Efficacy of an Intra-Operative Imaging Software System for Anatomic Anterior Cruciate Ligament Reconstruction Surgery

Zhang, Xudong; Moloney, Gele; Araujo, Paulo; Langdale, Evan; Churilla, Andrew; Rincon, Gustavo; Mathis, Julie; Harner, Christopher

doi:https://doi.org/10.1260/2040-2295.3.3.443

Journal of Healthcare Engineering

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Research Article | Open Access

Volume 3 | Article ID 620213 | https://doi.org/10.1260/2040-2295.3.3.443

Efficacy of an Intra-Operative Imaging Software System for Anatomic Anterior Cruciate Ligament Reconstruction Surgery

Xudong Zhang,^1,2,3Gele Moloney,¹Paulo Araujo,¹Evan Langdale,⁴Andrew Churilla,²Gustavo Rincon,⁵Julie Mathis,¹and Christopher Harner¹

Received01 Jun 2011

Accepted01 Nov 2011

Abstract

An imaging software system was studied for improving the performance of anatomic anterior cruciate ligament (ACL) reconstruction which requires identifying ACL insertion sites for bone tunnel placement. This software predicts and displays the insertion sites based on the literature data and patient-specific bony landmarks. Twenty orthopaedic surgeons performed simulated arthroscopic ACL surgeries on 20 knee specimens, first without and then with the visual guidance by fluoroscopic imaging, and their tunnel entry positions were recorded. The native ACL insertion morphologies of individual specimens were quantified in relation to CT-based bone models and then used to evaluate the software-generated insertion locations. Results suggested that the system was effective in leading surgeons to predetermined locations while the application of averaged insertion morphological information in individual surgeries can be susceptible to inaccuracy and uncertainty. Implications on challenges associated with developing engineering solutions to aid in re-creating or recognizing anatomy in surgical care delivery are discussed.

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Copyright © 2012 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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