Computer planning of acetabular surgery: a future or a game (case report)

Abstract

Background: Despite enormous development of modern traumatology in recent years, there are still some unanswered questions on specific fields of traumatology (acetabulum and pelvic surgery). In cooperation with computer technology the tools for computer assisted orthopedic surgery and computer planning of surgery were developed. Together with computer engineers we have developed computer tool for preoperative planning and virtual surgery for injuries of pelvis and acetabulum.Methods: Data for planning is gained from CT scans of real patient in DICOM format. With segmentation of data the fragments are marked as individual objects. These free objects can be moved and rotated. At the end of virtual operation exact report is produced.Results: Illustrative case of planning using this programe will be presented. The results of small study are presented as well.Conclusions: Despite numerous systems for computer assisted orthopedic surgery there are only few centers that routinely use them. These systems are very useful in precise implant insertion, but they cannot enable reduction of the fragments in minimally invasive surgery. Our program enables virtual operations and learning of this non-routine surgery.

Keywords

• načrtovanje
• medenica
• kolčna ponvica
• rekonstrukcija
• naravnava
• učvrstitev