A surgical planning and guidance system for high tibial osteotomies

  • C. Y. Tso
  • R. E. Ellis
  • J. Rudan
  • M. M. Harrison
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 1496)


A three-dimensional pre-surgical planner and image-guided surgery system for high tibial osteotomy has been developed. The planning software permits a surgeon to establish the tibial axes, plan the corrective osteotomy, and visualize both the preoperative state and the predicted postoperative state in three dimensions. The parameters that describe the placement and orientation of the osteotomy resection planes can be transmitted to an accompanying guidance system that allows the surgeon to accurately perform the planned procedure. Tests were performed in vitro to compare the accuracy of the computer-enhanced technique to the traditional technique, and an in vivo pilot study has been initiated. The computer-enhanced technique produced a significant reduction in the error of correction and is simple to use while performing the surgical procedure. The work indicates that three-dimensional planning and surgical performance of high tibial osteotomy is essential to the accuracy of the procedure.


Total Knee Arthroplasty High Tibial Osteotomy Resection Plane Closing Wedge Osteotomy Medial Compartment Osteoarthritis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • C. Y. Tso
    • 1
  • R. E. Ellis
    • 1
  • J. Rudan
    • 2
  • M. M. Harrison
    • 2
  1. 1.Department of Computing and Information ScienceQueen’s University at KingstonCanada
  2. 2.Department of SurgeryQueen’s University at KingstonCanada

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