Computer-assisted arthroplasty using bioengineered autografts

Autor: R. Sidler, M.A. Gonzalez Ballester, H.M. Bonel, M. Styner, T. Bardyn, L.-P. Nolte, N.P. Sudkamp, W. Kostler
Rok vydání: 2006
Předmět:
Zdroj: IEEE engineering in medicine and biology magazine : the quarterly magazine of the Engineering in MedicineBiology Society. 25(4)
ISSN: 0739-5175
Popis: Recent advances in tissue-engineered cartilage open the door to new clinical treatments of joint lesions. Common to all therapies with in-vitro-engineered autografts is the need for optimal fit of the construct to allow screwless implantation and optimal integration into the live joint. Computer-assisted surgery (CAS) techniques are prime candidates to ensure the required accuracy, while at the same time simplifying the procedure. A pilot study has been conducted aiming at assembling a new set of methods to support ankle joint arthroplasty using bioengineered autografts. Computer assistance allows planning of the implant shape on a computed tomography (CT) image, manufacturing the construct according to the plan, and interoperatively navigating the surgical tools for implantation. A rotational symmetric model of the joint surface was used to avoid segmentation of the CT image; new software was developed to determine the joint axis and make the implant shape parameterizable. A complete cycle of treatment from planning to operation was conducted on a human cadaveric foot, thus proving the feasibility of computer-assisted arthroplasty using bioengineered autografts
Databáze: OpenAIRE