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Erschienen in: International Journal of Computer Assisted Radiology and Surgery 9/2015

01.09.2015 | Original Article

Intra-operative augmented reality in distal locking

verfasst von: Roberto Londei, Marco Esposito, Benoit Diotte, Simon Weidert, Ekkehard Euler, Peter Thaller, Nassir Navab, Pascal Fallavollita

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 9/2015

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Abstract

Purpose

To design an augmented reality solution that assists surgeons during the distal locking of intramedullary nailing procedures.

Method

Traditionally, the procedure is performed under X-ray guidance and requires a significant amount of time and radiation exposure. To absolve these complications, we propose video guidance that allows surgeons to achieve both the down-the-beam position of the intramedullary nail and its subsequent locking. For the down-the-beam position, the IM nail pose in X-ray is calculated using a 2D/3D registration scheme and later related to the patient leg pose which is calculated using video-tracked AR markers. For the distal locking, surgeons use an augmented radiolucent drill in which its tip position is detected and tracked in real-time under video guidance.

Validation

To evaluate the feasibility of our solution, we performed a preclinical study on dry bone phantom with the participation of four clinicians.

Results

Participants achieved 100 % success rate in the down-the beam positioning and 93 % success rate in distal locking using only two X-ray images in 100 s.

Conclusions

We confirmed that intra-operative navigation using augmented reality provides an alternative way to perform distal locking in a safe and timely manner.

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Metadaten
Titel
Intra-operative augmented reality in distal locking
verfasst von
Roberto Londei
Marco Esposito
Benoit Diotte
Simon Weidert
Ekkehard Euler
Peter Thaller
Nassir Navab
Pascal Fallavollita
Publikationsdatum
01.09.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
International Journal of Computer Assisted Radiology and Surgery / Ausgabe 9/2015
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-015-1169-2

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