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Colcuc C, Miersbach M, Cienfuegos M, Grüneweller N, Vordemvenne T, Wähnert D. Comparison of virtual reality and computed tomography in the preoperative planning of complex tibial plateau fractures. Arch Orthop Trauma Surg 2024; 144:2631-2639. [PMID: 38703213 PMCID: PMC11211142 DOI: 10.1007/s00402-024-05348-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 04/16/2024] [Indexed: 05/06/2024]
Abstract
INTRODUCTION Preoperative planning is a critical step in the success of any complex surgery. The pur-pose of this study is to evaluate the advantage of VR glasses in surgical planning of complex tibial plateau fractures compared to CT planning. MATERIALS AND METHODS Five orthopedic surgeons performed preoperative planning for 30 fractures using either conventional CT slices or VR visualization with a VR headset. Planning was performed in a randomized order with a 3-month interval between planning sessions. A standardized questionnaire assessed planned operative time, planning time, fracture classification and understanding, and surgeons' subjective confidence in surgical planning. RESULTS The mean planned operative time of 156 (SD 47) minutes was significantly lower (p < 0.001) in the VR group than in the CT group (172 min; SD 44). The mean planning time in the VR group was 3.48 min (SD 2.4), 17% longer than in the CT group (2.98 min, SD 1.9; p = 0.027). Relevant parameters influencing planning time were surgeon experience (-0.61 min) and estimated complexity of fracture treatment (+ 0.65 min). CONCLUSION The use of virtual reality for surgical planning of complex tibial plateau fractures resulted in significantly shorter planned operative time, while planning time was longer compared to CT planning. After VR planning, more surgeons felt (very) well prepared for surgery.
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Affiliation(s)
- Christian Colcuc
- Bielefeld University, Medical School and University Medical Center OWL, Protestant Hospital of the Bethel Foundation, Department of Trauma and Orthopaedic Surgery, Burgsteig 13, 33617, Bielefeld, Germany
| | - Marco Miersbach
- Bielefeld University, Medical School and University Medical Center OWL, Protestant Hospital of the Bethel Foundation, Department of Trauma and Orthopaedic Surgery, Burgsteig 13, 33617, Bielefeld, Germany
| | - Miguel Cienfuegos
- Bielefeld University, Center for Cognitive Interaction Technology CITEC, Universitätsstraße 25, 33615, Bielefeld, Germany
| | - Niklas Grüneweller
- Bielefeld University, Medical School and University Medical Center OWL, Protestant Hospital of the Bethel Foundation, Department of Trauma and Orthopaedic Surgery, Burgsteig 13, 33617, Bielefeld, Germany
| | - Thomas Vordemvenne
- Bielefeld University, Medical School and University Medical Center OWL, Protestant Hospital of the Bethel Foundation, Department of Trauma and Orthopaedic Surgery, Burgsteig 13, 33617, Bielefeld, Germany
| | - Dirk Wähnert
- Bielefeld University, Medical School and University Medical Center OWL, Protestant Hospital of the Bethel Foundation, Department of Trauma and Orthopaedic Surgery, Burgsteig 13, 33617, Bielefeld, Germany.
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Scoscina D, Facco G, Luciani P, Setaro N, Senesi L, Martiniani M, Gigante AP. Mason type III fractures of the radial head: ORIF, resection or prosthetic replacement? Musculoskelet Surg 2023; 107:223-230. [PMID: 35429279 DOI: 10.1007/s12306-022-00745-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 03/26/2022] [Indexed: 05/18/2023]
Abstract
PURPOSE This study focused on a comparison of mid-term clinical, functional and radiographic outcomes of adults treated by open reduction and internal fixation (ORIF), radial head prosthesis (RHP) and resection (RHR). METHODS The retrospective evaluation concerned 47 surgically treated patients after a mean follow-up of 53 months. All patients were grouped according to the surgical procedure performed: 15 in the RHP group, 16 in the ORIF group and 16 in the RHR group. At the follow-up, outcome assessment was based on radiographs, range of motion (ROM) and functional rating scores. RESULTS Patients treated by RHR had significantly higher mean age and shorter operation time than other two groups. Compared to ROM, flexion, extension and pronation were significantly worse in patients treated by ORIF than those in the RHP group and the RHR group. Supination was significantly better in the RHP group. However, no statistical differences were observed in functional rating scores among the three groups. Regarding complications, instability was the only cause of revision surgery in the RHP group and the RHR group. On the other hand, the ORIF group revision rate was 50% and secondary displacement was the most frequent cause of failure. CONCLUSION The ORIF group did not show good results with greater elbow stiffness and higher revision rate than the other two techniques. RHR may be suitable for elderly patients with lower functional demands as it reported good clinical results and reduced operation time.
