Browse > Article

Development of Computer-Aided Surgery System for High Tibial Osteotomy Using Tracking-Pin and Fluoroscopic G-arm Images  

Koo, Bon-Yeol (한양대학교 기계공학부)
Kim, Cheol-Woong (고려대학교/(주)트리플씨메디칼)
Lee, Sun-Hyuk (고려대학교 의과대학 정형외과)
Bae, Ji-Hoon (고려대학교 의과대학 정형외과)
Park, Cheol-Woo (한양대학교 기계공학부)
Kim, Jay-Jung (한양대학교 기계공학부)
Abstract
High tibial osteotomy (HTO) is a widely accepted treatment for unicompartmental osteoarthritis of the knee and other lower extremity deformities, particularly for young and active patients. However, it is generally recognized as a technically demanding procedure. Thus the limitations of conventional surgical methods have been reported. Currently, the use of computer-aided surgery (CAS) system for successful surgery was increased. However it has been reported many problems such as expensive equipment, infection or fracture caused by inserting half-pin and delaying surgery. Therefore we propose a novel method which can be tracked by using tracking-pin inserted in arbitrary locations of the femur and tibia, and fluoroscopic images obtained from G-arm of antero-posterior and lateral-medial.
Keywords
Computer-aided surgery; G-arm fluoroscopy; High tibial osteotomy; Intraoperative planning; Preoperative planning;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Song, E. K., Seon, J. K., Chung, J. Y., Cho, S. G. and Il Kyo Kong, "Comparison of Results of Total Knee Arthroplasty Performed using a Navigation System and the Conventional Technique," Journal of Korean Orthopedic Association, Vol. 41, No. 6, pp. 1002-1007, 2006.   DOI
2 Wright, J. G., Treble, N. and Feinstein, A. R., "Measurement of Lower Limb Alignment Using Long Radiographs," J. Bone Joint Surg. [Br], Vol. 73, pp. 721-723, 1991.
3 Gunay, M., Shim, M. B. and Shimada, K., "Costand Time-effective Three-dimensional Bone-shape Reconstruction from X-ray Images," Int. J. Med. Robotics Computer Assist Surgery, Vol. 3, pp. 323-335, 2007.   DOI   ScienceOn
4 Agneskirchner, J. D., Hurschler, C., Stukenborg- Colsman, C., Imhoff, A. B. and Lobenhoffer, P., "Effect of High Tibial Flexion Osteotomy on Cartilage Pressure and Joint Kinematics: A Biomechanical Study in Human Cadaveric Knees," Arch Orthop Trauma Surg., Vol. 124, pp. 575-584, 2004.   DOI   ScienceOn
5 Muller, W., Kentsch, A. and Schafer, N., "The Elastic High Tibia Valgus Osteotomy in the Varus Deformity," Oper. Tech. Sports Med., Vol. 8, pp. 19-26, 2000.   DOI   ScienceOn
6 Hankemeier, S., Hufner, T., Wang, G., Kendoff, D., Zeichen, J., Zheng, G. and Krettek, C., "Navigated Open-wedge High Tibial Osteotomy: Advantages and Disadvantages Compared to the Conventional Technique in a Cadaver Study," Knee Surg Sports Traumatol Arthrosc, Vol. 14, pp. 917-921, 2006.   DOI   ScienceOn
7 Lin, H., Birch, J. G. and Samchukov, M. L., "Computer- assisted Surgery Planning for Lower Extremity Deformity Correction by the Ilizarov Method," J. Image Guid Surg., Vol. 1, pp. 103-108, 1995.   DOI
8 Tsumura, H., Himeno, S. and Kawai, T., "The Computer simuLMion on the Correcting Osteotomy of Osteoarthritis of the Knee," Journal of Japanese Orthopaedic Association, Vol. 58, pp. 565-566, 1984.
9 Wirz, P. and Jakob, R. P., "Knee Joint simuLMor: an Anatomical Reconstruction of the Joint Surfaces and of the Ligamentous Structures of the Knee Joint for Teaching Purposes," Knee Surg Sports Traumatol Arthrosc., Vol. 7, pp. 59-62, 1999.   DOI   ScienceOn
10 Bae, D. K, Yoon, K. H., Kim, S. G. and Park, K. J., "Efficacy of Computer Assisted Surgery in Revision Total Knee Arthroplasty," Journal of Korean Orthopedic Association, Vol. 41, No. 6, pp. 974-980, 2006.   DOI
11 Wright, J. G., Treble, N. and Feinstein, A. R., "Measurement of Lower Limb Alignment Using Long Radiographs," J. Bone Joint Surg. [Br], Vol. 73, pp. 721-723, 1991.
12 Frrti, C. B., Gautier, E., Wachtl, S. W. and Jakob, R. P., "Accuracy of Frontal and Sagittal Plane Correction in Open-wedge High Tibial Osteotomy," Arthroscopy, Vol. 20, pp. 366-372, 2004.   DOI   ScienceOn
13 Chao, E. Y. and Sim, F. H., "Computer-aided Preoperative Planning in Knee Osteotomy," Iowa Orthop J., Vol. 15, pp. 4-18, 1995.
