Department of Surgery, Queen's University, Kingston, ON, Canada.
Adv Exp Med Biol. 2018;1093:225-243. doi: 10.1007/978-981-13-1396-7_18.
Clinical benefits for image-guided orthopaedic surgical systems are often measured in improved accuracy and precision of tool trajectories, prosthesis component positions and/or reduction of revision rate. However, with an ever-increasing demand for orthopaedic procedures, especially joint replacements, the ability to increase the number of surgeries, as well as lowering the costs per surgery, is generating a similar interest in the evaluation of image-guided orthopaedic systems. Patient-specific instrument guidance has recently gained popularity in various orthopaedic applications. Studies have shown that these guides are comparable to traditional image-guided systems with respect to accuracy and precision of the navigation of tool trajectories and/or prosthesis component positioning. Additionally, reports have shown that these single-use instruments also improve operating room management and reduce surgical time and costs. In this chapter, we discuss how patient-specific instrument guidance provides benefits to patients as well as to the health-care community for various orthopaedic applications.
在影像引导骨科手术系统中，临床获益通常体现在提高工具轨迹、假体组件位置的准确性和精度，以及降低翻修率方面。然而，随着对骨科手术（尤其是关节置换术）需求的不断增加，增加手术数量以及降低每次手术成本的能力，也使得人们对影像引导骨科系统的评估产生了类似的兴趣。患者特异性器械引导最近在各种骨科应用中得到了普及。研究表明，这些引导器在工具轨迹和/或假体组件定位的导航准确性和精度方面与传统的影像引导系统相当。此外，有报道称，这些一次性使用的器械还可以改善手术室管理，缩短手术时间和降低成本。在本章中，我们将讨论患者特异性器械引导在各种骨科应用中如何为患者和医疗保健社区带来益处。