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Affiliation(s)
- D Scoscina
- Department of Clinical and Molecular Sciences, Università Politecnica Delle Marche, Via Tronto 10/a, 60020, Torrette Di Ancona, Italy.
| | - G Facco
- Department of Clinical and Molecular Sciences, Università Politecnica Delle Marche, Via Tronto 10/a, 60020, Torrette Di Ancona, Italy
| | - P Luciani
- Department of Clinical and Molecular Sciences, Università Politecnica Delle Marche, Via Tronto 10/a, 60020, Torrette Di Ancona, Italy
| | - N Setaro
- Department of Clinical and Molecular Sciences, Università Politecnica Delle Marche, Via Tronto 10/a, 60020, Torrette Di Ancona, Italy
| | - L Senesi
- Department of Orthopaedic and Trauma Surgery, Ospedali Riuniti, Ancona, Italy
| | - M Martiniani
- Clinic of Adult and Paediatric Orthopaedics, Azienda Ospedaliero-Universitaria, Ospedali Riuniti Di Ancona, Ancona, Italy
| | - A P Gigante
- Department of Clinical and Molecular Sciences, Università Politecnica Delle Marche, Via Tronto 10/a, 60020, Torrette Di Ancona, Italy
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Mandolini M, Brunzini A, Facco G, Mazzoli A, Forcellese A, Gigante A. Comparison of Three 3D Segmentation Software Tools for Hip Surgical Planning. SENSORS (BASEL, SWITZERLAND) 2022; 22:s22145242. [PMID: 35890923 PMCID: PMC9323631 DOI: 10.3390/s22145242] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 07/11/2022] [Accepted: 07/12/2022] [Indexed: 06/01/2023]
Abstract
In hip arthroplasty, preoperative planning is fundamental to reaching a successful surgery. Nowadays, several software tools for computed tomography (CT) image processing are available. However, research studies comparing segmentation tools for hip surgery planning for patients affected by osteoarthritic diseases or osteoporotic fractures are still lacking. The present work compares three different software from the geometric, dimensional, and usability perspectives to identify the best three-dimensional (3D) modelling tool for the reconstruction of pathological femoral heads. Syngo.via Frontier (by Siemens Healthcare) is a medical image reading and post-processing software that allows low-skilled operators to produce prototypes. Materialise (by Mimics) is a commercial medical modelling software. 3D Slicer (by slicer.org) is an open-source development platform used in medical and biomedical fields. The 3D models reconstructed starting from the in vivo CT images of the pathological femoral head are compared with the geometries obtained from the laser scan of the in vitro bony specimens. The results show that Mimics and 3D Slicer are better for dimensional and geometric accuracy in the 3D reconstruction, while syngo.via Frontier is the easiest to use in the hospital setting.
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Affiliation(s)
- Marco Mandolini
- Department of Industrial Engineering and Mathematical Sciences, Università Politecnica delle Marche, Via Brecce Bianche 12, 60131 Ancona, Italy; (A.B.); (A.F.)
| | - Agnese Brunzini
- Department of Industrial Engineering and Mathematical Sciences, Università Politecnica delle Marche, Via Brecce Bianche 12, 60131 Ancona, Italy; (A.B.); (A.F.)
| | - Giulia Facco
- Dipartimento di Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Via Tronto 10/a, Torrette di Ancona, 60126 Ancona, Italy; (G.F.); (A.G.)
| | - Alida Mazzoli
- Department of Materials, Environmental Sciences and Urban Planning, Università Politecnica delle Marche, Via Brecce Bianche 12, 60131 Ancona, Italy;
| | - Archimede Forcellese
- Department of Industrial Engineering and Mathematical Sciences, Università Politecnica delle Marche, Via Brecce Bianche 12, 60131 Ancona, Italy; (A.B.); (A.F.)
| | - Antonio Gigante
- Dipartimento di Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Via Tronto 10/a, Torrette di Ancona, 60126 Ancona, Italy; (G.F.); (A.G.)
