Mavrogenis Andreas F, Savvidou Olga D, Mimidis George, Papanastasiou John, Koulalis Dimitrios, Demertzis Nikolaos, Papagelopoulos Panayiotis J
Orthopedics. 2013 Aug;36(8):631-42. doi: 10.3928/01477447-20130724-10.
Computer-assisted navigation has a role in some orthopedic procedures. It allows the surgeons to obtain real-time feedback and offers the potential to decrease intra-operative errors and optimize the surgical result. Computer-assisted navigation systems can be active or passive. Active navigation systems can either perform surgical tasks or prohibit the surgeon from moving past a predefined zone. Passive navigation systems provide intraoperative information, which is displayed on a monitor, but the surgeon is free to make any decisions he or she deems necessary. This article reviews the available types of computer-assisted navigation, summarizes the clinical applications and reviews the results of related series using navigation, and informs surgeons of the disadvantages and pitfalls of computer-assisted navigation in orthopedic surgery.
计算机辅助导航在某些骨科手术中发挥着作用。它使外科医生能够获得实时反馈，并有可能减少术中误差并优化手术结果。计算机辅助导航系统可分为主动式或被动式。主动导航系统既可以执行手术任务，也可以禁止外科医生越过预先定义的区域。被动导航系统提供术中信息，并显示在监视器上，但外科医生可以自由做出他或她认为必要的任何决定。本文回顾了现有的计算机辅助导航类型，总结了临床应用，并回顾了使用导航的相关系列研究结果，同时告知外科医生计算机辅助导航在骨科手术中的缺点和陷阱。
