Implementation and performance evaluation of a drilling assistive device for distal locking of intramedullary nails.
distal locking
intramedullary nail
surgical navigation
surgical robot
Journal
The international journal of medical robotics + computer assisted surgery : MRCAS
ISSN: 1478-596X
Titre abrégé: Int J Med Robot
Pays: England
ID NLM: 101250764
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
03
11
2019
revised:
04
04
2020
accepted:
07
04
2020
pubmed:
18
4
2020
medline:
19
8
2021
entrez:
18
4
2020
Statut:
ppublish
Résumé
Intramedullary nailing is a common treatment for long bone fractures. The nail might deform during implantation because of the shape of medullary cavity. Thus, surgeons take many X-ray images to position distal locking holes and check the drilling process. In this study, we developed a positioning algorithm with a passive or active (robot arm) assistive device for promptly positioning of distal locking holes and stably drilling guidance and support. Using the passive device, the surgeon could manually align the positioning probe with locking hole within 60 seconds based on 20 test cases. In 36 test cases, the active device aligned the positioning probe with locking hole automatically with average errors of 2.2 mm in position and 3.19° in direction. The passive device provides a reliable and low-cost solution for distal locking of intramedullary nails, while the active device is easy and friendly to use.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e2110Subventions
Organisme : Ministry of Science and Technology, Taiwan
ID : 107-2218-E-008-006
Informations de copyright
© 2020 John Wiley & Sons, Ltd.
Références
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