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Sensable_FreeForm_Modelling 实现的髋关节置换虚拟手术:手术钻。

Virtual operation for hip joint replacement implemented by Sensable_FreeForm_Modelling: A surgical drill.

机构信息

Department of Spinal Surgery, Affiliated JiangMen Hospital of TCM @ Ji'Nan University, JiangMen, China.

Department of Orthopedics, PuNing People's Hospital, GuangDong, China.

出版信息

Int J Med Robot. 2023 Oct;19(5):e2552. doi: 10.1002/rcs.2552. Epub 2023 Jul 24.

DOI:10.1002/rcs.2552
PMID:37489032
Abstract

OBJECTIVE

To design a virtual operation of joint replacement for surgical drills using a haptic device, SenSable_FreeForm_Modelling (SFM), to enhance surgeons' efficiency and enable "Virtual tutorial without reality" for interns.

METHOD

A patient with hip joint osteoarthritis is randomly selected to perform Total Hip Replacement (THR). The hip images were input into Mimics in the format of .dicom after CT scan and then exported to SFM using the stereolithographic (.stl) format. A surgical toolkit can be created virtually with Computer Aided Design software such as Pro-E or Ghost SDK and a visual drill scenario of THR directed by a force-respondent stick, namely Phantom.

RESULT

3D models of the hip joint were rebuilt illustrating clearly that the geometrical shapes of the surgical equipment created are similar to real instruments, and the THR operation is emulated distinctly in novelty.

CONCLUSION

In obedience to an ancient maxim, so called 'genuine knowledge originated from practice', this simulative operation offers hands-on experience for students in the orthopaedics field with remarkable effects, contributing not only teaching cases for medical courses but also a planning basis for physical surgery.

摘要

目的

设计一种基于力反馈设备的关节置换手术模拟操作,以提高外科医生的效率,并使实习生能够“无实际操作的虚拟教学”。

方法

随机选择一名髋关节骨关节炎患者进行全髋关节置换术(THR)。髋关节图像经 CT 扫描后以*.dicom 格式输入 Mimics,然后使用立体光刻(*.stl)格式导出到 SenSable_FreeForm_Modelling(SFM)。可以使用 Pro-E 或 Ghost SDK 等计算机辅助设计软件在虚拟环境中创建手术工具包,并通过力响应棒 Phantom 模拟 THR 的可视化钻孔场景。

结果

重建了髋关节的 3D 模型,清楚地表明所创建的手术器械的几何形状与真实器械相似,并且 THR 手术具有明显的新颖性。

结论

根据一句古老的格言,所谓“真正的知识来源于实践”,这种模拟操作为骨科领域的学生提供了实践经验,效果显著,不仅为医学课程提供了教学案例,也为物理手术提供了规划基础。

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