A fluoroscopic based computer enhancement system was designed for accurate insertion of guide wires for hip fracture fixation while decreasing fluoroscopy time. A saw bone model was created. The femur was imaged with fluoroscopy and a three-dimensional computer model was created. The femur, fluoroscopy drum, and drill were tracked with an optical tracking device. Guide wire position was planned on the computer model. Using a tracked drill the guide wire was inserted. The number of fluoroscopic images was decreased by 85% and the number of passes required to place the guide wire in acceptable position was decreased by 60% using computer enhanced technique. A fluoroscopic based computer enhancement system was designed for accurate insertion of guide wires for hip fracture fixation while decreasing fluoroscopy time. The number of fluoroscopic images and passes required to place the guide wire in acceptable position were decreased using computer enhanced technique. Final guide wire position was not different between the two groups. Orthopedic surgeons are exposed to radiation from fluoroscopy on a daily basis. This system allowed us to insert guide wires using substantially less fluoroscopy, without compromising accuracy. An average of 13.5 images were taken for each standard technique trial compared to two images for each computer enhanced trial, representing a reduction in fluoroscopy of 85%. One pass was used for each computer enhanced trial. An average of 2.4 trials was used for standard technique. Average final error was 3.6mm using standard technique and 3.8mm using computer technique. A saw bone model with a soft tissue sleeve was created. A DRB (dynamic referencing body) was fixed to the femur. The DRB, fluoroscopy drum, and drill were tracked with an optical tracking device. The system created a 3D model from two orthogonal fluoroscopic images. Guide wire position was then planned on the computer model. Using a tracked drill the guide wire was inserted. Computer enhanced trials were compared to standard techniques in regards to number of fluoroscopic images taken, number of trials to obtain acceptable guide wire position, and accuracy of guide wire placement. Guide wire position was measured on AP and lateral x-rays.
Two computer assisted techniques (CT and a fluoro-guide based system) were used to insert the femoral component of the Oxford Unicompartmental Knee arthroplasty. The accuracy and variability of component positioning were compared. Clinical data was collected pre-operatively and is being collected post-operatively. Standing AP and lateral knee X-rays as well as skyline X-rays were collected pre-operatively and post-operative full length AP and lateral femur X-rays were completed in order to measure alignment of the femoral component. Results are showing accurate insertions of the Oxford knee femoral component using both systems. To review two computer-assisted techniques for inserting Oxford Unicompartmental Knee arthroplasties. CT based and fluro based techniques were compared with regards to accuracy and variability of component positioning. Currently we are able to use either a CT based system or a fluro based system to accurately insert the femoral component of the Oxford Unicompartmental Knee arthroplasty. Computer assist techniques are allowing us to perform minimally invasive arthroplasty procedures with great accuracy. Patients were all seen in a pre-admission clinic where pre-operative clinical survey data were collected. All patients had standing AP and lateral knee X-rays as well as skyline X-rays pre-operatively. Post-perative full length AP and lateral femur X-rays were completed in order to measure alignment of the femoral component. Patients are being followed post-operatively with SF-36, WOMAC, Knee Society Scores, and X-rays. Patients being operated on with the CT based system had pre operative CT scans. Intra-operatively a DRB was fixed to the patient’s femur and the chosen computer assisted technique was used to direct the rotation of the tibial cut as well as the alignment of the femoral cutting jig. To date we have completed seventeen computer assisted Oxford Unicompartmental Knee Arthroplasties. The average error in the AP plane using CT based system was 3.2 degrees and 2.1 degrees for the lateral plane. The average error in the AP plane using the fluro-based system was 2.2 degrees and 1.3 degree for the lateral plane.
Two computer assisted techniques (CT and a fluoro-guide based system) were used to insert the femoral component of the Oxford Unicompartmental Knee arthroplasty. The accuracy and variability of component positioning were compared. Clinical data was collected pre-operatively and is being collected post-operatively. Standing AP and lateral knee X-rays as well as skyline X-rays were collected pre-operatively and post-operative full length AP and lateral femur X-rays were completed in order to measure alignment of the femoral component. Results are showing accurate insertions of the Oxford knee femoral component using both systems. To review two computer-assisted techniques for inserting Oxford Unicompartmental Knee arthroplasties. CT based and fluro based techniques were compared with regards to accuracy and variability of component positioning. Currently we are able to use either a CT based system or a fluro based system to accurately insert the femoral component of the Oxford Unicompartmental Knee arthroplasty. Computer assist techniques are allowing us to perform minimally invasive arthroplasty procedures with great accuracy. Patients were all seen in a pre-admission clinic where pre-operative clinical survey data were collected. All patients had standing AP and lateral knee X-rays as well as skyline X-rays pre-operatively. Post-perative full length AP and lateral femur X-rays were completed in order to measure alignment of the femoral component. Patients are being followed post-operatively with SF-36, WOMAC, Knee Society Scores, and X-rays. Patients being operated on with the CT based system had pre operative CT scans. Intra-operatively a DRB was fixed to the patient’s femur and the chosen computer assisted technique was used to direct the rotation of the tibial cut as well as the alignment of the femoral cutting jig. To date we have completed seventeen computer assisted Oxford Unicompartmental Knee Arthroplasties. The average error in the AP plane using CT based system was 3.2 degrees and 2.1 degrees for the lateral plane. The average error in the AP plane using the fluro-based system was 2.2 degrees and 1.3 degree for the lateral plane.
