Computer aided planning of orthopaedic surgeries: the definition of generic planning steps for bone removal procedures

Int Orthop. 2017 Nov;41(11):2221-2227. doi: 10.1007/s00264-017-3626-8. Epub 2017 Sep 18.

Abstract

Purpose: An increasing number of orthopaedic surgeons are using computer aided planning tools for bone removal applications. The aim of the study was to consolidate a set of generic functions to be used for a 3D computer assisted planning or simulation.

Methods: A limited subset of 30 surgical procedures was analyzed and verified in 243 surgical procedures of a surgical atlas. Fourteen generic functions to be used in 3D computer assisted planning and simulations were extracted.

Results: Our results showed that the average procedure comprises 14 ± 10 (SD) steps with ten different generic planning steps and four generic bone removal steps.

Conclusions: In conclusion, the study shows that with a limited number of 14 planning functions it is possible to perform 243 surgical procedures out of Campbell's Operative Orthopedics atlas. The results may be used as a basis for versatile generic intraoperative planning software.

Keywords: Analysis of orthopaedic surgeries; Computer aided surgery; Generic bone removal steps; Generic planning steps; Surgical procedures.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bone and Bones / surgery
  • Computer Simulation
  • Humans
  • Imaging, Three-Dimensional / methods*
  • Orthopedic Procedures / methods*
  • Orthopedics / methods
  • Patient Care Planning
  • Software
  • Surgery, Computer-Assisted / methods*