Abstract | ||
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Proper implant alignment is a critical step in total hip arthroplasty (THA) procedures. In current practice, correct alignment of the acetabular cup is verified in C-arm X-ray images that are acquired in an anteriorposterior (AP) view. Favorable surgical outcome is, therefore, heavily dependent on the surgeon's experience in understanding the 3D orientation of a hemispheric implant from 2D AP projection images. This work proposes an easy to use intra-operative component planning system based on two C-arm X-ray images that is combined with 3D augmented reality (AR) visualization that simplifies impactor and cup placement according to the planning by providing a real-time RGBD data overlay. We evaluate the feasibility of our system in a user study comprising four orthopedic surgeons at the Johns Hopkins Hospital, and also report errors in translation, anteversion, and abduction as low as 1.98 mm, 1.10 degrees, and 0.53 degrees, respectively. The promising performance of this AR solution shows that deploying this system could eliminate the need for excessive radiation, simplify the intervention, and enable reproducibly accurate placement of acetabular implants. |
Year | DOI | Venue |
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2018 | 10.1117/12.2322399 | Proceedings of SPIE |
Keywords | DocType | Volume |
intra-operative planning,X-ray,augmented reality,RGBD camera,total hip arthroplasty | Conference | 10576 |
ISSN | Citations | PageRank |
0277-786X | 0 | 0.34 |
References | Authors | |
0 | 12 |
Name | Order | Citations | PageRank |
---|---|---|---|
Javad Fotouhi | 1 | 51 | 12.20 |
Clayton P. Alexander | 2 | 1 | 0.70 |
Mathias Unberath | 3 | 1 | 1.35 |
Giacomo Taylor | 4 | 1 | 2.05 |
Sing Chun Lee | 5 | 0 | 0.68 |
B Fuerst | 6 | 93 | 12.36 |
Alex Johnson | 7 | 14 | 3.97 |
Greg Osgood | 8 | 31 | 9.13 |
Russell H. Taylor | 9 | 1970 | 438.00 |
Harpal Khanuja | 10 | 7 | 1.35 |
Nassir Navab | 11 | 6594 | 578.60 |
M Armand | 12 | 169 | 27.17 |