International Conference on Medical Image Computing and Computer-Assisted Intervention

MICCAI 2015: Medical Image Computing and Computer-Assisted Intervention -- MICCAI 2015 pp 323-330 | Cite as

A Portable Intra-Operative Framework Applied to Distal Radius Fracture Surgery

  • Jessica Magaraggia
  • Wei Wei
  • Markus Weiten
  • Gerhard Kleinszig
  • Sven Vetter
  • Jochen Franke
  • Karl Barth
  • Elli Angelopoulou
  • Joachim Hornegger
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9349)

Abstract

Fractures of the distal radius account for about 15% of all extremity fractures. To date, open reduction and internal plate fixation is the standard operative treatment. During the procedure, only fluoroscopic images are available for the planning of the screw placement and the monitoring of the instrument trajectory. Complications arising from malpositioned screws can lead to revision surgery. With the aim of improving screw placement accuracy, we present a prototype framework for fully intra-operative guidance that simplifies the planning transfer. Planning is performed directly intra-operatively and expressed in terms of screw configuration w.r.t the used implant plate. Subsequently, guidance is provided solely by a combination of locally positioned markers and a small camera placed on the surgical instrument that allows real-time position feedback. We evaluated our framework on 34 plastic bones and 3 healthy forearm cadaver specimens. In total, 146 screws were placed. On bone phantoms, we achieved an accuracy of 1.02 ± 0.57mm, 3.68 ± 4.38° and 1.77 ± 1.38° in the screw tip position and orientation (azimuth and elevation) respectively. On forearm specimens, we achieved a corresponding accuracy of 1.63 ± 0.91mm, 5.85 ± 4.93° and 3.48 ± 3.07°. Our analysis shows that our framework has the potential for improving the accuracy of the screw placement compared to the state of the art.

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Jessica Magaraggia
    • 1
    • 2
    • 3
  • Wei Wei
    • 2
  • Markus Weiten
    • 2
  • Gerhard Kleinszig
    • 2
  • Sven Vetter
    • 4
  • Jochen Franke
    • 4
  • Karl Barth
    • 2
  • Elli Angelopoulou
    • 1
    • 3
  • Joachim Hornegger
    • 1
    • 3
  1. 1.Pattern Recognition LabFAU Erlangen-NürnbergErlangenGermany
  2. 2.Siemens Healthcare GmbHErlangenGermany
  3. 3.Research Training Group 1773 “Heterogeneous Image Systems”ErlangenGermany
  4. 4.BG Trauma Center, Ludwigshafen am RheinLudwigshafenGermany

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