Computer-Assisted and Robot-Assisted Technologies to Improve Bone-Cutting Accuracy When Integrated with a Freehand Process Using an Oscillating Saw

Cartiaux, Olivier; Laurent, Paul; Docquier, Pierre-Louis; Raucent, Benoît; Dombre, Etienne; Banse, Xavier

doi:10.2106/jbjs.i.00457

Cited by 45 publications

(48 citation statements)

References 42 publications

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“…The results of the study discussed here concur with those of previous laboratory experiments [27] that assessed quantitatively the advantages of using navigation technology to perform bone cutting. The previous study was designed independently of any surgical application and used synthetic bones of simple rectangular geometry.…”

Section: Discussionsupporting

confidence: 88%

“…The 3D CT model of the hemipelvic bone was loaded into the system. The spine module of the navigation system was adapted for direct navigation of the oscillating saw blade [27].…”

Section: Navigated Bone Cutsmentioning

confidence: 99%

“…An experimental study, designed to be independent of any surgical application, simulated bonecutting on a geometrically simple (rectangular) bone model and assessed quantitatively the added value of the navigation technology [27]. The results indicated that navigated bone-cutting errors were two times smaller when compared with a solely freehand process.…”

Section: Introductionmentioning

confidence: 99%

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Computer-assisted planning and navigation improves cutting accuracy during simulated bone tumor surgery of the pelvis

Cartiaux

Banse

Laurent

et al. 2012

Computer Aided Surgery

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Background: Resection of bone tumors within the pelvis requires good cutting accuracy to achieve satisfactory safe margins. Manually controlled bone cutting can result in serious errors, especially due to the complex three-dimensional geometry, limited visibility, and restricted working space of the pelvic bone. This experimental study investigated cutting accuracy during navigated and non-navigated simulated bone tumor cutting in the pelvis. Methods: A periacetabular tumor resection was simulated using a pelvic bone model. Twenty-three operators (10 senior and 13 junior surgeons) were asked to perform the tumor cutting, initially according to a freehand procedure and later with the aid of a navigation system. Before cutting, each operator used preoperative planning software to define four target planes around the tumor with a 10-mm desired safe margin. After cutting, the location and flatness of the cut planes were measured, as well as the achieved surgical margins and the time required for each cutting procedure. Results: The location of the cut planes with respect to the target planes was significantly improved by using the navigated cutting procedure, averaging 2.8 mm as compared to 11.2 mm for the freehand cutting procedure ( p < 0.001). There was no intralesional tumor cutting when using the navigation system. The maximum difference between the achieved margins and the 10-mm desired safe margin was 6.5 mm with the navigated cutting process (compared to 13 mm with the freehand cutting process). Conclusions: Cutting accuracy during simulated bone cuts of the pelvis can be significantly improved by using a freehand process assisted by a navigation system. When fully validated with complementary in vivo studies, the planning and navigation-guided technologies that have been developed for the present study may improve bone cutting accuracy during pelvic tumor resection by providing clinically acceptable margins.

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Section: Discussionsupporting

confidence: 88%

“…The 3D CT model of the hemipelvic bone was loaded into the system. The spine module of the navigation system was adapted for direct navigation of the oscillating saw blade [27].…”

Section: Navigated Bone Cutsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Computer-assisted planning and navigation improves cutting accuracy during simulated bone tumor surgery of the pelvis

Cartiaux

Banse

Laurent

et al. 2012

Computer Aided Surgery

Self Cite

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show abstract

“…8). When jigs are not available, a significant improvement in cutting accuracy can be achieved using a navigating system or an industrial robot that is integrated into the freehand bone-cutting (Cartiaux et al, 2010). We open the oblique osteotomy stepwise using three stacked osteotomes and a calibrated wedge spreader.…”

Section: Surgical Techniquementioning

confidence: 99%

High Tibial Open-Wedge Osteotomy – New Techniques and Early Results

Kolb¹,

Guhlmann²,

Windisch³

et al. 2012

Osteoarthritis - Diagnosis, Treatment and Surgery

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“…In addition, reconstruction correlations between host-graft junction parameters were found to be poor [4]. A subsequent geometrical model study by Cartiaux et al demonstrated that improvements in cutting accuracy could be achieved when CAOS was integrated into a freehand bone-cutting process [5].…”

Section: Introductionmentioning

confidence: 99%

Potential use of computer navigation in the treatment of primary benign and malignant tumors in children

Saidi

2012

Curr Rev Musculoskelet Med

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Computer-Assisted and Robot-Assisted Technologies to Improve Bone-Cutting Accuracy When Integrated with a Freehand Process Using an Oscillating Saw

Cited by 45 publications

References 42 publications

Computer-assisted planning and navigation improves cutting accuracy during simulated bone tumor surgery of the pelvis

Computer-assisted planning and navigation improves cutting accuracy during simulated bone tumor surgery of the pelvis

High Tibial Open-Wedge Osteotomy – New Techniques and Early Results

Potential use of computer navigation in the treatment of primary benign and malignant tumors in children

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