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The development of a novel navigation system for reverse shoulder arthroplasty and its accuracy: a phantom and cadaveric study

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Reverse shoulder arthroplasty has demonstrated excellent clinical efficacy for patients with shoulder joint diseases and is increasingly in demand. Traditional surgery faces challenges such as limited exposed surfaces and a narrow field of vision, leading to a shorter prosthesis lifespan and a higher risk of complications. In this study, an optical navigation system was proposed to assist surgeons in real-time tracking of the surgical scene.

Methods

Our optical navigation system was developed using the NDI Polaris Spectra device and several open-source platforms. The first step involved using the preoperative medical image to plan screw implantation paths. Real-time tracking of the patient phantom or cadaver and the surgical instrument was achieved through registration and calibration algorithms. Surgeons were guided on drilling through visualization methods. Postoperative results were compared with the planned implantation paths, and an algorithm was introduced to correct errors caused by the incorrect beginning points.

Results

Experiments involved three scapula cadavers and their corresponding phantoms with identical anatomy. For each experiment, three holes were completed with drills with diameters of 3.2 mm and 8.0 mm, respectively. Comparisons between the postoperative actual screw implantation paths and the preoperative planned implantation paths revealed an entry error of 1.05 ± 0.15 mm and an angle error of 2.47 ± 0.55° for phantom experiments. For cadaver experiments, the entry error was 1.53 ± 0.22 mm, and the angle error was 4.91 ± 0.78°.

Conclusion

Our proposed optical navigation system successfully achieved real-time tracking of the surgical site, encompassing the patient phantom or cadaver and surgical instrument, thereby aiding surgeons in achieving precise surgical outcomes. Future study will explore the integration of robots to further enhance surgical efficiency and effectiveness.

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Funding

This study was funded by grants from National Key R&D Program of China (2022YFE0197900), National Natural Science Foundation of China (82330063), Shanghai Jiao Tong University Foundation on Medical and Technological Joint Science Research (YG2021ZD21; YG2021QN72; YG2022QN056; YG2023ZD19; YG2023ZD15), SJTU Global Strategic Partnership Fund (2023 SJTU-CORNELL), the Funding of Xiamen Science and Technology Bureau (3502Z20221012), and the Academician Expert Workstation of Jinshan District (jszjz2020007Y).

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Author notes

  1. Qiyang Zhu and Chenkai Li have contributed equally to this work.

Authors and Affiliations

  1. Institute of Biomedical Manufacturing and Life Quality Engineering, State Key Laboratory of Mechanical System and Vibration, Room A925, School of Mechanical Engineering, Shanghai Jiao Tong University, 800 Dongchuan Road, Minhang District, Shanghai, 200240, China

    Qiyang Zhu, Xingqi Fan, Haitao Li & Xiaojun Chen

  2. Department of Orthopaedics, Shanghai Sixth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

    Chenkai Li, Qingxiang Hu & Yaohua He

  3. Institute of Medical Robotics, Shanghai Jiao Tong University, Shanghai, China

    Xiaojun Chen

  4. Department of Orthopaedics, Jinshan District Central Hospital, Shanghai University of Medicine and Health Sciences, 147 Jiankang Road, Shanghai, 201599, China

    Yaohua He

Authors
  1. Qiyang Zhu
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  2. Chenkai Li
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  4. Haitao Li
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  5. Qingxiang Hu
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Corresponding authors

Correspondence to Qingxiang Hu, Yaohua He or Xiaojun Chen.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Zhu, Q., Li, C., Fan, X. et al. The development of a novel navigation system for reverse shoulder arthroplasty and its accuracy: a phantom and cadaveric study. Int J CARS (2024). https://doi.org/10.1007/s11548-024-03129-8

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  • DOI: https://doi.org/10.1007/s11548-024-03129-8

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