期刊文献+

3维CT图像导航的并联机构辅助股骨复位方法 被引量:5

3D CT Image-Guided Parallel Mechanism-Assisted Femur Fracture Reduction
在线阅读 下载PDF
导出
摘要 临床上传统股骨复位手术存在复位精确度不高、辐射量大等不足.针对以上不足,提出一种基于术前CT图像引导,由固定于股骨患侧上的6自由度并联机构辅助股骨复位的方法.该方法基于人体的对称性原理,用患者健侧股骨镜像作为标准,指导患侧股骨复位;通过执行机构上的12个标记点,在虚拟空间中实时标记执行机构上每根杆的长度.动物骨实验验证了此复位方法的有效性. Traditionally,the clinical femur fracture reduction surgery is imperfect and often results in misalignment and high intraoperative radiation exposures.To solve the problem,a method for fracture reduction based on preoperative CT image and 6 degrees of freedom parallel mechanism which is fixed to unhealthy femur is proposed.Based on the body's symmetry principle,the method uses contralateral femur as a standard to guide the reduction of femoral shaft fractures.By twelve markers on the implementing machine/the computer can calculate the length of pole in the virtual space in real time. Finally,animal bones experiments show the effectiveness of the approach.
出处 《机器人》 EI CSCD 北大核心 2011年第3期303-306,346,共5页 Robot
基金 国家863计划资助项目(2008AA040205) 北京市科技计划资助项目(H060720050230)
关键词 股骨复位 人体对称性 六杆并联机构 计算机辅助骨外科手术 thighbone reduction body's symmetry 6-pole parallel mechanism computer assisted orthopaedic surgery
  • 相关文献

参考文献15

  • 1Kempf I, Grosse A, Beck G. Closed locked intramedullary nail- ing. Its application to comminuted fractures of the femur[J]. The Journal of Bone and Joint Surgery, 1985, 67(5): 709-720.
  • 2Leloup T, E1 Kazzi W, Schuind E et al. Conception of a navigation system controlling diaphyseal fracture reduction t. eated with external fixation[J]. International Journal of Med- ical Robotics and' Computer Assisted Surgery, 2009, 5(1): 99- 109.
  • 3Wolinsky P R, McCarty E, Shyr Y, et al. Reamed intramedullary nailing of the femur: 551 cases[J]. Journal of Trauma - Injury Infection and Critical Care, 1999, 46(3): 392-399.
  • 4Gosling T, Westphal R, Hufner T, et al. Robot-assisted fracture reduction: A preliminary study in the femur shaft[J]. Medical & Biological Engineering & Computing, 2005, 43(1): 115-120.
  • 5Westphal R, Winkelbach S, Wahl F, et al. Robot-assisted long bone fracture reduction[J]. International Journal of Robotics Re- search, 2009, 28(10): 1259-1278.
  • 6Gramham A E, Xie S Q, Aw K C, et al. Design of a parallel long bone fracture reduction robot with planning treatment tool[C] //IEEE/RSJ International Conference on Intelligent Robots and Systems. Piscataway, N J, USA: 1EEE, 2006:1255-1260.
  • 7Mukherjee S, Rendsburg M, Xu W L. Surgeon-instructed, image-guided and robot-assisted long bone fractures reduction [C]//1 st International Conference on Sensing Technology. 2005.
  • 8Westphal R, Winkelbach S, Gosling T, et al. Telemanipulated long bone fracture reduction, medical robotics[M]//Das 3d- Puzzle-Problem - Effiziente Methoden zum paarweisen Zusam- mensetzen von dreidimensionalen Fragmenten. Vienna, Aus- tria: I-Tech Education and Publishing, 2008: 507-526.
  • 9Koo T K K, Chao E Y S, Mak A F T. Development and valida- tion of a new approach for computer-aided long bone fracture reduction using unilateral external fixator[J]. Journal of Biome- chanics, 2006, 39(11): 2104-2112.
  • 10Seide K, Fascbingbauer M, Wenzl M E, et al. A hexapod robot external fixator for computer assisted fracture reduction and de- fortuity correction[J]. International Journal of Medical Robotics and Computer Assisted Surgery, 2004, 1(1): 64-69.

二级参考文献38

  • 1吴其常,张国栋,李润,关丽媛,王春禹.膝屈曲状态胫股关节压应力光弹性分析[J].医用生物力学,1995,10(4):229-234. 被引量:1
  • 2李之芳 张芩山 等.应用膝关节单髁表面置换技术治疗骨性膝关节炎初步报告[J].中华骨科杂志,1996,16:19-19.
  • 3Nohe L P, Beutler T. Basic principles of CAOS[J]. Injury, 2004, 35(S1): 6-16
  • 4Lavallee S. Registration for computer-integrated surgery: methodology, state of art [ C ]//Taylor R H, Lavallee S, Burdea G C, et al. Computer-Integrated Surgery: Technology and Clinical Applications. Cambridge, MA: MIT Press, 1996 : 77 - 97
  • 5Besl P J, Mckay N D. A method for registration of 3-d shapes [ J]. IEEE Transactions on Pattern Analysis and Machine Intelligence, 1992, 14(2) : 239 -256
  • 6Bentley J L. Muhidimensional binary search trees used for associative searching[J]. Communications of the ACM, 1975, 18 (9) :509 -517
  • 7Hoppe H, DeRose T, Duchamp T, et al. Surface reconstruction from unorganized points [ J ]. Computer Graphics 1992, 26 (2) : 71 -78
  • 8Herring J L, Dawant B M, Maurer C R, et al. Surface-based registration of CT images to physical space for image-guided surgery of the spine: a sensitivity study[ J]. IEEE Transactions on Medical Imaging, 1998, 17 (5) : 743 - 752
  • 9West J B, Maurer C R. Designing optically tracked instruments for image-guided surgery[J]. IEEE Transactions on Medical Imaging, 2004, 23 (5) : 533 - 545
  • 10White TO,Dougall TW.J Bone Joint Surg Br,2002; 84(3):335-338

共引文献66

同被引文献97

引证文献5

二级引证文献18

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部