Advanced Engineering in Orthopedic Surgery Applications

Abstract:

The paper reports the use of advanced engineering tools, techniques and manufacturing process for the preoperative planning, visualization and simulation of complex osteotomy of a diabetic foot (Charcot osteoarthropathy). Two case studies focused on the same clinical data are illustrating the use of medical modeling techniques, reverse engineering and Additive Manufacturing technology in the development of 3D printed anatomical model and customized surgical cutting guides, as well as the use of Augmented Reality (AR) tools for enhancing the communication and information exchange between surgeons, and between surgeons and engineers. A good and accurate communication surgeon-engineer in identifying and selecting anatomical landmarks and supporting surfaces, in establishing the resections trajectories and K-wires positions proved mandatory for the guides’ design process. The importance of using both 3D virtual models, AR models and physical models as collaboration tools is also discussed.

• Periodical: Key Engineering Materials (Volume 752)
• Pages: 99-104
• DOI: https://doi.org/10.4028/www.scientific.net/KEM.752.99
• Online since: August 2017
• Authors: Diana Popescu*, Dan Lăptoiu, Rodica Marinescu, Anton Hadar, Iozefina Botezatu
• Keywords: 3D Printing, Augmented Reality, Customized Surgical Guides, Preoperative Planning

References

[1] I. M. Chen, S. J. Phee, Z. Luo, C. K. Lim, Personalized biomedical devices & systems for healthcare applications, Frontiers of Mechanical Engineering, 6(1), 3-12, (2011).

[2] D. Pisla, H. Bleuler, A. Rodić, C. Vaida, A. Pisla (Eds. ), New Trends in Medical and Service Robots, Theory and Integrated Applications, Mechanisms and Machine Science, Springer, (2014).

DOI: 10.1007/978-3-319-01592-7

[3] T. Beck, et al., Knowledge engineering for health: a new discipline required to bridge the ICT gap, between research and healthcare, Hum Mutat., 33(5), 797-802, (2012).

DOI: 10.1002/humu.22066

[4] D. Popescu, D. Laptoiu, Rapid prototyping for patient-specific surgical orthopaedics guides: A systematic literature review, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 230(6), 495-515, (2016).

DOI: 10.1177/0954411916636919

[5] W. Chai, et al. Computer-aided design and custom-made guide in corrective osteotomy for complex femoral deformity. J Huazhong Univ Sci Technolog Med Sci, 33(3), 398–405, (2013).

DOI: 10.1007/s11596-013-1131-x

[6] I. Gibson, Additive Manufacturing technology for medical applications. Reverse engineering, software conversion and Rapid Prototyping, Chapter 2, Wiley, 15-29, (2006).

DOI: 10.1002/0470033983.ch1

[7] http: /app-poigo. osf-demo. com.

[8] D. Popescu, D. Laptoiu, C. Ilie, A. Hadar, R. Barbur, Web-based collaborative platform for personalized orthopaedic applications, Studies in Informatics and Control Journal, 25(4), 517-526, (2016).

DOI: 10.24846/v25i4y201613

[9] E. Z. Barsom, M. Graafland, M. P. Schijven, Systematic review on the effectiveness of augmented reality applications in medical training, Surgical Endoscopy, 30(10), 4174–4183, (2016).

DOI: 10.1007/s00464-016-4800-6

[10] V. Lahanas, C. Loukas, N. Smailis, E. Georgiou, A novel augmented reality simulator for skills assessment in minimal invasive surgery, Surg Endosc, 29(8), 2224–2234, (2015).

DOI: 10.1007/s00464-014-3930-y

[11] I. Cabrilo, A. Sarrafzadeh, P.  Bijlenga, B. N. Landis, K. Schaller, Augmented reality-assisted skull base surgery, Neurochirurgie, 6(6), 304-306, (2014).

DOI: 10.1016/j.neuchi.2014.07.001

[12] D. Low, C. K. Lee, L. L. Dip, B. T. Ang, I. Ng, Augmented reality neurosurgical planning and navigation for surgical excision of parasagittal, falcine and convexity meningiomas, Br J Neurosurg. 2010, 24(1): 69-74.

DOI: 10.3109/02688690903506093