Video‐augmented fluoroscopy for distal interlocking of intramedullary nails decreased radiation exposure and surgical time in a bovine cadaveric setting

Weidert, Simon; Wang, Lejing; Landes, Jürgen; Sandner, Philipp; Suero, Eduardo M.; Navab, Nassir; Kammerlander, Christian; Euler, Ekkehard; Heide, A. von der

doi:10.1002/rcs.1995

Cited by 10 publications

(2 citation statements)

References 32 publications

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“…Some notable research studies in using common AR and MR devices have introduced novel techniques, in dentistry, tumor treatment, and orthopedics, respectively [68][69][70]. Some prior studies [17,[71][72][73][74] have contributed various perspectives on tracking technologies. Emerging technologies such as ultrasound have further empowered AR and MR to excel in open surgery [17].…”

Section: Open Surgery Simulationmentioning

confidence: 99%

State of the Art in Immersive Interactive Technologies for Surgery Simulation: A Review and Prospective

Deng,

Xiang,

Pan

2023

Bioengineering

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Immersive technologies have thrived on a strong foundation of software and hardware, injecting vitality into medical training. This surge has witnessed numerous endeavors incorporating immersive technologies into surgery simulation for surgical skills training, with a growing number of researchers delving into this domain. Relevant experiences and patterns need to be summarized urgently to enable researchers to establish a comprehensive understanding of this field, thus promoting its continuous growth. This study provides a forward-looking perspective by reviewing the latest development of immersive interactive technologies for surgery simulation. The investigation commences from a technological standpoint, delving into the core aspects of virtual reality (VR), augmented reality (AR) and mixed reality (MR) technologies, namely, haptic rendering and tracking. Subsequently, we summarize recent work based on the categorization of minimally invasive surgery (MIS) and open surgery simulations. Finally, the study showcases the impressive performance and expansive potential of immersive technologies in surgical simulation while also discussing the current limitations. We find that the design of interaction and the choice of immersive technology in virtual surgery development should be closely related to the corresponding interactive operations in the real surgical speciality. This alignment facilitates targeted technological adaptations in the direction of greater applicability and fidelity of simulation.

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Section: Open Surgery Simulationmentioning

confidence: 99%

State of the Art in Immersive Interactive Technologies for Surgery Simulation: A Review and Prospective

Deng,

Xiang,

Pan

2023

Bioengineering

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“…Augmented uoroscopy can decrease radiation exposure, surgical time, and simplify the distal interlocking process. But the patient and the surgical team are exposed to X-ray and it is a high-cost procedure [38][39][40] .…”

Section: Introductionmentioning

confidence: 99%

Intramedullary Nail Holes Laser Indicator, a Non-Invasive Technique for Interlocking of Intramedullary Nails

Maleki

Tehrani

Aray

et al. 2021

Preprint

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Interlocking of intramedullary nails is a challenging procedure in orthopedic trauma surgery. Numerous methods have been described to facilitate this process. But they are exposed patient and surgical team to X-rays or involves trial and error. An accurate and non-invasive method has been provided to easily interlocking intramedullary nails. By transferring a safe visible light inside the nail, a drilling position appears which use to drilling bone toward the nail hole. The wavelength of this light was obtained from Ex-Vivo spectroscopy on biological tissues which has optimal transmission, reflectance, and absorption properties. Moreover, animal and human experiments were performed to evaluate performance of the proposed system. Ex-Vivo performance experiments were performed successfully on two groups of cow and sheep samples. Output parameters were procedure time and drilling quality which there were significant differences between the two groups in procedure time (P<0.05). But no significant differences were observed in drilling quality (P>0.05). Moreover, an In-Vivo performance experiment was performed successfully on a middle-aged man. Intramedullary nail holes laser indicator is a safe and accurate method that reduced surgical time and simplifies the process. This new technology makes it easier to interlocking the intramedullary nail which can have good clinical applications.

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Implementation and performance evaluation of a drilling assistive device for distal locking of intramedullary nails

Hsu

Chang

et al. 2020

Robotics Computer Surgery

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Intramedullary nailing is a common treatment for long bone fractures. The nail might deform during implantation because of the shape of medullary cavity. Thus, surgeons take many X‐ray images to position distal locking holes and check the drilling process. In this study, we developed a positioning algorithm with a passive or active (robot arm) assistive device for promptly positioning of distal locking holes and stably drilling guidance and support. Using the passive device, the surgeon could manually align the positioning probe with locking hole within 60 seconds based on 20 test cases. In 36 test cases, the active device aligned the positioning probe with locking hole automatically with average errors of 2.2 mm in position and 3.19° in direction. The passive device provides a reliable and low‐cost solution for distal locking of intramedullary nails, while the active device is easy and friendly to use.

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Video‐augmented fluoroscopy for distal interlocking of intramedullary nails decreased radiation exposure and surgical time in a bovine cadaveric setting

Cited by 10 publications

References 32 publications

State of the Art in Immersive Interactive Technologies for Surgery Simulation: A Review and Prospective

State of the Art in Immersive Interactive Technologies for Surgery Simulation: A Review and Prospective

Intramedullary Nail Holes Laser Indicator, a Non-Invasive Technique for Interlocking of Intramedullary Nails

Implementation and performance evaluation of a drilling assistive device for distal locking of intramedullary nails

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