Skip to main content

2021 | OriginalPaper | Buchkapitel

Automatic Path Planning for Safe Guide Pin Insertion in PCL Reconstruction Surgery

verfasst von : Florian Kordon, Andreas Maier, Benedict Swartman, Maxim Privalov, Jan Siad El Barbari, Holger Kunze

Erschienen in: Medical Image Computing and Computer Assisted Intervention – MICCAI 2021

Verlag: Springer International Publishing

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

Reconstruction surgery of torn ligaments typically requires precise and anatomically correct fixation of the graft substitute on the bone surface. Several planning methodologies have been proposed that aim at standardizing the interventional procedure by localizing drill sites or defining the drill tunnel orientation with the help of anatomical landmarks. However, the practical implementation is limited by the often complex and time-consuming nature of the planning steps. For this reason, we propose an automatic solution for safe guide pin path planning based on bone contour extraction, axis detection, anatomical landmark detection, and geometrical construction. We evaluate our approach for the task of double-bundle posterior cruciate ligament reconstruction surgery on the lateral tibia using 38 clinical X-ray images. Our method achieves a median path angulation error of \(0.37^{\circ }\) and a median localization error of 0.96 mm for the ligament attachment center.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Technik"

Online-Abonnement

Mit Springer Professional "Technik" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 390 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Maschinenbau + Werkstoffe




 

Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Literatur
1.
2.
Zurück zum Zitat Bertollo, N., Walsh, W.R.: Drilling of bone: Practicality, limitations and complications associated with surgical drill-bits. In: Klika, V. (ed.) Biomechanics in Applications, Chap. 3. IntechOpen, Rijeka (2011). https://doi.org/10.5772/20931 Bertollo, N., Walsh, W.R.: Drilling of bone: Practicality, limitations and complications associated with surgical drill-bits. In: Klika, V. (ed.) Biomechanics in Applications, Chap. 3. IntechOpen, Rijeka (2011). https://​doi.​org/​10.​5772/​20931
5.
Zurück zum Zitat Ewerbeck, V., et al. (eds.): Standardverfahren in der operativen Orthopädie und Unfallchirurgie, 4th edn. Thieme, Stuttgart (2014) Ewerbeck, V., et al. (eds.): Standardverfahren in der operativen Orthopädie und Unfallchirurgie, 4th edn. Thieme, Stuttgart (2014)
15.
Zurück zum Zitat Paszke, A., et al.: PyTorch: an imperative style, high-performance deep learning library. In: Wallach, H., Larochelle, H., Beygelzimer, A., Alché-Buc, F.d., Fox, E., Garnett, R. (eds.) Advances in Neural Information Processing System, vol. 32, pp. 8026–8037. Curran Associates, Inc. (2019) Paszke, A., et al.: PyTorch: an imperative style, high-performance deep learning library. In: Wallach, H., Larochelle, H., Beygelzimer, A., Alché-Buc, F.d., Fox, E., Garnett, R. (eds.) Advances in Neural Information Processing System, vol. 32, pp. 8026–8037. Curran Associates, Inc. (2019)
20.
Zurück zum Zitat Spiridonov, S.I., Slinkard, N.J., LaPrade, R.F.: Isolated and combined grade-III posterior cruciate ligament tears treated with double-bundle reconstruction with use of endoscopically placed femoral tunnels and grafts: operative technique and clinical outcomes. J. Bone Joint Surg. Am. 93(19), 1773–1780 (2011). https://doi.org/10.2106/JBJS.J.01638 Spiridonov, S.I., Slinkard, N.J., LaPrade, R.F.: Isolated and combined grade-III posterior cruciate ligament tears treated with double-bundle reconstruction with use of endoscopically placed femoral tunnels and grafts: operative technique and clinical outcomes. J. Bone Joint Surg. Am. 93(19), 1773–1780 (2011). https://​doi.​org/​10.​2106/​JBJS.​J.​01638
22.
Zurück zum Zitat Weimann, A., Wolfert, A., Zantop, T., Eggers, A.K., Raschke, M., Petersen, W.: Reducing the “killer turn” in posterior cruciate ligament reconstruction by fixation level and smoothing the tibial aperture. Arthroscopy J. Arthroscopic Related Surg. 23(10), 1104–1111 (2007). https://doi.org/10.1016/j.arthro.2007.04.014 Weimann, A., Wolfert, A., Zantop, T., Eggers, A.K., Raschke, M., Petersen, W.: Reducing the “killer turn” in posterior cruciate ligament reconstruction by fixation level and smoothing the tibial aperture. Arthroscopy J. Arthroscopic Related Surg. 23(10), 1104–1111 (2007). https://​doi.​org/​10.​1016/​j.​arthro.​2007.​04.​014
23.
Zurück zum Zitat Yang, B., Hu, L., Guo, N., Wang, Y., Liu, H., Han, Z.: Anterior cruciate ligament reconstruction surgery navigation and robotic positioning system under X-rays. In: 2018 IEEE International Conference on Robotics and Biomimetics (ROBIO), pp. 156–163 (2018) Yang, B., Hu, L., Guo, N., Wang, Y., Liu, H., Han, Z.: Anterior cruciate ligament reconstruction surgery navigation and robotic positioning system under X-rays. In: 2018 IEEE International Conference on Robotics and Biomimetics (ROBIO), pp. 156–163 (2018)
25.
Zurück zum Zitat Zhu, M., et al.: Tibial tunnel placement in anatomic anterior cruciate ligament reconstruction: a comparison study of outcomes between patient-specific drill template versus conventional arthroscopic techniques. Archiv. Orthopaedic Trauma Surg. 138(4), 515–525 (2018). https://doi.org/10.1007/s00402-018-2880-6CrossRef Zhu, M., et al.: Tibial tunnel placement in anatomic anterior cruciate ligament reconstruction: a comparison study of outcomes between patient-specific drill template versus conventional arthroscopic techniques. Archiv. Orthopaedic Trauma Surg. 138(4), 515–525 (2018). https://​doi.​org/​10.​1007/​s00402-018-2880-6CrossRef
Metadaten
Titel
Automatic Path Planning for Safe Guide Pin Insertion in PCL Reconstruction Surgery
verfasst von
Florian Kordon
Andreas Maier
Benedict Swartman
Maxim Privalov
Jan Siad El Barbari
Holger Kunze
Copyright-Jahr
2021
DOI
https://doi.org/10.1007/978-3-030-87202-1_54

Premium Partner