Abstract
Total knee arthroplasty (TKA) is a common orthopaedic surgery to replace a damaged knee joint with artificial implants. The inaccuracy of achieving the planned implant position can result in the risk of implant component aseptic loosening, wear out, and even a joint revision, and those failures most of the time occur on the tibial side in the conventional jig-based TKA (CON-TKA). This study aims to precisely evaluate the accuracy of the proximal tibial resection plane intra-operatively in real-time such that the evaluation processing changes very little on the CON-TKA operative procedure. Two X-ray radiographs captured during the proximal tibial resection phase together with a pre-operative patient-specific tibia 3D mesh model segmented from computed tomography (CT) scans and a trocar pin 3D mesh model are used in the proposed simultaneous localisation and mapping (SLAM) system to estimate the proximal tibial resection plane. Validations using both simulation and in-vivo datasets are performed to demonstrate the robustness and the potential clinical value of the proposed algorithm.
This work was supported in part by the Australian Research Council Discovery Project (No. DP200100982), and in part by Shenzhen Fundamental Research Program (No: JCYJ20200109141622964).
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Zhang, S., Zhao, L., Huang, S., Wang, H., Luo, Q., Hao, Q. (2022). SLAM-TKA: Real-time Intra-operative Measurement of Tibial Resection Plane in Conventional Total Knee Arthroplasty. In: Wang, L., Dou, Q., Fletcher, P.T., Speidel, S., Li, S. (eds) Medical Image Computing and Computer Assisted Intervention – MICCAI 2022. MICCAI 2022. Lecture Notes in Computer Science, vol 13437. Springer, Cham. https://doi.org/10.1007/978-3-031-16449-1_13
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