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Computer Navigation in the Foot and Ankle Surgery

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Minimally Invasive Surgery in Orthopedics

Abstract

Foot and ankle surgery at the end of the 20th century was characterized by the use of sophisticated computerized preoperative and postoperative diagnostic and planning procedures.1–3 However, intraoperative computerized tools that assist the surgeon during his or her struggle for the planned optimal operative result are missing. This results in an intraoperative “black box” without optimal visualization, guidance, and biomechanical assessment.2 The future will be characterized by breaking up this intraoperative “black box.” We will have more intraoperative tools to achieve the planned result.2,3 Intraoperative three-dimensional (3D) imaging (ISO-C-3D), computer-assisted surgery (CAS), and intraoperative pedography (IP) are three possible innovations to realize the planned procedure intraoperatively.3 These devices might be especially helpful for minimally invasive surgery.

These novel methods are in clinical use at our institution for further development. This chapter especially analyzes the feasibility and potential clinical benefit of navigation for foot and ankle surgery. Because ISO-C-3D and IP are two other innovations that are closely connected to navigation, these two methods are also described.

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Acknowledgments

The author thanks Christian Krettek, MD, FRACS, Director or Trauma, Stefan Zech, MD, Jens Geerling, MD, Michael Frink, MD, Tobias Huefner, MD, Daniel Kendoff, MD, Musa Citak, MD, Nicolas Vanin, Patricia Droste, Claudia Schultz-Blum, Alke Bretzke, Carolina Böse, Angelika Heinrich, and Vital Karch, Trauma Department, Hannover Medical School, Hannover Germany for their valuable contribution in carrying out the surgical procedures and the handling of the introduced technical devices.

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  1. II Chirurgische Klinik, Unfallchirurgie, Orthopädie und Fußchirurgie, Klinikum Coburg, Ketschendorfer Str. 33, 96450, Coburg, Germany

    Martinus Richter

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  1. Martinus Richter
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Correspondence to Martinus Richter .

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  1. Insall Scott Kelly Institute, East 64th St. 210, New York, 10021, U.S.A.

    Giles R. Scuderi

  2. Orthopaedic Center of New Jersey, Route 27 1527, Somerset, 08873, U.S.A.

    Alfred J. Tria

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Richter, M. (2010). Computer Navigation in the Foot and Ankle Surgery. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76608-9_79

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