Skip to main content
SpringerLink
Log in

Geschichte und Entwicklung der computerassistierten Chirurgie in der Orthopädie

The history and development of computer assisted orthopaedic surgery

  • Leitthema
  • Published:
Der Orthopäde Aims and scope Submit manuscript

Zusammenfassung

Die computerassistierte Chirurgie wurde unter dem Gesichtspunkt der verbesserten Genauigkeit orthopädisch chirurgischer Prozeduren entwickelt. Dabei erfuhr sie innerhalb der letzten Jahre eine dramatische Entwicklung von einer experimentellen und v. a. im Labor angewandten Technik hin zu einer Routineanwendung, die prinzipiell für jeden Orthopäden verfügbar ist.

Die erste Anwendung auf dem Gebiet der computerassistierten Chirurgie war die Neurochirurgie. Nachdem erfolgreich Pedikelschrauben navigiert werden konnten, setzte sich diese Technik auch auf dem endoprothetischen Sektor durch und bietet aktuell viele verschiedene Anwendungsmöglichkeiten. Zunächst war die Grundlage der Navigation eine präoperative Computertomographie (CT) oder mehrere Fluoroskopieaufnahmen. Bei den aktuell verwendeten bildfreien Systemen wird die erforderliche Information über die Anatomie des Patienten erst intraoperativ digitalisiert. Die weitere Entwicklung der Navigation ist noch nicht abzusehen, es scheint sich jedoch um eine Technologie zu handeln, die eine zunehmende Verbreitung findet.

Abstract

Computer assisted orthopaedic surgery (CAOS) was developed to improve the accuracy of surgical procedures. It has improved dramatically over the last years, being transformed from an experimental, laboratory procedure into a routine procedure theoretically available to every orthopaedic surgeon.

The first field of application of computer assistance was neurosurgery. After the application of computer guided spinal surgery, the navigation of total hip and knee joints became available. Currently, several applications for computer assisted surgery are available. At the beginning of navigation, a preoperative CT-scan or several fluoroscopic images were necessary. The imageless systems allow the surgeon to digitize patient anatomy at the beginning of surgery without any preoperative imaging. The future of CAOS remains unknown, but there is no doubt that its importance will grow in the next 10 years, and that this technology will probably modify the conventional practice of orthopaedic surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  1. Banks AZ, Klos TVS, Habets RJE et al. (1998) Computer assistance in arthroscopic anterior cruciate ligament reconstruction. Clin Orthop 354: 65–69

    PubMed  Google Scholar 

  2. Bargar W, Bauer A, Börner M (1998) Primary and revision total hip replacement using the Robodoc system. Clin Orthop 354: 82–91

    Article  PubMed  Google Scholar 

  3. Bäthis H, Perlick L, Tingart M et al. (2004) Alignment in total knee arthroplasty: a comparison of computer-assisted implantation with the conventional technique. J Bone Joint Surg Br 86(5): 682–687

    PubMed  Google Scholar 

  4. Chauhan SK, Scott RG, Breidahl W, Beaver RJ (2004) Computer-assisted knee arthroplasty versus a conventional jig-based technique. A randomised, prospective trial. J Bone Joint Surg Br 86: 372–377

    Article  PubMed  Google Scholar 

  5. Crowl AC, Kahler DM (2002) Closed reduction and percutaneous fixation of anterior column acetabular fractures. Comput Aided Surg 7(3): 169–178

    Article  PubMed  Google Scholar 

  6. Davies BL, Harris SJ, Lin WJ et al. (1997) Active compliance in robotic surgery – the use of force control as a dynamic constraint. Proc Inst Mech Eng H 211: 285–292

    Article  PubMed  Google Scholar 

  7. Delp SL, Stulberg SD, Davies B et al. (1998) Computer assisted knee replacement. Clin Orthop 354: 49–56

    Article  PubMed  Google Scholar 

  8. Dessenne V, Lavallée S, Julliard R et al. (1995) Computer assisted knee anterior cruciate ligament reconstruction: first clinical tests. J Image Guided Surg 1: 59–64

