Advances in computer-aided navigation technology in orthopedics
GUO Weichun1 HUANG Wenjun1 WANG Guangye2
l.Department of Orthopaedics, Renmin Hospital of Wuhan University, Hubei Province， Wuhan 430060, China; 2.Department of Orthopaedics, the Second People's Hospital of Wuhu, Anhui Province, Wuhu 241000, China
Abstract：[Abstract] With the development of information science and life sciences, computer-assisted surgery technologies has opened up a new field for the development of surgical techniques. Computer-assisted surgical techniques is the use of modern digital imaging techniques such as CT, MRI, PET image data obtained by computer processing and analysis, simulated surgical procedure, combined with the spatial positioning and navigation system, intraoperative real-time three-dimensional visual positioning to carry out surgical navigation (3D Navigation), so that surgery tends to be more accurate and minimally invasive. Especially in recent years navigation in orthopedic applications, the navigation carried out under trauma, spine, joint, has become a recent hot spot, which is characterized by precise positioning, improving the accuracy of surgery, reducing the exposure time and surgery complications. From the development of navigation, system composition, clinical application, existing problems and so on are summarized in this artical, and the trend of the development outlook is put forward.
[参考文献]
[1] Houten JK，Nasser R，Baxi N. Clinical assessment of percutaneous lumbar pedicle screw placement using the O-arm multidimensional surgical imaging system [J]. Neurosurgery，2012，70（4）：990-995.
[2] Van de Kelft E，Costa F，Van der Planken D，et al. A prospective multicenter registry on the accuracy of pedicle screw placement in the thoracic，lumbar，and sacral levels with the use of the O-arm imaging system and Stealth Station Navigation [J]. Spine（PhilaPa1976），2012，37（25）：E1580-E1587.
[3] Rivkin MA，Yocom SS. Thoracolumbar instrumentation with CT-guided navigation（O-arm）in 270 consecutive patients： accuracy rates and lessons learned [J]. Neurosurgical Focus，2014，36（3）：E7.
[4] Costa F，Porazzi E，Restelli U，et al. Economic study：a cost-effectiveness analysis of an intraoperative compared with a preoperative image-guided system in lumbar pedicle screw fixation in patients with degenerative spondylolisthesis [J]. The Spine Journal，2014，14（8）：1790-1796.
[5] O'Brien MF，Lenke LG，Mardjetko S，et al. Pedicle morphology in thoracic adolescent idiopathic scoliosis，is pedicle fixation an anatomically viable technique? [J]. Spine，2000， 25（18）：2285-2293.
[6] Lien SB，Liou NH，Wu SS. Analysis of anatomic morphometry of the pedicles and the safe zone for through-pedicle procedures in the thoracic and lumbar spine [J]. Eur Spine J，2007，16（8）：1215-1222.
[7] Hicks JM，Singla A，Shen FH，et al. Complications of pedicle screw fixation in scoliosis surgery， a systematic review [J]. Spine，2010，35（11）：E465-E470.
[8] Larson AN，Santos ER，Polly DW，et al. Pediatric pedicle screw placement using intraoperative computed tomography and 3-dimensional image-guided navigation [J]. Spine，2012，37（3）：E188-E194.
[9] Kotani T，Akazawa T，Sakuma T，et al. Accuracy of pedicle screw placement in scoliosis surgery：a comparison between conventional computed tomography-based and O-arm-based navigation techniques [J]. Asian Spine J，2014， 8（3）：331-338.
[10] Rajasekaran S，Vidyadhara S，Ramesh P，et al. Randomized clinical study to compare the accuracy of navigated and non-navigated thoracic pedicle screws in deformity correction surgeries [J]. Spine，2007，32（2）：E56-E64.
[11] Jeswani S，Drazin D，Hsieh JC，et al. Instrumenting the small thoracic pedicle：the role of intraoperative computed tomography image-guided surgery [J]. Neurosurgical Focus，2014，36（3）：E6.
[12] Zou D，Zhang K，Ren Y，et al. Three-dimensional image navigation system-assisted anterior cervical screw fixation for treatment of acute odontoid fracture [J]. Int J Clin Exp Med，2014，7（11）：4332-4336.
[13] Singh PK，Garg K，Sawarkar D，et al. Computed tomography-guided C2 pedicle screw placement for treatment of unstable hangman fractures [J]. Spine （Phila Pa 1976），2014，39（18）：E1058-E1065.
[14] Krackow KA，Raju S，Puttaswamy MK. Medial Over-resection of the tibia in total knee arthroplasty for varus deformity using computer navigation [J]. J Arthroplasty，2015，30（5）：766-769.
[15] de Steiger RN，Liu YL，Graves SE. Computer navigation for total knee arthroplasty reduces revision rate for patients less than sixty-five years of age [J]. J Bone Joint Surg Am，2015，97（8）：635-642.
