Novosti
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This journal is indexed in Scopus |
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Year 2021 Vol. 29 No 2
INFORMATION TECHNOLOGIES IN SURGERY
G.P. KOTELNIKOV, A.V. KOLSANOV, A.S. PANKRATOV, S.V. ARDATOV, D.A. OGURTSOV, P.M. ZELTER, A.A. RUBTSOV
A PREOPERATIVE PLANNING METHOD FOR LONG TUBULAR BONE OSTEOSYNTHESIS
Samara State Medical University, Samara,
The Russian Federation
Objective. To compare the shape and size of human contralateral humerus bones based on the «Autoplan» program to justify the possibility of using healthy bone in a preoperative planning for bone osteosynthesis (on the example of the humerus).
Methods. 20 patients underwent computed tomography of the chest, shoulder girdleand upper extremities. Two-dimensional medical imaging of separate layers were converted into three-dimensional models of the humerus bone STL format, which is used for 3D printing in all 3D printers. Preliminary registration to superimpose the mirrored left humerus bone on the right one was carried out for at least 4 key points; their matching in shape and size was analyzed. A comparison was made of the contralateral humerus bones of one patient according to computed tomograms of 20 people. The main anatomical landmarks of the humerus bones and the distance between adjacent points were selected for comparison when the bones were superimposed on each other. Superimposed humeral bones were compared using the Hausdorff distance calculation algorithm, which is used to measure the difference between scanned models and the ground-truth model separately. To visualize the result of calculating of Hausdorff distance, that is, the difference between the bones, color mapping of the latter was performed, where the proximity to red color means the difference tends to zero, the proximity to blue – to 1 cm (the maximal obtained difference).
Results. The greatest difference was recorded in humeral heads – up to 6.8 mm, and in the epicondyle: the medial epicondyle – up to 4.5 mm, the lateral epicondyle – up to 4.4 mm. Color mapping allowed to see that the difference between the heads of the humerus increases from the center of the articular surface to the attachment points of the capsule. At the level of the diaphysis, from the anatomical neck to the condyles, the size differences among all bones in 20 patients was no more than 1.5 mm.
Conclusion. Thereby, the comparison of the shape and size of the contralateral bones of the human humerus based on the «Autoplan» program will allow applying a three-dimensional model of healthy contralateral bone in the preoperative planning for bone osteosynthesis: thus reducing the surgical risks and injury for the patient.
- Kandemir U, Augat P, Konowalczyk S, Wipf F, von Oldenburg G, Schmidt U. Implant material, type of fixation at the shaft, and position of plate modify biomechanics of distal femur plate osteosynthesis. J Orthop Trauma. 2017 Aug;31(8):e241-e46. doi: 10.1097/BOT.0000000000000860
- Shapovalov VM, Khominets VV, Mikhailov SV. Osnovy vnutrennego os teosinteza. Moscow, RF: GEOTAR-Media; 2009. 240 p. (In Russ.)
- Rüedi TP, Buckley RE, Moran CG, editors. AO Principles of Fracture Management: Vol. 1: Principles, Vol. 2: Specific fractures (v. 1). 2nd ed. AO Publishing, Davos; 2007. 1112 р.
- Prikhod’ko SA, Kotelnikov GP, Nikolayenko AN, Chaplygin SS, Ivanov VV, Popov NV, Zelter PM, Kolsanov AV. Surgical treatment of patients with benign tumors and tumor-like diseases of tubular bones using 3d modeling and computer navigation. STM. 1917;9(3):64-70. doi: 10.17691/stm2017.9.3.08 (In Russ.)
- Belien H, Biesmans H, Steenwerckx A, Bijnens E, Dierickx C. Prebending of osteosynthesis plate using 3D printed models to treat symptomatic os acromiale and acromial fracture. J Exp Orthop. 2017 Oct 24;4(1):34. doi: 10.1186/s40634-017-0111-7
- Izmerov NF, Bukhtiiarov IV, Kirillov VF. Gigiena truda. Moscow, RF; 2016. 480 p.(In Russ.)
