Towards Accurate Drilling Guidance for Orthopaedic Surgery

Ioannis Georgilas; Grey Giddins; Jonathan Du Bois

Towards Accurate Drilling Guidance for Orthopaedic Surgery

Ioannis Georgilas, Grey Giddins, Jonathan Du Bois

Research output: Chapter in Book/Report/Conference proceeding › Chapter in a published conference proceeding

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Abstract

The accuracy of positioning wires and screws via drilling is crucial in orthopaedic surgery having a significant effect to the quality of life for patients. Some operations require multiple attempts or have to settle for sub-optimal results, especially for small bones. The current method use peri-operative X-rays perform the procedure, being limited by 2D visualisation and the danger of radiation for staff and patients. An alternative is the use of OR-wide tracking systems and the application of computer-assisted methods. These are limited by accidental occlusions and complex registration and setup procedures.

In this work we are proposing a new method that is using localised tracking to achieve accurate drilling in the first pass. Using a compact design and simplified tracking approach a first proof-of-concept prototype has been evaluated achieving an average error of 2.10mm. Based on this first attempt the next technical and procedure steps are described to enable the utilisation of the proposed approach.

Original language	English
Title of host publication	8th Joint Workshop on New Technologies for Computer/Robot Assisted Surgery (CRAS)
Publication status	Published - 10 Sep 2018
Event	Joint Workshop on New Technologies for Computer/Robot Assisted Surgery (CRAS) - London, UK United Kingdom Duration: 10 Sep 2018 → 11 Sep 2018 Conference number: 8 https://www.cras-eu.org/cras-2018-1

Conference

Conference	Joint Workshop on New Technologies for Computer/Robot Assisted Surgery (CRAS)
Abbreviated title	CRAS
Country/Territory	UK United Kingdom
City	London
Period	10/09/18 → 11/09/18
Internet address	https://www.cras-eu.org/cras-2018-1

Keywords

Surgical Robotics
Computer-Assisted Orthopaedics
Optical Tracking
Guidance Systems

ASJC Scopus subject areas

Orthopedics and Sports Medicine
Biomedical Engineering
Surgery
Control and Systems Engineering

Access to Document

DGS_postsubmission_final_NIHRcorrectAccepted author manuscript, 592 KB

https://www.cras-eu.org/past%20events/cras-2018-pages/proceedings-cras-2018/view

1 Active

Drill Guidance System in Orthopaedic Surgery
Du Bois, J., Georgilas, I. & Georgilas, I.
National Institute for Health Research
1/04/18 → 31/03/23
Project: Central government, health and local authorities

Cite this

Georgilas, I, Giddins, G & Du Bois, J 2018, Towards Accurate Drilling Guidance for Orthopaedic Surgery. in 8th Joint Workshop on New Technologies for Computer/Robot Assisted Surgery (CRAS). Joint Workshop on New Technologies for Computer/Robot Assisted Surgery (CRAS), London, UK United Kingdom, 10/09/18. <https://www.cras-eu.org/past%20events/cras-2018-pages/proceedings-cras-2018/view>

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title = "Towards Accurate Drilling Guidance for Orthopaedic Surgery",

abstract = "The accuracy of positioning wires and screws via drilling is crucial in orthopaedic surgery having a significant effect to the quality of life for patients. Some operations require multiple attempts or have to settle for sub-optimal results, especially for small bones. The current method use peri-operative X-rays perform the procedure, being limited by 2D visualisation and the danger of radiation for staff and patients. An alternative is the use of OR-wide tracking systems and the application of computer-assisted methods. These are limited by accidental occlusions and complex registration and setup procedures.In this work we are proposing a new method that is using localised tracking to achieve accurate drilling in the first pass. Using a compact design and simplified tracking approach a first proof-of-concept prototype has been evaluated achieving an average error of 2.10mm. Based on this first attempt the next technical and procedure steps are described to enable the utilisation of the proposed approach.",

keywords = "Surgical Robotics, Computer-Assisted Orthopaedics, Optical Tracking, Guidance Systems",

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AU - Du Bois, Jonathan

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N2 - The accuracy of positioning wires and screws via drilling is crucial in orthopaedic surgery having a significant effect to the quality of life for patients. Some operations require multiple attempts or have to settle for sub-optimal results, especially for small bones. The current method use peri-operative X-rays perform the procedure, being limited by 2D visualisation and the danger of radiation for staff and patients. An alternative is the use of OR-wide tracking systems and the application of computer-assisted methods. These are limited by accidental occlusions and complex registration and setup procedures.In this work we are proposing a new method that is using localised tracking to achieve accurate drilling in the first pass. Using a compact design and simplified tracking approach a first proof-of-concept prototype has been evaluated achieving an average error of 2.10mm. Based on this first attempt the next technical and procedure steps are described to enable the utilisation of the proposed approach.

AB - The accuracy of positioning wires and screws via drilling is crucial in orthopaedic surgery having a significant effect to the quality of life for patients. Some operations require multiple attempts or have to settle for sub-optimal results, especially for small bones. The current method use peri-operative X-rays perform the procedure, being limited by 2D visualisation and the danger of radiation for staff and patients. An alternative is the use of OR-wide tracking systems and the application of computer-assisted methods. These are limited by accidental occlusions and complex registration and setup procedures.In this work we are proposing a new method that is using localised tracking to achieve accurate drilling in the first pass. Using a compact design and simplified tracking approach a first proof-of-concept prototype has been evaluated achieving an average error of 2.10mm. Based on this first attempt the next technical and procedure steps are described to enable the utilisation of the proposed approach.

KW - Surgical Robotics

KW - Computer-Assisted Orthopaedics

KW - Optical Tracking

KW - Guidance Systems

M3 - Chapter in a published conference proceeding

BT - 8th Joint Workshop on New Technologies for Computer/Robot Assisted Surgery (CRAS)

T2 - Joint Workshop on New Technologies for Computer/Robot Assisted Surgery (CRAS)

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ER -

Towards Accurate Drilling Guidance for Orthopaedic Surgery

Abstract

Conference

Keywords

ASJC Scopus subject areas

Access to Document

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Projects

Drill Guidance System in Orthopaedic Surgery

Cite this