Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Oct;17(5):e2296.
doi: 10.1002/rcs.2296. Epub 2021 Jun 11.

Towards markerless computer assisted surgery: Application to total knee arthroplasty

Salaheddine Sta  1   2 , Jérôme Ogor  2 , Hoel Letissier  2   3   4 , Eric Stindel  2   3   4 , Chafiaa Hamitouche  1   2 , Guillaume Dardenne  2   4
Affiliations

Towards markerless computer assisted surgery: Application to total knee arthroplasty

Salaheddine Sta et al. Int J Med Robot. 2021 Oct.

Abstract

Purpose: A new approach is proposed to localise surgical instruments for Computer Assisted Orthopaedic Surgery (CAOS) that aims at overpassing the limitations of conventional CAOS solutions. This approach relies on both a depth sensor and a 6D pose estimation algorithm.

Methods: The Point-Pair Features (PPF) algorithm was used to estimate the pose of a Patient-Specific Instrument (PSI) for Total Knee Arthroplasty (TKA). Four depth sensors have been compared. Three scores have been computed to assess the performances: The Depth Fitting Error (DFE), the Pose Errors, and the Success Rate.

Results: The obtained results demonstrate higher performances for the Microsoft Kinect Azure in terms of DFE. The Occipital Structure core shows better behavior in terms of Pose Errors and Success Rate.

Conclusion: This comparative study presents the first depth-sensor based solution allowing the intraoperative markerless localization of surgical instruments in orthopedics.

Keywords: 6-DoF pose estimation; arthroplasty; computer assisted orthopedic surgery; depth sensor; point pair features; total knee arthroplasty.

PubMed Disclaimer

References

REFERENCES

    1. Mason JB, Fehring TK, Estok R, Banel D, Fahrbach K. Meta-analysis of alignment outcomes in computer-assisted total knee arthroplasty surgery. J Arthroplasty. 2007;22(8):1097-1106.
    1. Nguyen D, Ferreira LM, Brownhill JR, et al. Improved accuracy of computer assisted glenoid implantation in total shoulder arthroplasty: an in-vitro randomized controlled trial. J Shoulder Elbow Surg. 2009;18(6):907-914.
    1. Kelley TC, Swank ML. Role of navigation in total hip arthroplasty. J. Bone Jt. Surg. - Ser. 2009; A;91(SUPPL. 1):153-158
    1. Song SJ, Bae DK. Computer-assisted navigation in high tibial osteotomy. CiOS Clin Orthop Surg. 2016;8(4):349-357.
    1. Childers CP, Maggard-Gibbons M. Understanding costs of care in the operating room. JAMA Surg 2018;153(4). Apr.

LinkOut - more resources