Int J CARS (2017) 12:1369–1381 DOI 10.1007/s11548-017-1562-0 ORIGINAL ARTICLE Introduction of a computer-based method for automated planning of reduction paths under consideration of simulated muscular forces 1 1 2 2 Jan Buschbaum · Rainer Fremd · Tim Pohlemann · Alexander Kristen Received: 13 November 2016 / Accepted: 13 March 2017 / Published online: 20 March 2017 © CARS 2017 Abstract Mean value and standard deviation of occurring forces are Purpose Reduction is a crucial step in the surgical treat- 15.83 ± 5.05 N for M. tensor fasciae latae and 3.53 ± 1.8N ment of bone fractures. Finding an optimal path for restoring for M. semitendinosus over all trials. These pathways are pre- anatomical alignment is considered technically demand- cise, collision-free, required forces are minimized, and thus ing because collisions as well as high forces caused by regarded as optimal paths. surrounding soft tissues can avoid desired reduction move- Conclusions A novel method for planning reduction paths ments. The repetition of reduction movements leads to a under consideration of collisions and muscular forces is trial-and-error process which causes a prolonged duration introduced. The results deliver additional knowledge for an of surgery. By planning an appropriate reduction path—an appropriate tactical reduction
International Journal of Computer Assisted Radiology and Surgery – Springer Journals
Published: Mar 20, 2017
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