Abstract
This paper describes a method for 3D automated preoperative planning of the femoral stem in total hip arthroplasty (THA). The stem planning is formulated as a problem to determine the optimal position, rotation, and size, on the 3D surface model of femur reconstructed from CT images. We obtain the parameters that maximize the fitness between the femoral canal and stem surfaces subject to the positional and rotational constraints. The maximization is performed by local optimization from multiple initial positions. The proposed method was experimentally evaluated by the difference from planning results of an experienced surgeon in 7 cases. The average positional and rotational differences were 1.9 mm and 2.5 deg., respectively, and there was size difference only in 1 case for the proposed method while these differences were 2.8 mm, 5.0 deg., and 5 cases for an existing method. The proposed method showed better performance than the existing method.
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Sugano, N.: Computer-assisted orthopedic surgery. Journal of Orthopaedic Science 8(3), 442–448 (2003)
Bargar, W.L., Bauer, A., Borner, M.: Primary and revision total hip replacement using the Robodoc system. Clinical Orthopaedics & Related Research 354, 82–91 (1998)
Nishihara, S., Sugano, N., Nishii, T., Miki, H., Nakamura, N., Yoshikawa, H.: Comparison Between Hand Rasping and Robotic Milling for Stem Implantation in Cementless Total Hip Arthroplasty. The Journal of Arthroplasty 21(7), 957–966 (2006)
Laine, H.J., Puolakka, T.J.S., Moilanen, T., Pajamaki, K.J., Wirta, J., Lehto, M.U.K.: The effects of cementless femoral stem shape and proximal surface texture on fit-and-fill characteristics and on bone remodeling. International Orthopaedics 24(4), 184–190 (2000)
Nishihara, S., Sugano, N., Nishii, T., Tanaka, H., Yoshikawa, H., Ochi, A.: Comparison of the fit and fill between the Anatomic Hip femoral component and the VerSys Taper femoral component using virtual implantation on the ORTHODOC workstation. Journal of Orthopaedic Science 8(3), 352–360 (2003)
Howard, J.L., Hui, A.J., Bourne, R.B., McCalden, R.W., MacDonald, S.J., Rorabeck, C.H.: A quantitative analysis of bone support comparing cementless tapered and distal fixation total hip replacements. The Journal of Arthroplasty 19(3), 266–273 (2004)
Lattanzi, R., Viceconti, M., Zannoni, C., Quadrani, P., Toni, A.: Hip-Op: an innovative software to plan total hip replacement surgery. Medical Informatics and the Internet in Medicine 27(2), 71–83 (2002)
Nakamoto, M., Sato, Y., Sugano, N., Sasama, T., Nishii, T., Pak, P.S., Akazawa, K., Tada, Y., Yoshikawa, H., Tamura, S.: Automated CT-based 3D surgical planning for total hip replacement: a pilot study. International Congress Series, vol. 1256, pp. 389–394 (2003)
Otomaru, I., Takao, M., Nakamoto, M., Sugano, N., Kagiyama, Y., Sato, Y.: Automated Preoperative Planning System of Total Hip Arthroplasty Using Anatomical Femoral Components. In: 6th Annual Meeting of CAOS-International Proceedings, pp. 419–423 (2006)
Viceconti, M., Testi, D., Simeoni, M., Zannoni, C.: An automated method to position prosthetic components within multiple anatomical spaces. Computer Methods and Programs in Biomedicine 70(2), 121–127 (2003)
Sugano, N., Noble, P.C., Kamaric, E.: Predicting the Position of the Femoral Head Center. The Journal of Arthroplasty 14(1), 102–107 (1999)
Sugano, N., Noble, P.C., Kamaric, E.: A comparison of alternative methods of measuring femoral anteversion. Journal of Computer Assisted Tomography 22(4), 610–614 (1998)
Author information
Authors and Affiliations
Editor information
Rights and permissions
Copyright information
© 2008 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Otomaru, I. et al. (2008). Automated Preoperative Planning of Femoral Component for Total Hip Arthroplasty (THA) from 3D CT Images. In: Dohi, T., Sakuma, I., Liao, H. (eds) Medical Imaging and Augmented Reality. MIAR 2008. Lecture Notes in Computer Science, vol 5128. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79982-5_5
Download citation
DOI: https://doi.org/10.1007/978-3-540-79982-5_5
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-79981-8
Online ISBN: 978-3-540-79982-5
eBook Packages: Computer ScienceComputer Science (R0)