Augmented reality based navigation for computer assisted hip resurfacing: a proof of concept study
File(s)Liu2018_Article_AugmentedRealityBasedNavigatio.pdf (1.53 MB)
Published version
Author(s)
Liu, H
Auvinet, Edouard
Giles, Joshua
Rodriguez y Baena, Ferdinando
Type
Journal Article
Abstract
Implantation accuracy has a great impact on the outcomes of hip resurfacing such as recovery of hip function. Computer assisted orthopedic surgery has demonstrated clear advantages for the patients, with improved placement accuracy and fewer outliers, but the intrusiveness, cost, and added complexity have limited its widespread adoption. To provide seamless computer assistance with improved immersion and a more natural surgical workflow, we propose an augmented-reality (AR) based navigation system for hip resurfacing. The operative femur is registered by processing depth information from the surgical site with a commercial depth camera. By coupling depth data with robotic assistance, obstacles that may obstruct the femur can be tracked and avoided automatically to reduce the chance of disruption to the surgical workflow. Using the registration result and the pre-operative plan, intra-operative surgical guidance is provided through a commercial AR headset so that the user can perform the operation without additional physical guides. To assess the accuracy of the navigation system, experiments of guide hole drilling were performed on femur phantoms. The position and orientation of the drilled holes were compared with the pre-operative plan, and the mean errors were found to be approximately 2 mm and 2°, results which are in line with commercial computer assisted orthopedic systems today.
Date Issued
2018-10-15
Date Acceptance
2018-05-17
Citation
Annals of Biomedical Engineering, 2018, 46 (10), pp.1595-1605
ISSN
0090-6964
Publisher
Springer
Start Page
1595
End Page
1605
Journal / Book Title
Annals of Biomedical Engineering
Volume
46
Issue
10
Copyright Statement
© The Author(s) 2018.
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Identifier
https://link.springer.com/article/10.1007/s10439-018-2055-1
Subjects
Science & Technology
Technology
Engineering, Biomedical
Engineering
Computer assisted orthopedic surgery
Guide hole drilling
Surgical accuracy
Depth image registration
Natural workflow
FEMORAL COMPONENT
ARTHROPLASTY
ORIENTATION
Computer assisted orthopedic surgery
Depth image registration
Guide hole drilling
Natural workflow
Surgical accuracy
Femur Head
Humans
Orthopedic Procedures
Proof of Concept Study
Robotic Surgical Procedures
Femur Head
Humans
Orthopedic Procedures
Robotic Surgical Procedures
Proof of Concept Study
09 Engineering
11 Medical and Health Sciences
Biomedical Engineering
Publication Status
Published
Date Publish Online
2018-05-23