Implementation of a sound-guided navigation system for tibial closed interlocking nail fixations in orthopedics
Journal
Journal of Medical and Biological Engineering
Journal Volume
24
Journal Issue
3
Pages
147-153
Date Issued
2004
Author(s)
Abstract
Computer assisted surgical navigation becomes crucial as the demand for accuracy and minimal invasiveness increases. During the treatment of tibial fracture with interlocking nail, the most uncomfortable procedure for an orthopedic surgeon is to find the location for distal locking screws. In this study, a sound-guided 3D navigation system was developed for the fixation of distal locking screws in the tibial intramedullary nailing. This system consists of a 3D digitizer arm, 3D coordinate registration / transformation module and sound-guided navigation module. In addition, the proposed sound-guided navigation module was designed with an audio guiding mechanism through which a sound with different tones and intermittence frequencies will be produced for surgical manipulation. In vitro assessment was performed with a donor bone successfully, and a clinical case of a young male with tibial fracture was also carried out at the operation theater with satisfied results. No preoperative computed tomography or intraoperative fluoroscopy was required.
Subjects
accuracy
article
bone screw
computer assisted surgery
computer assisted tomography
computer system
fluoroscopy
fracture fixation
frequency analysis
human
human tissue
interlocking nail
intramedullary nailing
intraoperative period
male
mathematical analysis
minimally invasive surgery
orthopedic surgery
orthopedics
peroperative care
registration
signal processing
sound guided navigation system
three dimensional imaging
tibia
Type
journal article