Jenny J-Y
Centre de Traumatologie et d'Orthopédie, 10 Avenue Baumann, F-67400, Illkirch, Fankreich.
Orthopade. 2006 Oct;35(10):1038-42. doi: 10.1007/s00132-006-0994-y.
Computer assisted orthopaedic surgery (CAOS) was developed to improve the accuracy of surgical procedures. It has improved dramatically over the last years, being transformed from an experimental, laboratory procedure into a routine procedure theoretically available to every orthopaedic surgeon. The first field of application of computer assistance was neurosurgery. After the application of computer guided spinal surgery, the navigation of total hip and knee joints became available. Currently, several applications for computer assisted surgery are available. At the beginning of navigation, a preoperative CT-scan or several fluoroscopic images were necessary. The imageless systems allow the surgeon to digitize patient anatomy at the beginning of surgery without any preoperative imaging. The future of CAOS remains unknown, but there is no doubt that its importance will grow in the next 10 years, and that this technology will probably modify the conventional practice of orthopaedic surgery.
计算机辅助骨科手术（CAOS）的开发旨在提高外科手术的准确性。在过去几年中，它取得了显著进展，从一种实验性的实验室手术转变为理论上每位骨科医生都可采用的常规手术。计算机辅助的首个应用领域是神经外科。在计算机引导脊柱手术应用之后，全髋关节和膝关节的导航技术也得以实现。目前，有多种计算机辅助手术应用可供使用。在导航技术初期，术前需要进行CT扫描或几张透视图像。无图像系统允许外科医生在手术开始时对患者解剖结构进行数字化处理，而无需任何术前成像。CAOS的未来尚不明朗，但毫无疑问，在未来10年其重要性将不断提升，并且这项技术可能会改变骨科手术的传统做法。