    Article  Google Scholar 

  9. Di Gioia A, Jaramaz B (2000) Computer assisted tools and interventional technologies. Lancet 354: 46

    Google Scholar 

  10. Ellis RE, Tso CY, Rudan JF, Harrison MM (1999) A surgical planning and guidance system for high tibial osteotomy. Comput Aided Surg 4: 264–274

    Article  PubMed  Google Scholar 

  11. Jaramaz B, DiGioia A, Blackwell M, Nikou C (1998) Computer assisted measurement of cup placement in total hip replacement. Clin Orthop 354: 70–81

    Article  PubMed  Google Scholar 

  12. Jenny JY, Boeri C (2003) Unicompartmental knee prosthesis implantation with a non-image-based navigation system: rationale, technique, case-control comparative study with a conventional instrumented implantation. Knee Surg Sports Traumatol Arthrosc 111: 40–45

    Google Scholar 

  13. Krackow KA, Bayers-Thering M et al. (1999) A new technique for determining proper mechanical axis alignment during total knee arthroplasty. Orthopaedics 22: 698–702

    Google Scholar 

  14. Langlotz F, Bachler R, Berlemann U et al. (1998) Computer assistance for pelvic osteotomies. Clin Orthop 354: 92–102

    Article  PubMed  Google Scholar 

  15. Lüring C, Bäthis H, Perlick L et al. (2005) Die navigationsgestützte Knieendoprothetik – Eine Standortbestimmung unter Evidenz basierten Kriterien. Dtsch Ärtzebl 102(A2320–2325): 34–35

    Google Scholar 

  16. Merloz P, Tonetti J, Eid A et al. (1997) Computer assisted spine surgery. Clin Orthop 337: 86–96

    PubMed  Google Scholar 

  17. Perlick L, Bäthis H, Tingart M et al. (2004) Minimally invasive unicompartmental knee replacement with a non-image-based navigation system. Int Orthop 28(2): 87–90

    Article  PubMed  Google Scholar 

  18. Picard F, DiGioia AM, Moody J (2001) Accuracy in tunnel placement for ACL reconstruction. Comparison of traditional arthroscopic and computer-assisted navigation techniques. Comput Aided Surg 6(5): 279–289

    Article  PubMed  Google Scholar 

  19. Radermacher K, Staudte HW, Rau G (1998) Computer assisted orthopaedic surgery with image-based individual templates. Clin Orthop 354: 28–38

    Article  PubMed  Google Scholar 

  20. Saragaglia D, Picard F, Chaussard C et al. (2001) Computer-assisted knee arthroplasty: comparison with a conventional procedure. Results of 50 cases in a prospective randomized study. Rev Chir Orthop 87: 18–28

    PubMed  Google Scholar 

  21. Siebert W, Mai S, Kober R, Heeckt PF (2002) Technique and first clinical results of robot-assisted total knee replacement. Knee 93: 173–180

    Article  Google Scholar 

  22. Sparmann M, Wolke B, Czupalla H et al. (2003) Positioning of total knee arthroplasty with and without navigation support. A prospective, randomised study. J Bone Joint Surg Br 85: 830–835

    PubMed  Google Scholar 

  23. Stockl B, Nogler M, Rosiek R et al. (2004) Navigation improves accuracy of rotational alignment in total knee arthroplasty. Clin Orthop 426: 180–186

    PubMed  Google Scholar 

  24. Victor J, Hoste D (2004) Image-based computer-assisted total knee arthroplasty leads to lower variability in coronal alignment. Clin Orthop 428: 131–139

    PubMed  Google Scholar 

Download references

Interessenkonflikt

Es besteht kein Interessenkonflikt. Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen. Die Präsentation des Themas ist unabhängig und die Darstellung der Inhalte produktneutral.

Author information

Authors and Affiliations

  1. Centre de Traumatologie et d’Orthopédie, 10 Avenue Baumann, F-67400, Illkirch, Fankreich

    J.-Y. Jenny

Authors
  1. J.-Y. Jenny
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J.-Y. Jenny.

Additional information

Deutsche Bearbeitung PD Dr. C. Lüring.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jenny, JY. Geschichte und Entwicklung der computerassistierten Chirurgie in der Orthopädie. Orthopäde 35, 1038–1042 (2006). https://doi.org/10.1007/s00132-006-0994-y

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00132-006-0994-y

Schlüsselwörter

Keywords

Search

Navigation