Tracking-Pin과 Fluoroscopic G-arm 이미지를 이용한 경골근위부절골술 지원시스템 개발

다국어 초록 (Multilingual Abstract)

High tibial osteotomy (HTO) is a widely accepted treatment for unicompartmental osteoarthritis of the knee and other lower extremity deformities, particularly for young and active patients. However, it is generally recognized as a technically demanding procedure. Thus the limitations of conventional surgical methods have been reported. Currently, the use of computer-aided surgery (CAS) system for successful surgery was increased. However it has been reported many problems such as expensive equipment, infection or fracture caused by inserting half-pin and delaying surgery. Therefore we propose a novel method which can be tracked by using tracking-pin inserted in arbitrary locations of the femur and tibia, and fluoroscopic images obtained from G-arm of antero-posterior and lateral-medial.

목차 (Table of Contents)

• ABSTRACT
• 1. Introduction
• 2. Methods
• 3. Implementation
• 4. Conclusion
• 참고문헌

참고문헌 (Reference)

1 배대경, "슬관절 재치환술에서 네비게이션의 유용성" 대한정형외과학회 41 (41): 974-980, 2006

2 송은규, "네비게이션 시스템과 고식적 방식을 이용한 인공 슬관절 치환술의 결과 비교" 대한정형외과학회 41 (41): 1002-1007, 2006

3 선종근, "경골 근위부 절골슬 비교 - 개방형 대비 폐쇄형 설상 절골슬" 대한정형외과학회 39 (39): 790-796, 2004

4 Jacques, M., "“Computer- Assisted Open-Wedge High Tibial Osteotomy,” Operative Technique in Orthopaedics" Elsevier Inc 210-214, 2008

5 Rudan, J. F, "Valgus High Tibial Osteotomy. A Long-term Follow-up Study" Clin. Orthop 157-160, 1991

6 Murphy, S. B., "Tibial Osteotomy for Genu Varum Indications, Preoperative Planning, and Technique" 25 (25): 477-482, 1994

7 Naudie, D., "The Install Award Survivorship of the High Tibial Valgus Osteotomy. A 10- to -22- year Followup Study" 367 : 18-27, 1999

8 Muller, W, "The Elastic High Tibia Valgus Osteotomy in the Varus Deformity" 8 : 19-26, 2000

9 Hohmann, E., "The Effect of Closed Wedge High Tibial Osteotomy on Tibial Slope: A Radiographic Study" 14 : 454-459, 2006

10 Tsumura, H., "The Computer simuLMion on the Correcting Osteotomy of Osteoarthritis of the Knee" 58 : 565-566, 1984

11 Coventry, M. B., "Proximal Tibial Osteotomy. A Critical Longterm Study of Eighty-seven Cases" 75 : 196-201, 1993

12 Hernigou, P., "Proximal Tibial Osteotomy for Osteoarthritis with Varus Deformity. A Ten to Thirteenyear Follow-up Study" 69 (69): 332-354, 1987

13 Dahl, M. T., "Preoperative Planning in Deformity Correction and Limb Lengthening Surgery" 49 : 503-509, 2000

14 Poilvache, P., "Osteotomy for the Arthritic Knee. A European Perspective" Surgery of the Knee 1321-1366, 2006

15 Nakamura, E., "Open-wedge Osteotomy of the Proximal Tibia Hemicallotasis" 83 : 1111-1115, 2001

16 Hernigou, P, "Open Wedge Tibial Osteotomy with Acrylic Bone Cement as Bone Substitute" 8 : 103-110, 2001

17 Koshino, T., "New Bone Formation Around Porous Hydroxyapatite Wedge Implanted in Opening Wedge High Tibial Osteotomy in Patients with Osteoarthritis" 22 (22): 1579-1582, 2001

18 Hankemeier, S., "Navigated Open-wedge High Tibial Osteotomy: Advantages and Disadvantages Compared to the Conventional Technique in a Cadaver Study" 14 : 917-921, 2006

19 Kazakos, K. J., "Mid-term Results of Total Knee Arthroplasty after High Tibial Osteotomy" 128 : 167-173, 2008

20 Wright, J. G., "Measurement of Lower Limb Alignment Using Long Radiographs" 73 : 721-723, 1991

21 Wright, J. G., "Measurement of Lower Limb Alignment Using Long Radiographs" 73 : 721-723, 1991

22 Wirz, P, "Knee Joint simuLMor: an Anatomical Reconstruction of the Joint Surfaces and of the Ligamentous Structures of the Knee Joint for Teaching Purposes" 7 : 59-62, 1999

23 Billings, A., "High Tibial Osteotomy with a Calibrated Osteotomy Guide, Rigid Internal Fixation, and Early Motion Long-term Follow-up" 82 : 70-79, 2000

24 Noyes, F. R., "High Tibial Osteotomy and Ligament Reconstruction for Varus anguLMed Anterior Cruciate Ligament- deficient Knees" J. Sports Med 282-296, 2000

25 Giffin, J. R., "Effects of Increasing Tibial Slope on the Biomechanics of the Knee" 32 (32): 376-382, 2004

26 Agneskirchner, J. D., "Effect of High Tibial Flexion Osteotomy on Cartilage Pressure and Joint Kinematics: A Biomechanical Study in Human Cadaveric Knees" 124 : 575-584, 2004

27 Mathews, J., "Distal Femoral Osteotomy for LMeral Compartment Osteoarthritis of the Knee" 21 : 437-440, 1998

28 Gunay, M, "Costand Time-effective Three-dimensional Bone-shape Reconstruction from X-ray Images" 3 : 323-335, 2007

29 Chao, E. Y, "Computer-aided Preoperative Planning in Knee Osteotomy" 15 : 4-18, 1995

30 Lin, H., "Computer- assisted Surgery Planning for Lower Extremity Deformity Correction by the Ilizarov Method" 1 : 103-108, 1995

31 Frrti, C. B., "Accuracy of Frontal and Sagittal Plane Correction in Open-wedge High Tibial Osteotomy" 20 : 366-372, 2004

32 Marti, C. B., "Accuracy of Frontal and Sagittal Plane Correction in Open-wedge High Tibial Osteotomy" 20 : 366-372, 2004