Belei P, Wirtz D C, Müller-Rath R, Gravius S, Radermacher K, Niethard F U, Mumme T
Orthopädische Klinik, Universitätsklinikum Aachen, Aachen.
Z Orthop Unfall. 2007 Sep-Oct;145(5):591-8. doi: 10.1055/s-2007-965690.
"OrthoMIT--minimal invasive orthopaedic therapy" is a project to develop an integrated platform for less invasive operative procedures in hip, knee and spine surgery, supported by the German Federal Ministry for Education and Research (BMBF). Twenty-seven industrial and clinical partners under the management of the Orthopaedic Department of the University Hospital Aachen (Prof. Dr. F. U. Niethard) intend to develop in 10 subprojects innovative aspects and modules of the "OrthoMIT" system.
Within the project and amongst other procedures, joint-preserving correction osteotomies have been analysed to develop planning and navigation tools on the basis of improved and less invasive surgery. Therefore, the reproducibility and validity of the conventional methods were investigated and compared with the technical possibilities in computer-guided planning and navigated surgery for correction osteotomies of the upper extremities. Clinical needs, necessary innovative aspects and modules were defined out of these consolidated findings and passed on to the industrial partners of the "OrthoMIT" project to develop innovative techniques in the field of planning and navigation.
The present article reports in a concise way about the essentials of the available current techniques in correction osteotomies of the upper extremities with the main focus being placed on navigation.
“OrthoMIT——微创骨科治疗”是一个由德国联邦教育与研究部(BMBF)资助的项目,旨在开发一个用于髋、膝和脊柱手术的微创操作综合平台。在亚琛大学医院骨科(F. U. Niethard教授博士)的管理下,27个工业和临床合作伙伴计划在10个子项目中开发“OrthoMIT”系统的创新方面和模块。
在该项目中,除了其他程序外,还对保留关节的截骨术进行了分析,以便在改进的微创手术基础上开发规划和导航工具。因此,研究了传统方法的可重复性和有效性,并将其与上肢截骨术的计算机辅助规划和导航手术中的技术可能性进行了比较。根据这些综合结果确定了临床需求、必要的创新方面和模块,并将其传达给“OrthoMIT”项目的工业合作伙伴,以开发规划和导航领域的创新技术。
本文简要介绍了上肢截骨术现有当前技术的要点,主要重点是导航。