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计算机辅助复位与成像

Computer aided reduction and imaging.

作者信息

Schmucki Daniel, Gebhard Florian, Grützner Paul A, Hüfner Tobias, Langlotz Frank, Zheng Guoyan

机构信息

AO Development Institute, 7270 Davos, Switzerland.

出版信息

Injury. 2004 Jun;35 Suppl 1:S-A96-104. doi: 10.1016/j.injury.2004.05.017.


DOI:10.1016/j.injury.2004.05.017
PMID:15183710
Abstract

Reduction is one of the key procedures in orthopedic trauma surgery and has been acknowledged as one of the conditions for a good outcome in intraarticular and extra-articular fractures. The information available to the surgeon during the reduction maneuver can be divided into visual and tactile information. The optimal implementation of these parameters, combined with the surgeon's individual experience, will significantly affect the results of the operation. Anatomical regions where a limited direct view through the approach is supported by intraoperative imaging are intra-articular fractures of the elbow, forearm, acetabulum, proximal tibia, pilon, and hindfoot, and extra-articular fractures of the spine, pelvis, femur, and tibial shaft. Surgery in these regions is demanding since the approaches limit the visual control of the axes and also the anatomical reduction within the joint. Computer aided orthopedic surgery (CAOS) was introduced to increase the accuracy of selected procedures in orthopedic surgery. One of the most frequently applied applications is pedicle screw insertion in posterior spinal surgery. The current working group has identified computer aided reduction and implant positioning as an unresolved area of CAOS that would be highly relevant to the operative treatment of fractures. The development of tools for computer aided reduction is of major importance and is much desired by the orthopedic community. Such a reduction tool would be a significant step forward in the development of orthopedic trauma care. It would facilitate new procedures and new operations and also help to attain a completely new level with regard to what we can achieve in terms of minimal invasiveness and increased precision. The synergies of the expert group are deployed to develop the required software modules and hardware. Other areas of computer aided orthopedic surgery will certainly benefit from the integration of this technology as well.

摘要

复位是骨科创伤手术的关键步骤之一,并且已被公认为是关节内和关节外骨折获得良好预后的条件之一。在复位操作过程中,外科医生可获得的信息可分为视觉信息和触觉信息。这些参数的最佳应用,结合外科医生的个人经验,将显著影响手术结果。术中成像辅助下通过手术入路获得有限直视的解剖区域包括肘部、前臂、髋臼、胫骨近端、pilon和后足的关节内骨折,以及脊柱、骨盆、股骨和胫骨干的关节外骨折。这些区域的手术要求较高,因为手术入路限制了对轴线的视觉控制以及关节内的解剖复位。计算机辅助骨科手术(CAOS)被引入以提高骨科手术中特定手术的准确性。最常应用的应用之一是后路脊柱手术中的椎弓根螺钉置入。当前的工作组已将计算机辅助复位和植入物定位确定为CAOS中一个尚未解决的领域,这与骨折的手术治疗高度相关。计算机辅助复位工具的开发至关重要,并且是骨科界非常渴望的。这样一种复位工具将是骨科创伤护理发展中的重要一步。它将促进新的手术方法和新的操作,并且在微创性和精度提高方面,有助于达到一个全新的水平。专家组的协同作用被用于开发所需的软件模块和硬件。计算机辅助骨科手术的其他领域肯定也将从这项技术的整合中受益。

相似文献

[1]
Computer aided reduction and imaging.

Injury. 2004-6

[2]
[Percutaneous screw fixation in treatment of fractures of acetabular columns using computer-assisted imaging navigation system: experiment with cadaver model].

Zhonghua Yi Xue Za Zhi. 2008-7-15

[3]
A multi-view Opto-Xray imaging system: development and first application in trauma surgery.

Med Image Comput Comput Assist Interv. 2007

[4]
Basic principles of CAOS.

Injury. 2004-6

[5]
Potential pitfalls of computer aided orthopedic surgery.

Injury. 2004-6

[6]
Accuracy of single-time, multilevel registration in image-guided spinal surgery.

Spine J. 2005

[7]
A novel computer-assisted technique for pedicle screw insertion.

Int J Med Robot. 2007-3

[8]
A new fluoroscopy-free navigation device for distal interlocking screw placement.

J Med Eng Technol. 2008

[9]
A computer aided method for closed reduction of diaphyseal tibial fracture using projection images: A feasibility study.

Comput Aided Surg. 2009

[10]
The "Down the PC" view - A new tool to assess screw positioning in the posterior column of the acetabulum.

Injury. 2015-8

引用本文的文献

[1]
Navigation is associated with lower risk of neurological injury and transfusion in pediatric idiopathic scoliosis surgery.

Spine Deform. 2025-6-29

[2]
Design and evaluation of an intelligent reduction robot system for the minimally invasive reduction in pelvic fractures.

J Orthop Surg Res. 2022-4-4

[3]
Design and Evaluation of a Percutaneous Fragment Manipulation Device for Minimally Invasive Fracture Surgery.

Front Robot AI. 2019-10-30

[4]
CT-guided percutaneous sacroiliac stabilization in unstable pelvic fractures: a safe and accurate technique.

Rev Bras Ortop. 2017-3-30

[5]
Introduction of a computer-based method for automated planning of reduction paths under consideration of simulated muscular forces.

Int J Comput Assist Radiol Surg. 2017-8

[6]
Computer-assisted fracture reduction: a new approach for repositioning femoral fractures and planning reduction paths.

Int J Comput Assist Radiol Surg. 2015-2

[7]
[Visualization of reduction. New view of a dynamic procedure].

Unfallchirurg. 2008-6

[8]
[Computer-assisted surgery for pelvic injuries].

Chirurg. 2004-10

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