Computer-assisted navigation for acetabular cup placement

A single image guiding system

Jui Ting Hsu, Ming Tzu Tsai, Chih-Han Chang, Heng Li Huang, Kuo-An Lai

Research output: Chapter in Book/Report/Conference proceedingConference contribution

1 Citation (Scopus)

Abstract

Incorrect angular placement of the acetabular cup in total hip replacement induces femoral head dislocation, osteolysis, and liner wearing. Some computer-assisted navigation systems to aid acetabular cup placement have been developed in the past decade, but these are not used extensively due to their expense. In this study, a novel algorithm to determine the positions of data points in three-dimensional space from a single-plane image was developed. Based on the validation outcomes, the errors between the true coordinates and the computed coordinates were less than 0.1%. This algorithm was employed in the development of an intrasurgical cup navigation system, which we called the CupNav system. The CupNav system consists of four main hardware components: one digital camera, one laptop, one movable trolley cart, and two self-developed assistant guide frames. In-vitro laboratory validation tests indicated that the possible orientation errors induced by the prototype of CupNav system were less than 1.9 degrees in abduction and 1.4 degrees in anteversion. Although the CupNav system for acetabular cup placement is in the early phase of development, it is clear that the minimal hardware requirement (and hence low cost) of this navigation system makes it suitable for the widespread training and evaluation of inexperienced doctors.

Original languageEnglish
Title of host publicationProceedings of the World Congress on Engineering 2011, WCE 2011
Pages2671-2675
Number of pages5
Volume3
Publication statusPublished - 2011
EventWorld Congress on Engineering 2011, WCE 2011 - London, United Kingdom
Duration: 2011 Jul 62011 Jul 8

Other

OtherWorld Congress on Engineering 2011, WCE 2011
CountryUnited Kingdom
CityLondon
Period11-07-0611-07-08

Fingerprint

Navigation systems
Placement
Navigation
Navigation System
Hardware
Digital cameras
Abduction
Digital Camera
Dislocation
Replacement
Prototype
Three-dimensional
Costs
Requirements
Evaluation

All Science Journal Classification (ASJC) codes

  • Computer Science(all)
  • Engineering(all)
  • Applied Mathematics

Cite this

Hsu, J. T., Tsai, M. T., Chang, C-H., Huang, H. L., & Lai, K-A. (2011). Computer-assisted navigation for acetabular cup placement: A single image guiding system. In Proceedings of the World Congress on Engineering 2011, WCE 2011 (Vol. 3, pp. 2671-2675)
Hsu, Jui Ting ; Tsai, Ming Tzu ; Chang, Chih-Han ; Huang, Heng Li ; Lai, Kuo-An. / Computer-assisted navigation for acetabular cup placement : A single image guiding system. Proceedings of the World Congress on Engineering 2011, WCE 2011. Vol. 3 2011. pp. 2671-2675
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abstract = "Incorrect angular placement of the acetabular cup in total hip replacement induces femoral head dislocation, osteolysis, and liner wearing. Some computer-assisted navigation systems to aid acetabular cup placement have been developed in the past decade, but these are not used extensively due to their expense. In this study, a novel algorithm to determine the positions of data points in three-dimensional space from a single-plane image was developed. Based on the validation outcomes, the errors between the true coordinates and the computed coordinates were less than 0.1{\%}. This algorithm was employed in the development of an intrasurgical cup navigation system, which we called the CupNav system. The CupNav system consists of four main hardware components: one digital camera, one laptop, one movable trolley cart, and two self-developed assistant guide frames. In-vitro laboratory validation tests indicated that the possible orientation errors induced by the prototype of CupNav system were less than 1.9 degrees in abduction and 1.4 degrees in anteversion. Although the CupNav system for acetabular cup placement is in the early phase of development, it is clear that the minimal hardware requirement (and hence low cost) of this navigation system makes it suitable for the widespread training and evaluation of inexperienced doctors.",
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Hsu, JT, Tsai, MT, Chang, C-H, Huang, HL & Lai, K-A 2011, Computer-assisted navigation for acetabular cup placement: A single image guiding system. in Proceedings of the World Congress on Engineering 2011, WCE 2011. vol. 3, pp. 2671-2675, World Congress on Engineering 2011, WCE 2011, London, United Kingdom, 11-07-06.

Computer-assisted navigation for acetabular cup placement : A single image guiding system. / Hsu, Jui Ting; Tsai, Ming Tzu; Chang, Chih-Han; Huang, Heng Li; Lai, Kuo-An.

Proceedings of the World Congress on Engineering 2011, WCE 2011. Vol. 3 2011. p. 2671-2675.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

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Hsu JT, Tsai MT, Chang C-H, Huang HL, Lai K-A. Computer-assisted navigation for acetabular cup placement: A single image guiding system. In Proceedings of the World Congress on Engineering 2011, WCE 2011. Vol. 3. 2011. p. 2671-2675