Title
Computer assisted planning and navigation of periacetabular osteotomy with range of motion optimization.
Abstract
Femoroacetabular impingement (FAI) before or after Periacetabular Osteotomy (PAO) is surprisingly frequent and surgeons need to be aware of the risk preoperatively and be able to avoid it intraoperatively. In this paper we present a novel computer assisted planning and navigation system for PAO with impingement analysis and range of motion (ROM) optimization. Our system starts with a fully automatic detection of the acetabular rim, which allows for quantifying the acetabular morphology with parameters such as acetabular version, inclination and femoral head coverage ratio for a computer assisted diagnosis and planning. The planned situation was optimized with impingement simulation by balancing acetabuar coverage with ROM. Intra-operatively navigation was conducted until the optimized planning situation was achieved. Our experimental results demonstrated: 1) The fully automated acetabular rim detection was validated with accuracy 1.1 +/- 0.7mm; 2) The optimized PAO planning improved ROM significantly compared to that without ROM optimization; 3) By comparing the pre-operatively planned situation and the intra-operatively achieved situation, sub-degree accuracy was achieved for all directions.
Year
Venue
Keywords
2014
Lecture Notes in Computer Science
Periacetabular osteotomy,surgical planning,range of motion,hip impingement analysis
Field
DocType
Volume
Computer vision,Range of motion,Surgical planning,Femoral head,Femoroacetabular impingement,Osteotomy,Computer science,Simulation,Navigation system,Femoracetabular Impingement,Artificial intelligence,Acetabulum
Conference
8674
Issue
ISSN
Citations 
Pt 2
0302-9743
4
PageRank 
References 
Authors
0.82
0
6
Name
Order
Citations
PageRank
Li Liu182.78
Timo Ecker2133.24
Steffen Schumann3708.38
Klaus-Arno Siebenrock453.20
Lutz-Peter Nolte522227.71
Guoyan Zheng636356.10