在3D建模的机器人辅助关节整形术中模拟日常生活的运动
Wei Shao Tung1, Claire Donnelley1, Aidin Eslam Pour1
1Department of Orthopaedics & Rehabilitation, Yale University, New Haven, Connecticut, USA.
Bone & joint open
|June 1, 2023
概括
在3D模型中模拟全关节整形术 (THA) 的常见日常姿势,揭示了高冲击风险. 这种方法可以帮助降低术后的阻碍并改善患者的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 医疗成像医学成像
背景情况:
- 目前的全关节整形手术 (THA) 手术前规划往往忽视了站立和坐着以外的功能位置.
- 这种限制可能会导致手术后的入和脱位,原因是日常活动中未解决的风险.
研究的目的:
- 以CT为基础的3D模型来研究模拟各种患者位置的可行性.
- 评估入常见和高风险位置的风险,以减少THA的术后并发症.
主要方法:
- 一个机器人臂辅助平台被用来模拟11个患者的位置.
- 分析了来自43名THA患者的手术前CT数据,包括交叉骨斜率和衍生的部角度.
- 使用专用软件进行了冲击检测,并对冲击类型进行了详细检查.
主要成果:
- 在腰 (2.3%) 和脚过膝 (4.7%) 等姿势的曲中观察到显著的冲击率.
- 在延伸中,60.5%的部在50°外旋转或之前受到冲击,通常是由于缺骨突出.
- 在标准姿势 (如站立,坐着和交叉脚) 中没有发生碰撞.
结论:
- 基于CT的日常生活位置的3D建模有效地识别了高冲击风险.
- 模拟多种姿势是一种具有成本效益的方法,可以提高THA结果和患者安全.
- 将这种3D建模集成到手术前的协议中,可能会降低手术后的撞击事件.
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