A cadaver-based biomechanical model of acetabulum reaming for surgical virtual reality training simulators.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
03 09 2020
Historique:
received: 16 09 2019
accepted: 03 08 2020
entrez: 5 9 2020
pubmed: 5 9 2020
medline: 9 3 2021
Statut: epublish

Résumé

Total hip arthroplasty (THA) is a highly successful surgical procedure, but complications remain, including aseptic loosening, early dislocation and misalignment. These may partly be related to lacking training opportunities for novices or those performing THA less frequently. A standardized training setting with realistic haptic feedback for THA does not exist to date. Virtual Reality (VR) may help establish THA training scenarios under standardized settings, morphology and material properties. This work summarizes the development and acquisition of mechanical properties on hip reaming, resulting in a tissue-based material model of the acetabulum for force feedback VR hip reaming simulators. With the given forces and torques occurring during the reaming, Cubic Hermite Spline interpolation seemed the most suitable approach to represent the nonlinear force-displacement behavior of the acetabular tissues over Cubic Splines. Further, Cubic Hermite Splines allowed for a rapid force feedback computation below the 1 ms hallmark. The Cubic Hermite Spline material model was implemented using a three-dimensional-sphere packing model. The resulting forces were delivered via a human-machine-interaction certified KUKA iiwa robotic arm used as a force feedback device. Consequently, this novel approach presents a concept to obtain mechanical data from high-force surgical interventions as baseline data for material models and biomechanical considerations; this will allow THA surgeons to train with a variety of machining hardness levels of acetabula for haptic VR acetabulum reaming.

Identifiants

pubmed: 32884007
doi: 10.1038/s41598-020-71499-5
pii: 10.1038/s41598-020-71499-5
pmc: PMC7471911
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

14545

Références

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Auteurs

Luigi Pelliccia (L)

Professorship Machine Tool Design and Forming Technology, Professorship Factory Planning and Factory Operation, Chemnitz University of Technology, Reichenhainer Straße 70, 09126, Chemnitz, Germany.

Mario Lorenz (M)

Professorship Machine Tool Design and Forming Technology, Professorship Factory Planning and Factory Operation, Chemnitz University of Technology, Reichenhainer Straße 70, 09126, Chemnitz, Germany.
Department of Orthopedics, Trauma and Plastic Surgery, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.
Department of Macroscopic and Clinical Anatomy, Medical University of Graz, Harrachgasse 21, 8010, Graz, Austria.

Christoph-E Heyde (CE)

Department of Orthopedics, Trauma and Plastic Surgery, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.

Maximilian Kaluschke (M)

Department of Computer Graphics and Virtual Reality, University of Bremen, Bibliothekstraße 5, 28359, Bremen, Germany.

Philipp Klimant (P)

Professorship Machine Tool Design and Forming Technology, Professorship Factory Planning and Factory Operation, Chemnitz University of Technology, Reichenhainer Straße 70, 09126, Chemnitz, Germany.
Fraunhofer Institute for Machine Tools and Forming Technology IWU, Nöthnitzer Straße 44, 01187, Dresden, Germany.

Sebastian Knopp (S)

Professorship Machine Tool Design and Forming Technology, Professorship Factory Planning and Factory Operation, Chemnitz University of Technology, Reichenhainer Straße 70, 09126, Chemnitz, Germany.

Stefan Schleifenbaum (S)

Department of Orthopedics, Trauma and Plastic Surgery, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.

Christian Rotsch (C)

Department of Orthopedics, Trauma and Plastic Surgery, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.
Fraunhofer Institute for Machine Tools and Forming Technology IWU, Nöthnitzer Straße 44, 01187, Dresden, Germany.

René Weller (R)

Department of Computer Graphics and Virtual Reality, University of Bremen, Bibliothekstraße 5, 28359, Bremen, Germany.

Michael Werner (M)

Fraunhofer Institute for Machine Tools and Forming Technology IWU, Nöthnitzer Straße 44, 01187, Dresden, Germany.

Gabriel Zachmann (G)

Department of Computer Graphics and Virtual Reality, University of Bremen, Bibliothekstraße 5, 28359, Bremen, Germany.

Dirk Zajonz (D)

Department of Orthopedics, Trauma and Plastic Surgery, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.

Niels Hammer (N)

Department of Orthopedics, Trauma and Plastic Surgery, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany. niels.hammer@medunigraz.at.
Fraunhofer Institute for Machine Tools and Forming Technology IWU, Nöthnitzer Straße 44, 01187, Dresden, Germany. niels.hammer@medunigraz.at.
Department of Macroscopic and Clinical Anatomy, Medical University of Graz, Harrachgasse 21, 8010, Graz, Austria. niels.hammer@medunigraz.at.

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