The first twelve cases of computer assisted periacetabular osteotomy.
Image guided freehand navigation of surgical instruments has been applied to the Bernese periacetabular osteotomy, a complex surgical technique for the treatment of dysplastic hips. This navigation system has been introduced into the operating room and has so far been used for 12 patients. Image data from computed tomography (CT) scans are presented in various ways to support the preoperative plan and to provide optimized control of surgical action. Special attention has been paid to the implementation of a sophisticated surgeon-machine interface. This paper describes the features of this novel surgical navigation system and its introduction into the clinical environment.
Langlotz
F
F
Maurice E. Müller Institute for Biomechanics, University of Bern, Switzerland. frala@mem.unibe.ch
Stucki
M
M
Bächler
R
R
Scheer
C
C
Ganz
R
R
Berlemann
U
U
Nolte
L P
LP
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D003196:Computer Graphics / Q000295:instrumentation; D003199:Computer Systems; D005260:Female; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000601:surgery*; D010027:Osteotomy / Q000295:instrumentation*; D013523:Surgical Equipment; D013525:Surgical Instruments; D013813:Therapy, Computer-Assisted / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed / Q000295:instrumentation; D016896:Treatment Outcome; D014584:User-Computer Interface; D014741:Video Recording / Q000295:instrumentation*