The International Journal of Medical Robotics and Computer Assisted Surgery

Volume 14, Issue 5 e1945

ORIGINAL ARTICLE

Virtual guidance versus virtual implant planning system in the treatment of distal radius fractures

Sven Yves Vetter

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Search for more papers by this author

Jessica Magaraggia,

Jessica Magaraggia

Division of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany

Search for more papers by this author

Nils Beisemann,

Nils Beisemann

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Search for more papers by this author

Marc Schnetzke,

Marc Schnetzke

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Search for more papers by this author

Holger Keil,

Holger Keil

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Search for more papers by this author

Jochen Franke,

Jochen Franke

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Search for more papers by this author

Paul Alfred Grützner,

Paul Alfred Grützner

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Search for more papers by this author

Benedict Swartman,

Corresponding Author

Benedict Swartman

[email protected]

orcid.org/0000-0003-4005-9923

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Correspondence

Dr Benedict Swartman, BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Ludwig-Guttmann-Str. 13, 67071 Ludwigshafen, Germany.

Email: [email protected]

Search for more papers by this author

Sven Yves Vetter,

Sven Yves Vetter

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Search for more papers by this author

Jessica Magaraggia,

Jessica Magaraggia

Division of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany

Search for more papers by this author

Nils Beisemann,

Nils Beisemann

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Search for more papers by this author

Marc Schnetzke,

Marc Schnetzke

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Search for more papers by this author

Holger Keil,

Holger Keil

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Search for more papers by this author

Jochen Franke,

Jochen Franke

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Search for more papers by this author

Paul Alfred Grützner,

Paul Alfred Grützner

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Search for more papers by this author

Benedict Swartman,

Corresponding Author

Benedict Swartman

[email protected]

orcid.org/0000-0003-4005-9923

BG-Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma, Trauma Clinic at Heidelberg University, Heidelberg, Germany

Correspondence

Email: [email protected]

Search for more papers by this author

First published: 07 August 2018

https://doi.org/10.1002/rcs.1945

Citations: 1

Share a link

Email
Wechat
Bluesky

Abstract

Background

A virtual guidance framework is used to assist the conventional method of virtual implant planning system (VIPS). The study null hypothesis was that its screw placement accuracy is equal to that of conventional VIPS.

Methods

In 34 distal radius sawbone models, 3D implant planning was performed. A camera attached to the surgical drill was used to support screw positioning. Differences of angles/tip distances between planned and placed screws were identified in intraoperative cone beam Computer tomography (CT) and compared with already existing data from 22 patients treated by conventional VIPS.

Results

The virtual guidance group showed tip distances of 1.02 ± 0.56 mm, azimuth of 3.69° ± 4.34°, and inclination of 1.75° ± 1.37°, whereas the VIPS group showed tip distances of 2.23 ± 0.99 mm (P < 0.001), azimuth of 23.17° ± 33.50° (P < 0.001), and inclination angle of 4.18° ± 6.29° (P = 0.001).

Conclusions

The results reveal that using a guidance framework leads to a higher accuracy in screw placement compared with the conventional VIPS itself.

