Advancing computer-assisted orthopaedic surgery using a hexapod device for closed diaphyseal fracture reduction

Hailong Du; Lei Hu; Changsheng Li; Tianmiao Wang; Lu Zhao; Yang Li; Zhi Mao; Daohong Liu; Lining Zhang; Chunqing He; Licheng Zhang; Hongping Hou; Lihai Zhang; Peifu Tang

doi:10.1002/rcs.1614

Advancing computer-assisted orthopaedic surgery using a hexapod device for closed diaphyseal fracture reduction

Hailong Du, Lei Hu, Changsheng Li, Tianmiao Wang, Lu Zhao, Yang Li, Zhi Mao, Daohong Liu, Lining Zhang, Chunqing He, Licheng Zhang, Hongping Hou, Lihai Zhang, Peifu Tang^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

54 Citations (Scopus)

Abstract

Background: Surgical complications such as healing problems, in fractures treated using the Arbeitsgemeinschaft für Osteosynthesefragen (AO) technique, present functional and economic challenges to patients and treatment dilemmas for surgeons. Computer-assisted orthopaedic surgery using minimally invasive techniques focused on biological osteosynthesis is a novel direction for fracture treatment. Method: We modified the hexapod computer-assisted fracture reduction system by introducing a new reduction strategy, building a new system configuration and upgrading the corresponding software. We then validated the entire system, using a fracture model of bovine femur. Results: Precision tests were performed seven times on a bovine femur with a transverse fracture. Residual deviation was 1.23±0.60mm in axial deflection, 1.04±0.47mm in translation, 2.34±1.79° in angulation and 2.83±0.96° in rotation. Conclusion: Our new reduction system described here is detachable, flexible and more precise in coordinate transformations. The detachable, modular design will allow for more analogous applications in the future.

Original language	English
Pages (from-to)	348-359
Number of pages	12
Journal	International Journal of Medical Robotics and Computer Assisted Surgery
Volume	11
Issue number	3
DOIs	https://doi.org/10.1002/rcs.1614
Publication status	Published - 1 Sept 2015
Externally published	Yes

Keywords

CAOS
Computer assisted orthopaedic surgery
Diaphyseal fracture
Hexapod

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10.1002/rcs.1614

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Du, H., Hu, L., Li, C., Wang, T., Zhao, L., Li, Y., Mao, Z., Liu, D., Zhang, L., He, C., Zhang, L., Hou, H., Zhang, L., & Tang, P. (2015). Advancing computer-assisted orthopaedic surgery using a hexapod device for closed diaphyseal fracture reduction. International Journal of Medical Robotics and Computer Assisted Surgery, 11(3), 348-359. https://doi.org/10.1002/rcs.1614

@article{151bde4430604dfba9067cca5be2d960,

title = "Advancing computer-assisted orthopaedic surgery using a hexapod device for closed diaphyseal fracture reduction",

abstract = "Background: Surgical complications such as healing problems, in fractures treated using the Arbeitsgemeinschaft f{\"u}r Osteosynthesefragen (AO) technique, present functional and economic challenges to patients and treatment dilemmas for surgeons. Computer-assisted orthopaedic surgery using minimally invasive techniques focused on biological osteosynthesis is a novel direction for fracture treatment. Method: We modified the hexapod computer-assisted fracture reduction system by introducing a new reduction strategy, building a new system configuration and upgrading the corresponding software. We then validated the entire system, using a fracture model of bovine femur. Results: Precision tests were performed seven times on a bovine femur with a transverse fracture. Residual deviation was 1.23±0.60mm in axial deflection, 1.04±0.47mm in translation, 2.34±1.79° in angulation and 2.83±0.96° in rotation. Conclusion: Our new reduction system described here is detachable, flexible and more precise in coordinate transformations. The detachable, modular design will allow for more analogous applications in the future.",

keywords = "CAOS, Computer assisted orthopaedic surgery, Diaphyseal fracture, Hexapod",

author = "Hailong Du and Lei Hu and Changsheng Li and Tianmiao Wang and Lu Zhao and Yang Li and Zhi Mao and Daohong Liu and Lining Zhang and Chunqing He and Licheng Zhang and Hongping Hou and Lihai Zhang and Peifu Tang",