14 Nakamura, E., Mizuta, H., Takagi, K. and Sakamoto, K., "Open-wedge Osteotomy of the Proximal Tibia Hemicallotasis," J. Bone Joint Surg. Br., Vol. 83, pp. 1111-1115, 2001.   DOI   ScienceOn
15 Hernigou, P., Medevielle, D., Debeyre, J. and Goutallier, D., "Proximal Tibial Osteotomy for Osteoarthritis with Varus Deformity. A Ten to Thirteenyear Follow-up Study," J. Bone Joint Surg. [Am], Vol. 69, Issue. 3, pp. 332-354, 1987.   DOI
16 Marti, C. B., Gautier, E., Wachtl, S. W. and Jakob, R. P., "Accuracy of Frontal and Sagittal Plane Correction in Open-wedge High Tibial Osteotomy," Arthroscopy, Vol. 20, pp. 366-372, 2004.   DOI   ScienceOn
17 Jacques, M., Victoria, D. and Daniel, F., "Computer- Assisted Open-Wedge High Tibial Osteotomy," Operative Technique in Orthopaedics, Elsevier Inc, pp. 210-214, 2008.
18 Dahl, M. T., "Preoperative Planning in Deformity Correction and Limb Lengthening Surgery," Instr. Course Lect., Vol. 49, pp. 503-509, 2000.
19 Rudan, J. F. and Simurda, M. A., "Valgus High Tibial Osteotomy. A Long-term Follow-up Study," Clin. Orthop, pp. 157-160, 1991.
20 Poilvache, P., "Osteotomy for the Arthritic Knee. A European Perspective", In: Scott WN ed. Surgery of the Knee. 4th ed. Philadelphia, Elsevier Inc., pp. 1321-1366, 2006.
21 Giffin, J. R., Vogrin, T. M., Zantop, T., Woo, S. L. and Harner, C. D., "Effects of Increasing Tibial Slope on the Biomechanics of the Knee," Am. J. Sports Med., Vol. 32, No. 2, pp. 376-382, 2004.   DOI   ScienceOn
22 Hohmann, E., Bryant, A. and Imhoff, A. B., "The Effect of Closed Wedge High Tibial Osteotomy on Tibial Slope: A Radiographic Study," Knee Surg. Sports Traumatol Arthosc., Vol. 14, pp. 454-459, 2006.   DOI   ScienceOn
23 Kazakos, K. J., Chatzipapas, C., Verettas, D., Galanis, V., Xarchas, K. C. and Psillakis, I., "Mid-term Results of Total Knee Arthroplasty after High Tibial Osteotomy," Arch Orthop. Trauma Surg., Vol. 128, pp. 167-173, 2008.   DOI   ScienceOn
24 Lee, J. Y., Seon, J. K., Yoon, T. R., Cheon, S. Y. and Lim, K. Y., "Comparison of High Tibial Osteotomy: Opening Versus Closing Wedge Osteotomy," J. Korean Orthop. Assoc., Vol. 39, pp. 790-796, 2004.   DOI
25 Koshino, T., Murase, T., Takagi, T. and Saito, T., "New Bone Formation Around Porous Hydroxyapatite Wedge Implanted in Opening Wedge High Tibial Osteotomy in Patients with Osteoarthritis," Biomaterials, Vol. 22, Issue 12, pp. 1579-1582, 2001.   DOI   ScienceOn
26 Murphy, S. B., "Tibial Osteotomy for Genu Varum Indications, Preoperative Planning, and Technique," Orthop. Clin. North [Am], Vol. 25, No. 3, pp. 477-482, 1994.
27 Naudie, D., Bourne, R. B., Rorabeck, C. H. and Bourne, T. J., "The Install Award Survivorship of the High Tibial Valgus Osteotomy. A 10- to -22- year Followup Study," Clin. Orthop., Vol. 367, pp. 18-27, 1999.
28 Mathews, J., Cobb, A. G. and Richardson, S., "Distal Femoral Osteotomy for LMeral Compartment Osteoarthritis of the Knee," Orthopedics, Vol. 21, pp. 437-440, 1998.
29 Noyes, F. R., Barber-Westin, S. D. and Hewett, T. E., "High Tibial Osteotomy and Ligament Reconstruction for Varus anguLMed Anterior Cruciate Ligament- deficient Knees," J. Sports Med. [Am], Vol. 28, pp. 282-296, 2000.
30 Billings, A., Scott, D. F. and Camargo, M. P., "High Tibial Osteotomy with a Calibrated Osteotomy Guide, Rigid Internal Fixation, and Early Motion Long-term Follow-up," J. Bone Joint Surg [Am], Vol. 82, pp. 70-79, 2000.
31 Coventry, M. B., Ilstrup, D. M. and Wallrichs, S. L., "Proximal Tibial Osteotomy. A Critical Longterm Study of Eighty-seven Cases," J. Bone Joint Surg. [Am], Vol. 75, pp. 196-201, 1993.   DOI
32 Hernigou, P. and Ma, W., "Open Wedge Tibial Osteotomy with Acrylic Bone Cement as Bone Substitute," Knee, Vol. 8, pp. 103-110, 2001.   DOI   ScienceOn