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Zhao J, Liu J. The Diagnostic Value of Scanning in the Injury of Triceps Crus of Volleyball Players. SCANNING 2022; 2022:2203065. [PMID: 35692698 PMCID: PMC9150990 DOI: 10.1155/2022/2203065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 05/08/2022] [Accepted: 05/12/2022] [Indexed: 06/15/2023]
Abstract
The study goal is to solve the problem of the diagnosis of triceps crus injury of volleyball players, meet the needs of volleyball players and team doctors for the correct diagnosis of triceps crus injury scanning, make up for the deficiency that triceps crus injury scanning diagnosis is easy to make mistakes, and improve the efficiency and ability of triceps crus injury diagnosis scanning. Because the experiment involves the technical action of volleyball jump serve, DELSYSR Trignomobile wireless portable surface electromyography tester (16 leads) made in the United States is selected to test the surface electromyography of the main muscle groups of college male volleyball players in the process of jump serve. The German made simi-3D motion image system is used to conduct three-dimensional synchronous test of athletes' jump serve action. The data analysis software adopts EMG work analysis, EMG analysis software, and simi-3D motion image analysis system for postprocessing data. The original signal is filtered (400 Hz for low pass and 20 Hz for high pass) and rectified. Finally, IEMG, EMG contribution rate, and RMS were calculated. This ensures the accuracy of the experiment.
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Affiliation(s)
- Jinfeng Zhao
- Pingdingshan University, Henan, Pingdingshan 467000, China
| | - Jianxin Liu
- Pingdingshan University, Henan, Pingdingshan 467000, China
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Facco G, Palmisani R, Pieralisi M, Forcellese A, Martiniani M, Specchia N, Gigante A. Case series of four complex spinal deformities: new frontiers in pre-operative planning. ACTA BIO-MEDICA : ATENEI PARMENSIS 2022; 93:e2022221. [PMID: 36300238 PMCID: PMC9686144 DOI: 10.23750/abm.v93i5.12839] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Accepted: 02/25/2022] [Indexed: 01/25/2023]
Abstract
BACKGROUND AND AIM Osseous and medullar anomalies constitute a hard challenge for interpretation of complex vertebral deformities anatomy. To better frame these deformities three-Dimensional (3D) printing represents a new frontier in this field. The aim of this brief report is describing the use of 3D printed models for surgical planning in four complex vertebral deformity cases treatment. METHODS Four cases of severe scoliosis were treated between December 2017 and January 2019; patients' mean age was 12,25 years. Two patients underwent neurosurgical intervention for myelomeningocele at the time of birth. Standard and dynamics X-Ray, Computed Tomography (CT) and Magnetic Resonance (MR) of the column were performed pre-operatively. CT files were implemented to build the 3D model of each spine and selected ribs. The models were 3D printed in thermoplastic material, then used to study the deformities and for surgical planning. A survey proposal about 3D models' utility and accuracy has been made to 15 residents and 6 main surgeons. RESULTS Preparation of each 3D models required about 316.5 minutes and printing time was about 108 hours each. The average cost was 183.16 € to produce one 3D printed model, which resulted useful in surgical planning and educational. CONCLUSIONS The manufacture of 3D models requires time, resources and multidisciplinary approach, it must be justified by complexity of the case. In this study 3D Printing allowed surgeons to carefully plan and simulate the surgery, ensuring for a better sizing of the implant.
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Affiliation(s)
- Giulia Facco
- Department of Clinical and Molecular Sciences, Università Politecnica delle Marche, Ancona, Italy
| | - Rosa Palmisani
- Department of Clinical and Molecular Sciences, Università Politecnica delle Marche, Ancona, Italy
| | - Massimiliano Pieralisi
- Department of Industrial Engineering and Mathematical Sciences, Università Politecnica delle Marche, Ancona, Italy
| | - Archimede Forcellese
- Department of Industrial Engineering and Mathematical Sciences, Università Politecnica delle Marche, Ancona, Italy
| | - Monia Martiniani
- Clinic of Adult and Paediatric Orthopaedics, Ospedali Riuniti, Ancona, Italy
| | - Nicola Specchia
- Department of Clinical and Molecular Sciences, Università Politecnica delle Marche, Ancona, Italy
| | - Antonio Gigante
- Department of Clinical and Molecular Sciences, Università Politecnica delle Marche, Ancona, Italy
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