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year = "2015",

month = sep,

day = "1",

doi = "10.1002/rcs.1614",

language = "English",

volume = "11",

pages = "348--359",

journal = "International Journal of Medical Robotics and Computer Assisted Surgery",

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Du, H, Hu, L, Li, C, Wang, T, Zhao, L, Li, Y, Mao, Z, Liu, D, Zhang, L, He, C, Zhang, L, Hou, H, Zhang, L & Tang, P 2015, 'Advancing computer-assisted orthopaedic surgery using a hexapod device for closed diaphyseal fracture reduction', International Journal of Medical Robotics and Computer Assisted Surgery, vol. 11, no. 3, pp. 348-359. https://doi.org/10.1002/rcs.1614

TY - JOUR

T1 - Advancing computer-assisted orthopaedic surgery using a hexapod device for closed diaphyseal fracture reduction

AU - Du, Hailong

AU - Hu, Lei

AU - Li, Changsheng

AU - Wang, Tianmiao

AU - Zhao, Lu

AU - Li, Yang

AU - Mao, Zhi

AU - Liu, Daohong

AU - Zhang, Lining

AU - He, Chunqing

AU - Zhang, Licheng

AU - Hou, Hongping

AU - Zhang, Lihai

AU - Tang, Peifu

PY - 2015/9/1

Y1 - 2015/9/1

N2 - Background: Surgical complications such as healing problems, in fractures treated using the Arbeitsgemeinschaft für Osteosynthesefragen (AO) technique, present functional and economic challenges to patients and treatment dilemmas for surgeons. Computer-assisted orthopaedic surgery using minimally invasive techniques focused on biological osteosynthesis is a novel direction for fracture treatment. Method: We modified the hexapod computer-assisted fracture reduction system by introducing a new reduction strategy, building a new system configuration and upgrading the corresponding software. We then validated the entire system, using a fracture model of bovine femur. Results: Precision tests were performed seven times on a bovine femur with a transverse fracture. Residual deviation was 1.23±0.60mm in axial deflection, 1.04±0.47mm in translation, 2.34±1.79° in angulation and 2.83±0.96° in rotation. Conclusion: Our new reduction system described here is detachable, flexible and more precise in coordinate transformations. The detachable, modular design will allow for more analogous applications in the future.

AB - Background: Surgical complications such as healing problems, in fractures treated using the Arbeitsgemeinschaft für Osteosynthesefragen (AO) technique, present functional and economic challenges to patients and treatment dilemmas for surgeons. Computer-assisted orthopaedic surgery using minimally invasive techniques focused on biological osteosynthesis is a novel direction for fracture treatment. Method: We modified the hexapod computer-assisted fracture reduction system by introducing a new reduction strategy, building a new system configuration and upgrading the corresponding software. We then validated the entire system, using a fracture model of bovine femur. Results: Precision tests were performed seven times on a bovine femur with a transverse fracture. Residual deviation was 1.23±0.60mm in axial deflection, 1.04±0.47mm in translation, 2.34±1.79° in angulation and 2.83±0.96° in rotation. Conclusion: Our new reduction system described here is detachable, flexible and more precise in coordinate transformations. The detachable, modular design will allow for more analogous applications in the future.

KW - CAOS

KW - Computer assisted orthopaedic surgery

KW - Diaphyseal fracture

KW - Hexapod

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U2 - 10.1002/rcs.1614

DO - 10.1002/rcs.1614

M3 - Article

AN - SCOPUS:84940921012

SN - 1478-596X

VL - 11

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EP - 359

JO - International Journal of Medical Robotics and Computer Assisted Surgery

JF - International Journal of Medical Robotics and Computer Assisted Surgery

IS - 3

ER -

Advancing computer-assisted orthopaedic surgery using a hexapod device for closed diaphyseal fracture reduction

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Keywords

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