- Katorkin SE, Kolsanov AV, Bystrov SA, Zelter PM, Andreev IS. Virtual 3-D modeling in surgical treatment of chronic pancreatitis. Novosti Khirurgii. 2017 Sep-Oct; Vol 25 (5): 503-509 (In Russ.)
- Taha AA, Hanbury A. An efficient algorithm for calculating the exact Hausdorff distance. IEEE Trans Pattern Anal Mach Intell. 2015 Nov;37(11):2153-63. doi: 10.1109/TPAMI.2015.2408351
- Makarov VB, Levadnyi YeV, Strafun OS. Comparative biomechanical analysis stress-strain state of the elbow after negleted radius head fracture. Vestn Ortopedii Travmatologii i Protezirovaniia. 2016;(1):73-82. https://www.elibrary.ru/item.asp?id=26232527 (In Russ.)
- Belien H, Biesmans H, Steenwerckx A, Bijnens E, Dierickx C. Prebending of osteosynthesis plate using 3D printed models to treat symptomatic os acromiale and acromial fracture. J Exp Orthop. 2017 Oct 24;4(1):34. doi: 10.1186/s40634-017-0111-7
- Rengier F, Mehndiratta A, von Tengg-Kobligk H, Zechmann CM, Unterhinninghofen R, Kauczor HU, Giesel FL. 3D printing based on imaging data: review of medical applications. Int J Comput Assist Radiol Surg. 2010 Jul;5(4):335-41. doi: 10.1007/s11548-010-0476-x
443099, Russian Federation,
Samara, Chapayev Street, 89,
Samara State Medical University,
the Department of Traumatology, Orthopedics
and Emergency Surgery Named
after RAS Academician A.F.Krasnov
tel. +7 927 903-59-95,
e-mail: pas76@mail.ru
Pankratov Alexandr S.
Kotelnikov Gennady P., MD, Professor, Academician of RAS, Head of the Clinic and the Department of Traumatology, Orthopedics and Emergency Surgery Named after RAS Academician A.F.Krasnov, Samara State Medical University, Samara, Russian Federation.
https://orcid.org/0000-0001-7456-6160
Kolsanov Alexandr V.,MD, Professor, Academician of RAS, Rector of the University, Head of the Department of the Operative Surgery and Clinical Anatomy with the Course of Innovative Technologies, Samara State Medical University, Samara, Russian Federation.
https://orcid.org/0000-0002-4144-7090
Pankratov Alexandr S., PhD, Associate Professor of the Department of Traumatology, Orthopedics and Emergency Surgery Named after RAS Academician A.F.Krasnov, Samara State Medical University, Samara, Russian Federation.
https://orcid.org/0000-0002-6031-4824
Ardatov Sergey V., PhD, Associate Professor of the Department of Traumatology, Orthopedics and Emergency Surgery Named after RAS Academician A.F.Krasnov, Samara State Medical University, Samara, Russian Federation.
https://orcid.org/0000-0002-2644-5353
Ogurtsov Denis A., PhD, Associate Professor of the Department of Traumatology, Orthopedics and Emergency Surgery Named after RAS Academician A.F.Krasnov, Samara State Medical University, Samara, Russian Federation.
https://orcid.org/0000-0003-3830-2998
Zelter Pavel M., PhD, Assistant of the Department of Radiation Diagnostics and Radiation Therapy with the Course of Medical Informatics, Samara State Medical University, Samara, Russian Federation.
https://orcid.org/0000-0003-1346-5942
Rubtsov Artemy A., Clinical Intern of the Department of Traumatology, Orthopedics and Emergency Surgery Named after RAS Academician A.F.Krasnov, Samara State Medical University, Samara, Russian Federation.
https://orcid.org/0000-0002-9004-7018
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