Improved screw placement for Slipped Capital Femoral Epiphysis (SCFE) using robotically-assisted drill guidance

Document Type

Conference Proceeding

Publication Date

1-1-2014

Journal

Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)

Volume

8673 LNCS

Issue

PART 1

DOI

10.1007/978-3-319-10404-1_61

Keywords

Computer-aided intervention; Robotically-assisted orthopedic surgery; Slipped Capital Femoral Epiphysis (SCFE)

Abstract

Slipped Capital Femoral Epiphysis (SCFE) is a common hip displacement condition in adolescents. In the standard treatment, the surgeon uses intra-operative fluoroscopic imaging to plan the screw placement and the drill trajectory. The accuracy, duration, and efficacy of this procedure are highly dependent on surgeon skill. Longer procedure times result in higher radiation dose, to both patient and surgeon. A robotic system to guide the drill trajectory might help to reduce screw placement errors and procedure time by reducing the number of passes and confirmatory fluoroscopic images needed to verify accurate positioning of the drill guide along a planned trajectory. Therefore, with the long-term goals of improving screw placement accuracy, reducing procedure time and intra-operative radiation dose, our group is developing an image-guided robotic surgical system to assist a surgeon with pre-operative path planning and intra-operative drill guide placement. © 2014 Springer International Publishing.

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