REFERENCES

1Melton LJ 3rd, Amadio PC, Crowson CS, O'Fallon WM. Long-term trends in the incidence of distal forearm fractures. Osteoporos Int. 1998; 8(4): 341-348.
10.1007/s001980050073
PubMed Web of Science® Google Scholar
2Giannoudis PV, Schneider E. Principles of fixation of osteoporotic fractures. J Bone Joint Surg. 2006; 88(10): 1272-1278.
10.1302/0301-620X.88B10.17683
CAS PubMed Web of Science® Google Scholar
3Rikli DA, Businger A, Babst R. Dorsal double-plate fixation of the distal radius. European journal of trauma and emergency surgery: official publication of the European Trauma. Society. 2007; 33(1): 99-109.
Google Scholar
4Simic PM, Robison J, Gardner MJ, Gelberman RH, Weiland AJ, Boyer MI. Treatment of distal radius fractures with a low-profile dorsal plating system: an outcomes assessment. J Hand Surg Am. 2006; 31(3): 382-386.
10.1016/j.jhsa.2005.10.016
PubMed Web of Science® Google Scholar
5McKay SD, MacDermid JC, Roth JH, Richards RS. Assessment of complications of distal radius fractures and development of a complication checklist. J Hand Surg Am. 2001; 26(5): 916-922.
10.1053/jhsu.2001.26662
CAS PubMed Web of Science® Google Scholar
6Joseph SJ, Harvey JN. The dorsal horizon view: detecting screw protrusion at the distal radius. J Hand Surg Am. 2011; 36(10): 1691-1693.
10.1016/j.jhsa.2011.07.020
PubMed Web of Science® Google Scholar
7Arora R, Lutz M, Hennerbichler A, Krappinger D, Espen D, Gabl M. Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate. J Orthop Trauma. 2007; 21(5): 316-322.
10.1097/BOT.0b013e318059b993
PubMed Web of Science® Google Scholar
8Cherubino P, Bini A, Marcolli D. Management of distal radius fractures: treatment protocol and functional results. Injury. 2010; 41(11): 1120-1126.
10.1016/j.injury.2010.09.016
CAS PubMed Web of Science® Google Scholar
9Rausch S, Klos K, Stephan H, et al. Evaluation of a polyaxial angle-stable volar plate in a distal radius C-fracture model—a biomechanical study. Injury. 2011; 42(11): 1248-1252.
10.1016/j.injury.2010.12.005
PubMed Web of Science® Google Scholar
10Sugun TS, Karabay N, Gurbuz Y, Ozaksar K, Toros T, Kayalar M. Screw prominences related to palmar locking plating of distal radius. J Hand Surg Eur Vol. 2011; 36(4): 320-324.
10.1177/1753193410392869
CAS PubMed Web of Science® Google Scholar
11Franke J, Vetter SY, Reising K, et al. Intraoperative virtual implant planning for volar plate osteosynthesis of distal radius fractures. Unfallchirurg. 2016; 119(1): 36-42.
10.1007/s00113-014-2715-z
CAS PubMed Web of Science® Google Scholar
12Vetter SY, Mühlhäuser I, von Recum J, Grützner PA, Franke J. Validation of a virtual implant planning system (VIPS) in distal radius fractures. Bone & Joint Journal. 2014; Proceedings Supplement; 96(SUPP 16): 50.
Google Scholar
13Magaraggia J, Wei W, Weiten M, et al. Design and evaluation of a portable intra-operative unified-planning-and-guidance framework applied to distal radius fracture surgery. Int J Comput Assist Radiol Surg. 2017; 12(1): 77-90.
10.1007/s11548-016-1432-1
PubMed Web of Science® Google Scholar
14 J Magaraggia, G Kleinszig, W Wei, et al., Editors. On the accuracy of a video-based drill-guidance solution for orthopedic and trauma surgery: preliminary results. SPIE Medical Imaging; 2014: SPIE.
Google Scholar
15Muller MC, Belei P, de la Fuente M, et al. Evaluation of a 2D fluoroscopy-based navigation system for insertion of femoral neck screws. An experimental study. Unfallchirurg. 2012; 115(9): 802-810.
CAS PubMed Web of Science® Google Scholar

Citing Literature

Volume14, Issue5

October 2018

e1945

Virtual guidance versus virtual implant planning system in the treatment of distal radius fractures

Abstract

Background

Methods

Results

Conclusions

REFERENCES

Citing Literature

References

Information

About Wiley Online Library

Help & Support

Opportunities

Connect with Wiley

Virtual guidance versus virtual implant planning system in the treatment of distal radius fractures

Abstract

Background

Methods

Results

Conclusions

REFERENCES

Citing Literature

References

Related

Information