Fornaro J, Harders M, Keel M, Marincek B, Trentz O, Szekely G, Frauenfelder T
Institute of Diagnostic Radiology, University Hospital of Zurich, Zurich, Switzerland.
Stud Health Technol Inform. 2008;132:123-5.
Treatment of pelvic and acetabular fractures still poses a major challenge to trauma surgeons. We present a tool for intervention planning for such injuries using patient-specific models built from Computed Tomography data. The presented tool has three main parts: (1) the virtual reduction of the bone fragments, (2) the virtual adaptation of the osteosynthesis implants and (3) Finite Element Analysis (FEA) for testing mechanical behavior of the resulting intervention plan. Our tool provides an intuitive visuo-hapic interface designed to be used by trauma surgeons. The type and size of the osteosynthesis material can be determined and measurements like distances and angles relative to landmarks can be taken. First results of prospectively planned interventions show an excellent correlation and a significant gain in operation time.
骨盆和髋臼骨折的治疗仍然是创伤外科医生面临的一项重大挑战。我们提出了一种针对此类损伤的干预计划工具,该工具使用从计算机断层扫描数据构建的患者特异性模型。所展示的工具主要有三个部分:(1)骨碎片的虚拟复位,(2)接骨植入物的虚拟适配,以及(3)用于测试最终干预计划力学行为的有限元分析(FEA)。我们的工具提供了一个直观的视觉触觉界面,供创伤外科医生使用。可以确定接骨材料的类型和尺寸,并可进行相对于标志点的距离和角度等测量。前瞻性规划干预的初步结果显示出极佳的相关性,且手术时间显著缩短。