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Orthopaedic Proceedings
Vol. 98-B, Issue SUPP_4 | Pages 97 - 97
1 Jan 2016
PATIENT-SPECIFIC MUSCULOSKELETAL MODELS TO IMPROVE PREDICTABILITY OF FUNCTIONAL RECOVERY OF PATIENTS REQUIRING SEVERE RECONSTRUCTIVE SURGERY
Verdonschot N Weerdesteyn V Vigneron L Damsgaard M Sitnik R Feikas T Carbone V Koopman B
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INTRODUCTION

The burden of Musculoskeletal (M-S) diseases and prosthetic revision operations is huge and increasing rapidly with the aging population. For patients that require a major surgical intervention, procedures are unsafe, uncertain in outcome and have a high complication rate. The goal of this project is to create an ICT-based patient-specific surgical navigation system that helps the surgeon safely reaching the optimal functional result for the patient and is a user friendly training facility for the surgeons. The purpose of this paper is to demonstrate the advancements in personalized musculoskeletal modeling for patients who require severe reconstructive surgery of the lower extremity.

METHODS

TLEMsafe is a European Project dedicated to generating semi-automated 3-D image-analyzing tools to simulate the musculoskeletal (M-S) system. The patient-specific parameters are fed into models with which the patient specific functional outcome can be predicted. Hence, we can analyze the functional effect e.g. due to placement of prosthetic components in a patient. Surgeons can virtually operate on the patient-specific model after which the model predicts the functional effects. Once the optimal plan is selected, this is fed into a computer navigation system (see figure 1).