ADAPT system is a dramatic advance in computer-assisted surgery for femoral trochanteric fractures

Murakami, Tomotoshi; Yamazaki, Kazuhiro; Ogasa, Hiroyoshi

doi:10.1051/sicotj/2021056

Cited by 8 publications

(6 citation statements)

References 21 publications

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“…Thereby surgeons answered that ADAPT was “unnecessarily time consuming”, and “increasing fluoroscopy use”. Contrary to our findings, Murakami et al report significantly shorter surgical procedure time ( p < 0.05) and reduced intraoperative fluoroscopy ( p < 0.01) when using ADAPT ( n = 20) compared without ADAPT ( n = 20) [ 16 ]. This is remarkable, but may partly be explained by the fact that a trained computer operator was present for all ADAPT-procedures.…”

Section: Discussioncontrasting

confidence: 99%

Poor usability of computer-assisted navigation for hip fracture surgery

Hestehave,

Gundtoft,

Nielsen

et al. 2023

Arch Orthop Trauma Surg

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Introduction The STRYKER ADAPT computer-assisted navigation system provides intraoperative feedback to the surgeon regarding implant placement of the Gamma3 nail. The usability of the ADAPT system has not been evaluated. The aim of the study was to investigate the perceived usability of the ADAPT system. Materials and methods This was a descriptive study with prospectively collected data. ADAPT was introduced at Aarhus University Hospital in February 2021. Prior to introduction, surgeons at the department attended a general introduction to the system. ADAPT was introduced to the surgical nurses and was on display at the surgical ward at more than one occasion, where personal introduction to the system was possible. After introduction, it was mandatory to use ADAPT when using the Gamma3 nail to treat intertrochanteric femur fractures. After each procedure, primary and an eventual supervisor answered a questionnaire, which encompassed the System Usability Scale (SUS) questionnaire. The SUS is a ten-item questionnaire regarding the perceived usability of a system. SUS scores were translated to adjectives, describing user experience on a 7-point adjective scale (worst imaginable, awful, poor, ok, good, excellent, best imaginable). User acceptability, defined as “not acceptable”, “marginal” or “acceptable”, was also used to interpret the SUS scores. Results ADAPT was used in 50 procedures by 29 different surgeons, with varying skill-level. Median SUS-score after first-time use of ADAPT for all 29 surgeons was 43 (range: 5–60), which translated to “poor” or “not acceptable”. For surgeons who performed ≥ 3 ADAPT-assisted procedures, there were no statistically significant difference in their first to latest SUS-score (median difference: 4.3, p = 0.5). In free text comments ADAPT was positively described as helpful in placement of K-wire and providing educational opportunities for inexperienced surgeons and negatively as inconsistent, slow, time consuming, and causing excessive fluoroscopy. Conclusions Usability and acceptability of ADAPT was rated as “poor” or “not acceptable” by the majority of operating surgeons. ADAPT has not been used at our institution based on these findings. The System Usability Scale may be used in further research exploring usability and acceptability of novel computer-assisted navigation systems for orthopaedic surgery.

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Section: Discussioncontrasting

confidence: 99%

Poor usability of computer-assisted navigation for hip fracture surgery

Hestehave,

Gundtoft,

Nielsen

et al. 2023

Arch Orthop Trauma Surg

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“…New technologies have been invented to optimize the femoral neck-cannulated screw-inserted procedure. From the rst generation, represented by instrument-positioning device [10][11][12] , to the second generation, represented by optical navigation technology of orthopedic surgical robot [4,13,14] , they provide substantial help in orthopedic surgical navigation. However, they have the following drawbacks: cumbersome operation, expensive equipment, inaccuracy, and more radiation exposure (Table 4).…”

Section: Discussionmentioning

confidence: 99%

“…Benjamin Moulin [17] 2019 Murakami [19] intertrochanteric fracture patients system based on Carm machine min min Sizhe Wang [22] 2021 Femoral intertrochanteric fracture patients 3D-Printed Navigation Template 3.04± 0.39mm 93.3% --…”

Section: 3min 200smentioning

confidence: 99%

Comparison of Freehand Technique and a Novel Laser-Guiding Navigation System in Femoral Neck-Cannulated Screw Fixation: A Randomized Controlled Trial

Gao

Liu

Bai

et al. 2023

Preprint

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Cannulated screw fixation is essential in treating femoral neck fractures, and the widely used freehand technique has several limitations. Therefore, we designed a new laser-positioning and navigation system and compared its efficacy with that of the traditional freehand technique in the cannulated screw fixation of femoral neck fractures. This randomized controlled single-blind trial recruited patients with femoral neck fracture, who were treated using either the newly designed laser-navigation device or the freehand technique. In in-vitro experiments, using the femoral neck model, the laser group was better than the freehand group in terms of operation time (P=0.0153) and radiation exposure time (P<0.001). In in-vivoexperiments, involving 30 patients (15 in each group), the laser group was better than the freehand group in terms of operation time (P<0.001), radiation exposure time (P<0.001), blood loss (P<0.001) and first success rate (P=0.03). There was no difference in visual analog scale score, Harris score, and fracture-healing time between the two groups. In conclusion, the novel laser-guiding navigation system resulted in shorter operation time, less radiation exposure, and higher first success rate compared with the freehand technique. Further qualified investigations with a larger number of patients and longer follow-up are required in the future.

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“…New technologies have been invented to optimize the femoral neck-cannulated screw-inserted procedure. From the first generation, represented by instrument-positioning device [ 10 – 12 ], to the second generation, represented by optical navigation technology of orthopedic surgical robot [ 4 , 13 – 20 ], they provide substantial help in orthopedic surgical navigation. However, they have the following drawbacks: cumbersome operation, expensive equipment, inaccuracy, and more radiation exposure (Table 4 ).…”

Section: Discussionmentioning

confidence: 99%

Comparison of freehand technique and a novel laser-guiding navigation system in femoral neck-cannulated screw fixation: a randomized controlled trial

Gao,

Liu,

Bai

et al. 2023

BMC Surg

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Cannulated screw fixation is essential in treating femoral neck fractures, and the widely used freehand technique has several limitations. Therefore, we designed a new laser-positioning and navigation system and compared its efficacy with that of the traditional freehand technique in the cannulated screw fixation of femoral neck fractures. This randomized controlled single-blind trial recruited patients with femoral neck fracture, who were treated using either the newly designed laser-navigation device or the freehand technique. In in-vitro experiments, using the femoral neck model, the laser group was better than the freehand group in terms of operation time (P = 0.0153) and radiation exposure time (P < 0.001). In in-vivo experiments, involving 30 patients (15 in each group), the laser group was better than the freehand group in terms of operation time (P < 0.001), radiation exposure time (P < 0.001), blood loss (P < 0.001) and first success rate (P = 0.03). There was no difference in visual analog scale score, Harris score, and fracture-healing time between the two groups. In conclusion, the novel laser-guiding navigation system resulted in shorter operation time, less radiation exposure, and higher first success rate compared with the freehand technique. Further qualified investigations with a larger number of patients and longer follow-up are required in the future.

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ADAPT system is a dramatic advance in computer-assisted surgery for femoral trochanteric fractures

Cited by 8 publications

References 21 publications

Poor usability of computer-assisted navigation for hip fracture surgery

Poor usability of computer-assisted navigation for hip fracture surgery

Comparison of Freehand Technique and a Novel Laser-Guiding Navigation System in Femoral Neck-Cannulated Screw Fixation: A Randomized Controlled Trial

Comparison of freehand technique and a novel laser-guiding navigation system in femoral neck-cannulated screw fixation: a randomized controlled trial

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