Robot-guided long bone intramedullary distal locking: concept and preliminary results

Robot-guided long bone intramedullary distal locking: concept and preliminary results
复制标题

机器人引导长骨髓内远端锁定:概念和初步结果

DOI:
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发表时间:
2002
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通讯作者:
Leo Joskowicz
Leo Joskowicz
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文献类型:
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作者:
Leo Joskowicz

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本文介绍了一种新型的机器人系统,以协助骨科医生进行远端髓内锁定长骨骨折复位。该系统为股骨和胫骨髓内钉手术中钻取远端螺钉导向孔提供了机械导向。仅需几张X线透视图像,它就能自动将钻导向器相对于远端锁定髓内钉孔定位。该系统的目标是允许新手和专家外科医生在没有试验和错误的情况下进行锁定,以减少他们的辐射暴露,缩短术中时间,并减少并发症。我们提出的基本原理和概念的系统,它的架构和使用协议,它的图像处理和配准算法,以及我们的初步结果。
This paper describes a novel robot-based system to assist orthopaedic surgeons in performing distal intramedullary locking for long bone fracture reduction. The system provides a mechanical guide for drilling the pilot holes of distal screws in femoral and tibial intramedullary nailing surgery. It automatically positions a drill guide with respect to the distal locking nail holes with just a few X-ray fluoroscopic images. The goals of the system are to allow novice and expert surgeons alike to perform the locking without trial and error, to reduce their exposure to radiation, to shorten the intraoperative time, and to reduce complications. We present the rationale and concept of the system, its architecture and usage protocol, its image processing and registration algorithms, and our preliminary results.