Advertisement

Improved Screw Placement for Slipped Capital Femoral Epiphysis (SCFE) Using Robotically-Assisted Drill Guidance

  • Bamshad Azizi Koutenaei
  • Ozgur Guler
  • Emmanuel Wilson
  • Ramesh U. Thoranaghatte
  • Matthew Oetgen
  • Nassir Navab
  • Kevin Cleary
Part of the Lecture Notes in Computer Science book series (LNCS, volume 8673)

Abstract

Slipped Capital Femoral Epiphysis (SCFE) is a common hip displacement condition in adolescents. In the standard treatment, the surgeon uses intra-operative fluoroscopic imaging to plan the screw placement and the drill trajectory. The accuracy, duration, and efficacy of this procedure are highly dependent on surgeon skill. Longer procedure times result in higher radiation dose, to both patient and surgeon. A robotic system to guide the drill trajectory might help to reduce screw placement errors and procedure time by reducing the number of passes and confirmatory fluoroscopic images needed to verify accurate positioning of the drill guide along a planned trajectory. Therefore, with the long-term goals of improving screw placement accuracy, reducing procedure time and intra-operative radiation dose, our group is developing an image-guided robotic surgical system to assist a surgeon with pre-operative path planning and intra-operative drill guide placement.

Keywords

Slipped Capital Femoral Epiphysis (SCFE) Robotically-assisted orthopedic surgery Computer-aided intervention 

References

  1. 1.
    Suhm, N., Messmer, P., Zuna, I., Jacob, L.A., Regazzoni, P.: Fluoroscopic guidance versus surgical navigation for distal locking of intramedullary implants. a prospective, controlled clinical study. Injury 35(6), 567–574 (2004)Google Scholar
  2. 2.
    Rohilla, R., Singh, R., Magu, N., Devgan, A., Siwach, R., Sangwan, S.: Simultaneous use of cannulated reamer and schanz screw for closed intramedullary femoral nailing. ISRN Surg. (2011) (published online)Google Scholar
  3. 3.
    Fuchs, H., State, A., Pisano, E.D., Garrett, W.F., Hirota, G., Livingston, M., Whitton, M.C., Pizer, S.M.: Towards Performing Ultrasound-Guided Needle Biopsies from within a Head-Mounted Display. In: Höhne, K.H., Kikinis, R. (eds.) VBC 1996. LNCS, vol. 1131, pp. 591–600. Springer, Heidelberg (1996)CrossRefGoogle Scholar
  4. 4.
    Liao, H., Ishihara, H., Tran, H.H., Masamune, K., Sakuma, I., Dohi, T.: Fusion of Laser Guidance and 3-D Autostereoscopic Image Overlay for Precision-Guided Surgery. In: Dohi, T., Sakuma, I., Liao, H. (eds.) MIAR 2008. LNCS, vol. 5128, pp. 367–376. Springer, Heidelberg (2008)CrossRefGoogle Scholar
  5. 5.
    Volonte, F., Pugin, F., Bucher, P., Sugimoto, M., Ratib, O., Morel, P.: Augmented Reality and Image Overlary Navigation with OsiriX in Laparoscopic and Robotic Surgery: Not Only a Matter of Fashion. J. Hepatobiliary Pancreat. Sci. 18, 506–509 (2011)CrossRefGoogle Scholar
  6. 6.
    Marmurek, J., Wedlake, C., Pardasani, U., Eagleson, R., Peters, T.: Image-Guided Laser Projection for Port Placement in Minimally Invasive Surgery. Stud. Health Technol. Inform. 119, 367–372 (2006)Google Scholar
  7. 7.
    Gavaghan, K., Oliveira-Santos, T., Peterhans, M., Reyes, M., Kim, H., Anderegg, S., Weber, S.: Evaluation of a portable image overlay projector for the visualization of surgical navigation data: phantom studies. Int. J. Comp. Assis. Radio. Surg. 7, 547–556 (2012)CrossRefGoogle Scholar
  8. 8.
    Enquobahrie, A., Cheng, P., Gary, K., Ibanez, L., Gobbi, D., Lindseth, F., Yaniv, Z., Aylward, S., Jomier, J., Cleary, K.: The image-guided surgery toolkit IGSTK: An open source C++ software toolkit. Journal of Digital Imaging 20(suppl. 1), 21–33 (2007)CrossRefGoogle Scholar
  9. 9.
    Arun, K.S., Huang, T.S., Blostein, S.D.: Least-squares fitting of two 3-D point sets. IEEE Transactions on Pattern Analysis and Machine Intelligence 9(5), 698–700 (1987)CrossRefGoogle Scholar
  10. 10.
    Pring, E.M., Adamczyk, M., Hosalkar, H.S., Bastrom, T.P., Wallace, C.D., Newton, P.O.: In situ screw fixation of slipped capital femoral epiphysis with a novel approach: a double-cohort controlled study. Journal of Children’s Orthopaedics 4(3), 239–244 (2010)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Bamshad Azizi Koutenaei
    • 1
    • 2
  • Ozgur Guler
    • 1
  • Emmanuel Wilson
    • 1
  • Ramesh U. Thoranaghatte
    • 3
  • Matthew Oetgen
    • 1
  • Nassir Navab
    • 2
    • 4
  • Kevin Cleary
    • 1
  1. 1.Children’s National Medical CenterWashington D.CUnited States
  2. 2.Chair for Computer Aided Medical Procedures (CAMP)TUMMunichGermany
  3. 3.NeoMedz SarlSwitzerland
  4. 4.Computer Aided Medical ProceduresJohns Hopkins UniversityUSA

Personalised recommendations