Computer Assisted Musculoskeletal Surgery Thinking and Executing in 3D 1st Edition by Lucas Ritacco, Federico Milano, Edmund Chao 3319129422 9783319129426

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ISBN-10 :  3319129422 

ISBN-13 :  9783319129426

Author:  Lucas E. Ritacco, Federico E. Milano, Edmund Chao 

​Computer-Assisted Surgery (CAS) is a new tool for performing complex procedures in a predictable and safe way. This book is designed to serve as a comprehensive review of Computer-Assisted Surgery, covering the current status of both research and applications. CAS includes Virtual Preoperative Planning (VPP) and Intraoperative Virtual Navigation (IVN), which are a set of technologies used to measure oncological margins in 3-Dimensions (3D), to locate small intraosseous tumors and apply controlled resections preserving anatomical structures. During VPP, patient acquired multimodal images are processed and an interactive virtual scenario is created. This can then be used as a  platform to  measure oncological distances and preplan osteotomies in safe areas. IVN is a procedure which allows the execution of the VPP with a mean error of less than 3mm. For the student, medical doctors, research and development scientists or new researchers, the protocols are central to the performance of Computer-Assisted technologies.

Computer-Assisted Musculoskeletal Surgery: Thinking and Executing in 3D 1st Table of contents:

Part I: Preoperative Planning
Chapter 1: Virtual Preoperative Planning
Advantages
Drawbacks
Instructions
What Is Virtual Preoperative Planning?
Conclusions
References
Chapter 2: Computerized Tools: Allograft Selection
Introduction
Preoperative Preparation
Technique with Pearls and Pitfalls
Results
Conclusion
References
Chapter 3: Computer Guided Navigation and Pre-�operative Planning for Arthroscopic Hip Surgery
Introduction
Computer-Aided Surgery in Femoroacetabular Impingement
Examples of Current Computer-Navigated and Pre-operative Planning Systems
HipMotion
Brainlab Hip CT
Computer-Aided Navigation Using Encoder Linkages for Position Tracking
The Equidistant Method
A2 Surgical
The Future of Computer Guided Navigation and Pre-­operative Planning
References
Chapter 4: Virtual Cranio-Maxillofacial Surgery Planning with Stereo Graphics and Haptics
Introduction
Stereoscopic Visualization and Motion Parallax
Haptics
System Overview
System Components
Bone Segmentation
Bone-Puzzle
Orbit Segmentation
Implant Design
Evaluation
Conclusions and Future Work
References
Chapter 5: Computational Image-Guided Technologies in Cranio-Maxillofacial Soft Tissue Planning and
Introduction
Cranio-Maxilofacial Surgery
Image-Guided in CMF Soft-Tissue Surgical Planning
Functional Aspects in CMF Planning
Fast Patient-Specific Modeling
Dealing with Metal Artefacts: Spatially-Varying Gaussian Process Modeling
Seamless Surgical Planning: The Direct and Inverse Surgical Planning
Inverse Soft Tissue Modeling
Discussion and Conclusions
References
Part II: Surgical Navigation
Chapter 6: Introduction to Surgical Navigation
Introduction
Navigation Setup
Data Acquisition
Registration
Tracking
Clinical Applications and Results
Spine Surgery
Joint Replacement Surgery
Fracture Fixation
Anterior Cruciate Ligament Reconstruction
Bone Tumor Surgery
Conclusion
References
Chapter 7: Bone Tumor Navigation in the Pelvis
Introduction
Osteogenic Pathology of the Pelvic Girdle
Primary Bone Tumors
Sacral Tumors
Metastases
Challenges Faced During Pelvic Surgery
Size
Anatomy
Consistency
Margins
Reconstruction
Complications
Function
Suitability of the Pelvis for Navigation
Evolution of Surgical Techniques
How to Do It
Image Correlation
Resection Plane Planning
Registration Points
Design of Custom Made Implants
Tracker and Camera Positioning
Navigated Instruments
Reduced Soft Tissue Exposure
Order of Osteotomy at Resection
Sources of Error
Benefits of Bone Tumor Navigation in the Pelvis
References
Chapter 8: Bone Tumor Navigation in Limbs
Introduction
Indication
Preoperative Preparation
Acquisition of Images
Magnetic Resonance and Computer Tomography Image Fusion
Segmentation of Images
Virtual 3D Preoperative Planning
Technique with Pearls and Pitfalls
Results
Conclusions
References
Chapter 9: Direct Navigation of Surgical Instrumentation
Introduction
Past and Current Alternatives for Conventional Arthroplasty Techniques
Variations of Conventional Jigs
Arthroplasty Without Jigs
The Navigated Freehand Cutting Approach
Navigated Instruments
Planning Surgery
Navigated Power Tools
