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Development of a surgical navigation system for corrective osteotomy based on augmented reality

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Abstract

This study develops a novel navigation system for corrective osteotomy surgery based on augmented reality. By combining camera calibration and optical tracking technologies, we can provide a superimposed view of virtual 3D models with the resection plan onto the real patient, whereby both positional and rotational discrepancies between the surgical plan and current cutting plane are displayed. To test the feasibility of the developed system, the quantitative accuracy assessments were performed by using a custommade grid phantom and a mockup model. The assessment using the custom-made grid phantom showed stable root mean square error (RMSE) between virtual points and corresponding real points regardless of the viewing angle (1.31 ± 0.29 mm; mean ± s.d.) and the phantom-to-camera distance (1.17 ± 0.31 mm; mean ± s.d.). The assessment using the mockup model with five human subjects showed small positional and rotational discrepancies between the cutting plan and real cutting plane (0.59 ± 0.39 mm and 1.31° ± 0.38°; mean ± s.d.).

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References

  1. Bellemore, M. C., Barrett, I. R., Middleton, R. W., Scougall, J. S., and Whiteway, D. W., “Supracondylar Osteotomy of the Humerus for Correction of Cubitus Varus,” Bone & Joint Journal, Vol. 66, No. 4, pp. 566–572, 1984.

    Google Scholar 

  2. Bali, K., Sudesh, P., Krishnan, V., Sharma, A., Manoharan, S., and Mootha, A., “Modified Step-Cut Osteotomy for Post-Traumatic Cubitus Varus: Our Experience with 14 Children,” Orthopaedics & Traumatology: Surgery & Research, Vol. 97, No. 7, pp. 741–749, 2011.

    Google Scholar 

  3. Kim, H. T., Lee, J. S., and Yoo, C. I., “Management of Cubitus Varus and Valgus,” The Journal of Bone and Joint Surgery American Volume, Vol. 87, No. 4, pp. 771–780, 2005.

    Google Scholar 

  4. Park, S. and Kim, E., “Estimation of Carrying Angle Based on CT Images in Preoperative Surgical Planning for Cubitus Deformities,” Acta Medica Okayama, Vol. 63, No. 6, pp. 359–365, 2009.

    Google Scholar 

  5. Rha, I. C., Bong, J. H., and Park, S. S., “Development of 2D-3D Image Registration Techniques for Corrective Osteotomy for Lower Limbs,” J. Korean Soc. Precis. Eng., Vol. 30, No. 9, pp. 991–999, 2013.

    Article  Google Scholar 

  6. Murase, T., Oka, K., Moritomo, H., Goto, A., Yoshikawa, H., and Sugamoto, K., “Three-Dimensional Corrective Osteotomy of Malunited Fractures of the Upper Extremity with Use of a Computer Simulation System,” The Journal of Bone and Joint Surgery American Volume, Vol. 90, No. 11, pp. 2375–2389, 2008.

    Article  Google Scholar 

  7. Tricot, M., Duy, K. T., and Docquier, P.-L., “3D-Corrective Osteotomy Using Surgical Guides for Posttraumatic Distal Humeral Deformity,” Acta Orthopaedica Belgica, Vol. 78, No. 4, pp. 538–542, 2012.

    Google Scholar 

  8. Takeyasu, Y., Oka, K., Miyake, J., Kataoka, T., Moritomo, H., and Murase, T., “Preoperative, Computer Simulation-Based, Three-Dimensional Corrective Osteotomy for Cubitus Varus Deformity with Use of a Custom-Designed Surgical Device,” The Journal of Bone and Joint Surgery American Volume, Vol. 95, No. 22, pp. e173, 2013.

    Article  Google Scholar 

  9. Zhang, Y. Z., Lu, S., Chen, B., Zhao, J. M., Liu, R., and Pei, G. X., “Application of Computer-Aided Design Osteotomy Template for Treatment of Cubitus Varus Deformity in Teenagers: A Pilot Study,” Journal of Shoulder and Elbow Surgery, Vol. 20, No. 1, pp. 51–56, 2011.

    Article  Google Scholar 

  10. DiGioia, A. M., Plakseychuk, A. Y., Levison, T. J., and Jaramaz, B., “Mini-Incision Technique for Total Hip Arthroplasty with Navigation,” The Journal of Arthroplasty, Vol. 18, No. 2, pp. 123–128, 2003.

    Article  Google Scholar 

  11. Stulberg, S. D., Loan, P., and Sarin, V., “Computer-Assisted Navigation in Total Knee Replacement: Results of an Initial Experience in Thirty-Five Patients,” The Journal of Bone and Joint Surgery American Volume, Vol. 84, Suppl. 2, pp. S90–S98, 2002.

    Article  Google Scholar 

  12. Enquobahrie, A., Cheng, P., Gary, K., Ibanez, L., Gobbi, D., et al., “The Image-Guided Surgery Toolkit IGSTK: An Open Source C++ Software Toolkit,” Journal of Digital Imaging, Vol. 20, No. 1, pp. 21–33, 2007.

    Article  Google Scholar 

  13. Bradski, G. and Kaehler, A., “Learning Opencv: Computer Vision with the Opencv Library,” O'Reilly Media, Inc., 2008.

  14. Kato, H., and Billinghurst, M., “Marker Tracking and HMD Calibration for a Video-Based Augmented Reality Conferencing System,” Proc. of 2nd IEEE and ACM International Workshop on Augmented Reality, pp. 85–94 1999.

    Chapter  Google Scholar 

  15. Neider, J., Davis, T., and Woo, M., “Opengl Programming Guide: The Official Guide to Learning Opengl, Version 1.1 (OTL),” Addison-Wesley, 2nd Ed., 1997.

    Google Scholar 

  16. Solem, J. E., “Programming Computer Vision with Python: Tools and Algorithms for Analyzing Images,” O'Reilly Media, Inc., 2012.

    Google Scholar 

  17. Voss, F. R., Kasser, J. R., Trepman, E., Simmons, E., and Hall, J. E., “Uniplanar Supracondylar Humeral Osteotomy with Preset Kirschner Wires for Posttraumatic Cubitus Varus,” Journal of Pediatric Orthopaedics, Vol. 14, No. 4, pp. 471–478, 1994.

    Article  Google Scholar 

  18. Fitzpatrick, J. M., West, J. B., and Maurer, C. R., “Predicting Error in Rigid-Body Point-Based Registration,” IEEE Transactions on Medical Imaging, Vol. 17, No. 5, pp. 694–702, 1998.

    Article  Google Scholar 

  19. Mischkowski, R. A., Zinser, M. J., Kübler, A. C., Krug, B., Seifert, U., and Zöller, J. E., “Application of an Augmented Reality Tool for Maxillary Positioning in Orthognathic Surgery -A Feasibility Study,” Journal of Cranio-Maxillofacial Surgery, Vol. 34, No. 8, pp. 478–483, 2006.

    Article  Google Scholar 

  20. Glossop, N. D., “Advantages of Optical Compared with Electromagnetic Tracking,” The Journal of Bone & Joint Surgery, Vol. 91, Suppl. 1, pp. 23–28, 2009.

    Article  Google Scholar 

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Correspondence to Hyungmin Kim or Shinsuk Park.

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Bong, J.H., Kim, H. & Park, S. Development of a surgical navigation system for corrective osteotomy based on augmented reality. Int. J. Precis. Eng. Manuf. 18, 1057–1062 (2017). https://doi.org/10.1007/s12541-017-0124-2

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  • DOI: https://doi.org/10.1007/s12541-017-0124-2

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