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A novel computational method for evaluating osteochondral autografts in distal radius reconstruction

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HAND

Abstract

Background

We describe a novel computational method for assessing the fit of an osteochondral graft. We applied our software to five normal wrist computed tomography (CT) scans to determine the fit of the scaphoid to the lunate fossa of the distal radius.

Methods

CT scans of five wrists were digitally rendered. The capitate facet of the scaphoid was fit to the lunate fossa of the distal radius using custom software based on the iterative closest point (ICP) algorithm. This approach iteratively determines the optimal position of a model surface to minimize the sum of squares of distances from all points on a target surface. The fit of the two surfaces was reported by calculating the mean residual distance (MRD) between each point on one surface and its nearest neighbor on the other.

Results

The MRD for the five subjects was found to be 0.25 mm, with 82.8–98.3 % of the articular surfaces within 0.5 mm of each other.

Conclusions

We have developed a software algorithm for comparing two articular surfaces to test fit for a proposed joint reconstruction. The software is versatile and may be applied to any bony surface to identify new graft donor sites. The fit assessment renders a richer, three-dimensional understanding of the fit of the graft as compared to traditional two-dimensional assessments.

Level of Evidence: Decision analysis, Level V

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Conflict of Interest

Kathleen M. Kollitz declares no other conflict of interest.

Jennifer W. Hsu declares no other conflict of interest.

Jerry I. Huang declares the following: consultant for Arthrex, Inc., for education and product development; grants from Arthrex, Inc., for fellowship education; honoraria from AO North America as course faculty; payment for service on speakers’ bureau for Auxilium; travel and accommodation expense from Arthrex and Auxilium.

Peter R. Cavanagh declares no conflict of interest.

Statement of Human and Animal Rights

No human or animals subjects were used in the above study.

Statement of Informed Consent

No identifiable patient data were used in this study. All data were collected with approval of the institutional review board.

Grant Support

No grants or support was received for this study.

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Authors and Affiliations

  1. Department of Orthopaedics and Sports Medicine, University of Washington, 4245 Roosevelt Way NE, 2nd Floor, Box 354740, Seattle, WA, 98105, USA

    Kathleen M. Kollitz, Jerry I. Huang, Jennifer W. Hsu & Peter R. Cavanagh

Authors
  1. Kathleen M. Kollitz
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  2. Jerry I. Huang
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  3. Jennifer W. Hsu
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  4. Peter R. Cavanagh
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Corresponding author

Correspondence to Jerry I. Huang.

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Kollitz, K.M., Huang, J.I., Hsu, J.W. et al. A novel computational method for evaluating osteochondral autografts in distal radius reconstruction. HAND 10, 492–496 (2015). https://doi.org/10.1007/s11552-014-9654-6

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  • DOI: https://doi.org/10.1007/s11552-014-9654-6

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