Simplified 2D Guidance
Smart Views
Experimental Case Studies
Study 1: Navigated Freehand Cutting Experiments with Seven Independent Surgeons [23]Study 2: Experimenting with Cadavers [25]Futuristic Versions of Smart Navigated Instruments
Concluding Remarks
References
Chapter 10: Navigation in Spinal Surgery
Introduction
Preoperative Preparation
Technique with Pearls and Pitfalls
Complications
Results
Conclusion
References
Chapter 11: Knee Prosthesis Navigation
Introduction
Pre-operative Preparation
Technique with Pearls and Pitfalls
Initial Setting
Anatomical Survey
Femur Anatomical Survey
Tibial Anatomical Survey
Intra-operative Planning
Jigs Navigation
Verification of Resections
Soft Tissue Balancing
Final Kinematics
Complications
Results
Conclusions
References
Chapter 12: Local Tumor Ablation Using Computer-­Assisted Planning and Execution
Introduction
Radiofrequency Ablation
Microwave Ablation
Cryoablation
Indications
Preoperative Preparation
Technique (with Perils and Pitfalls)
Complications
Results
Conclusion
References
Part III: Custom Implants
Chapter 13: Patient-Specific Instruments in Orthopedics
Introduction
PSI History
PSI for TKA
Current Innovative Applications
Spine Instrumentation
Joint Arthroplasties
Bone Tumor Surgery
Corrective Osteotomies
Other Applications
Synostosis
Paprovsky Pathology
Ilio-Sacral Screws
Conclusion
References
Chapter 14: Custom Implants
Introduction
History
Background to Specialist Custom-Made Orthopaedic Implants
Current Design Methods
Image Processing
Implant Design
Pre-operative Planning
Modelling Implant Body
Modelling Fixation
Finite Element Analysis
Manufacturing
CNC Milling
ALM
Coordinate Measurement Machine (CMM)
Patient-Specific Cutting Jigs
Navigation and Robotics
Stanmore Implants Worldwide Clinical Experience Using Additive Manufacturing
Discussion
References
Chapter 15: Patient’s Specific Template for Spine Surgery
Introduction
General Concepts
Fabrication Process (Biomodeling Process)
Template Design
Full Contact Designs
Low Contact Designs
Clinical Studies
Cervical Spine
Thoraco-Lumbar Spine
Low Contact Design Template
Full Contact Template Design
Discussion
Conclusion
References
Part IV: Robotics
Chapter 16: The Use of ROBODOC in Total Hip and Knee Arthroplasty
Introduction
Preoperative Preparation
Technique
Results and Complications
THA
TKA
Conclusion
References
Chapter 17: A Comparative Study for Touchless Telerobotic Surgery
Introduction
Related Work
System Architecture
Kinematic Configuration Space and Trajectory Generation
Mapping Interfaces to Actions
Registration
Safety Operation and Region Determination
Visual and Auditory Feedback
Dynamic Use of the User Space
Experiments: Settings and Results
Incision Task
Peg Transfer
Conclusion and Future Work
References
Part V: Validation in Computer-Assisted Surgical Workflows
Chapter 18: Accuracy and Precision in Computer-Assisted Methods for Orthopaedic Surgery
Introduction
Accuracy Is Said in Many Ways
Localization Accuracy in Image-Guided Navigation
Evaluation of Osteotomies
Patient-Specific Instrumentation
Standardization Efforts
Proposal for New ISO Standardization Activities
Proposed Programme of Work
Expected Contributions
Toward a First International Workshop
Conclusion
References
Part VI: Emerging Trends
Chapter 19: Computer Simulation Surgery for Deformity Correction of the Upper Extremity
Introduction
Malunited Forearm Fracture
Construction of 3D Bone Models, Deformity Evaluation and Simulation of Deformity Correction
Design and Manufacturing of Patient Matched Instrument (PMI)
Surgical Technique
Clinical Outcomes
Cubitus Varus Deformity
Deformity Evaluation of Cubitus Varus Deformity
Simulation for Deformity Correction of Cubitus Varus Deformity
Surgical Technique
Clinical Outcomes
Malunited Distal Radial Fracture
Simulation Technique for Deformity Correction of Malunited Distal Radius Fracture Using a Volar L
Surgical Technique
Surgical Outcome
References
Chapter 20: Spinal Loading System: A Novel Technique for Assessing Spinal Flexibility in Adolesce
Introduction
Methods
Study Design
Spinal Loading System
Data Acquisition
Results
Discussion
References
Chapter 21: 3D Projection-Based Navigation
Introduction
History of Augmented Reality in Orthopedic Surgery
Projection Based Navigation
Geometric Projection Calibration
Clinical Application
Challenges and Future Outlook
References

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Tags: Computer Assisted, Musculoskeletal Surgery, Thinking, Executing, Lucas Ritacco, Federico Milano, Edmund Chao