, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[41]  N. Suhm,et al.  Technologieintegration und Prozessmanagement Konzept und Implementierung einer neuartigen Plattform für einzeitige Diagnostik und Therapie des akut Kranken und Verletzten sowie für elektive computerassistierte Chirurgie (CAS) , 2001, Der Unfallchirurg.

[42]  A. Jacob,et al.  Surgical navigation based on fluoroscopy--clinical application for computer-assisted distal locking of intramedullary implants. , 2000, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[43]  K. Radermacher,et al.  Computer assisted orthopaedic surgery with image based individual templates. , 1998, Clinical orthopaedics and related research.

[44]  F Langlotz,et al.  The first twelve cases of computer assisted periacetabular osteotomy. , 1997, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[45]  J Troccaz,et al.  Bone morphing: 3D morphological data for total knee arthroplasty. , 2002, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[46]  D. Winkler,et al.  Spinal markers: A new method for increasing accuracy in spinal navigation. , 1999, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[47]  Guoyan Zheng,et al.  A hybrid CT-free navigation system for total hip arthroplasty. , 2002, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[48]  C. Bach,et al.  Excessive heat generation during cutting of cement in the Robodoc hip-revision procedure , 2001, Acta orthopaedica Scandinavica.

[49]  R Kerslake,et al.  Assessment of 3-dimensional magnetic resonance imaging fast low angle shot images for computer assisted spinal surgery. , 1998, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[50]  K A Krackow,et al.  A new technique for determining proper mechanical axis alignment during total knee arthroplasty: progress toward computer-assisted TKA. , 1999, Orthopedics.

[51]  T. Lund,et al.  A new approach to computer-aided spine surgery: fluoroscopy-based surgical navigation , 2000, European Spine Journal.