[16] Suksathien Y，Suksathien R，Chaiwirattana P. Acetabular cup placement in navigated and non-navigated total hip arthroplasty （THA）：results of two consecutive series using a cementless short stem [J]. J Med Assoc Thai，2014， 97（6）：629-634.
[17] Suksathien Y，Suksathien R，Chaiwirattana P. Accuracy of acetabular cup placement in navigated THA with modified registration technique in semilateral decubitus position [J]. J Med Assoc Thai，2014，97（10）：1089-1095.
[18] EI Hachmi M，Penasse M. Our midterm results of the Birmingham hip resurfacing with and without navigation [J]. J Arthroplasty，2014，29（4）：808-812.
[19] Stübig T，J■hnisch T，Petri M，et al. Navigated versus conventional transfixation of AC joint injuries：feasibility and accuracy [J]. Comput Aided Surg，2013，18（3-4）：68-75.
[20] Suero EM，Hawi N，Citak M，et al. Intraoperative imaging of the shoulder：a comparison of two-and three-dimensional imaging techniques [J]. Technol Health Care，2015， 23（2）：171-177.
[21] Egidy CC，Fufa D，Kendoff D，et al. Hinged external fixator placement at the elbow： navigated versus conventional technique [J]. Comput Aided Surg，2012，17（6）：294-299.
[22] Brownhill JR，McDonald CP，Ferreira LM，et al. Kinematics and laxity of a linked total elbow arthroplasty following computer navigated implant positioning [J]. Comput Aided Surg，2012，17（5）：249-258.
[23] McDonald CP，Johnson JA，Peters TM，et al. Image-based navigation improves the positioning of the humeral component in total elbow arthroplasty [J]. J Shoulder Elbow Surg，2010，19（4）：533-543.
[24] 熊健斌，赵劲民，沙轲，等.计算机导航技术在后交叉韧带重建胫骨隧道定位中的应用[J].中国组织工程研究与临床康复，2011，15（17）：3139-3142.
[25] 王伟，彭昊.红外线计算机导航辅助关节镜下前十字韧带重建中骨隧道定位的准确性研究[J].中华骨科杂志，2015，35（1）：55-61.
[26] Audenaert E，Smet B，Pattyn C，et al. Imageless versus image-based registration in navigated arthroscopy of the hip：a cadaver-based assessment [J]. J Bone Joint Surg Br，2012，94（5）：624-629.
[27] Tannenbaum EP，Ross JR，Bedi A. Pros，cons，and future possibilities for use of computer navigation in hip arthro-scopy [J]. Sports Med Arthrosc，2014，22（4）：e33-e41.
[28] Wong JM，Bewsher S，Yew J，et al. Fluoroscopically assisted computer navigation enables accurate percutaneous screw placement for pelvic and acetabular fracture fixation [J]. Injury，2015，46（6）：1064-1068.
[29] Weil YA，Greenberg A，Khoury A，et al. Computerized navigation for length and rotation control in femoral fractures：a preliminary clinical study [J]. J Orthop Trauma，2014，28（2）：e27-e33.
[30] Franke J，Wendl K，Suda AJ，et al. Intraoperative three-dimensional imaging in the treatment of calcaneal fractures [J]. J Bone Joint Surg Am，2014，96（9）：e72.
[31] 刘金龙，迟志永.基于二维X线图像骨组织三维重建的研究进展[J].北京生物医学工程，2015，34（4）：414-418.
[32] Fuchs B，Hoekzema N，Larson DR，et al. Osteosarcoma of the pelvis：outcome analysis of surgical treatment [J]. Clin Orthop Relat Res，2009，467（2）：510-518.
[33] Court C，Bosca L，Le Cesne A，et al. Surgical excision of bone sarcomas involving the sacroiliac joint [J]. Clin Orthop Relat Res，2006，451：189-194.
[34] Hüfner T，Kfuri M，Galalski M，et al. New indications for computer-assisted surgery tumor resection in the pelvis [J]. Clin Orthop Relat Res，2004，（426）：219-225.
[35] Krettek C，Geerling J，Bastian L，et al. Computer aided tumor resection in the pelvis [J]. Injury，2004，35（Suppl 1）：S-A79-83.
[36] Young PS，Bell SW，Mahendra A. The evolving role of computer-assisted navigation in musculoskeletal oncology [J]. Bone Joint J，2015，97-B（2）：258-264.
[37] So TY，Lam YL，Mak KL. Computer-assisted navigation in bone tumor surgery：seamless workflow model and evolution of technique [J]. Clin Orthop Relat Res，2010，468（11）：2985-2991.
[38] Izadpanah K，Konrad G，Sudkamp NP，et al. Computer navigation in balloon kyphoplasty reduces the intraoperative radiation exposure [J]. Spine （Phila Pa 1976），2009，34（12）：1325-1329.
[39] Sembrano JN，Yson SC，Polly DW，et al. Comparison of nonnavigated and 3-dimensional image-based computer navigated balloon kyphoplasty [J]. Orthopedics，2015，38（1）：17-23.
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