Computer Assisted Musculoskeletal Surgery

​Computer-Assisted Surgery (CAS) is a new tool for performing complex procedures in a predictable and safe way. This book is designed to serve as a comprehensive review of Computer-Assisted Surgery, covering the current status of both research and applications. CAS includes Virtual Preoperative Planning (VPP) and Intraoperative Virtual Navigation (IVN), which are a set of technologies used to measure oncological margins in 3-Dimensions (3D), to locate small intraosseous tumors and apply controlled resections preserving anatomical structures. During VPP, patient acquired multimodal images are processed and an interactive virtual scenario is created. This can then be used as a platform to measure oncological distances and preplan osteotomies in safe areas. IVN is a procedure which allows the execution of the VPP with a mean error of less than 3mm. For the student, medical doctors, research and development scientists or new researchers, the protocols are central to the performance of Computer-Assisted technologies.

The reader is enthusiastically encouraged to tackle this second edition text in two ways. The first is simply to scan chapters with their introductions, summaries and conclusion points. Second, is to delve into those sections of seeming greater interest depending upon one’s s- cialty and role. The expansion and quality of this material speak to the success of the first edition by these editors and many similar authors. In addition, the continued and enlarged interest in computer assisted Orthopedic surgery indicates the relevance and enduring importance of this advance in our field of musculoskeletal surgery. I suggest that no other discipline in surgery is so appropriately suited to computer assistance including robotic performance. Orthopedics has always seemed unique to this author in that it focuses more than any other medical field on gross physical, mechanical structure. We deal nearly exclusively in physical repair of broken elements, rearrangement of deformed ones, and resurfacing or refurbishing those that are diseased in a way that has altered their mechanical integrity, shapes, and other structural aspects.

This book reviews the recent international experience with the applications of computer assisted orthopaedic surgery in clinical practice. Recent decades of the human condition have witnessed the dramatic evolution of technology and the application to everyday existence. The ability to use such innovation in surgical practice is now easily within our grasp. Though clinical experience is short term, as will be demonstrated the problems are finite and limited only by the need for refinement. We can now clearly state that current surgical practice will be revolutionized by these new methodologies. This edition is all encompassing for musculoskeletal surgery including the spine, trauma, sports, and reconstructive surgery. Because of its simplicity, computer navigation will be an early tool in such areas as total joint replacement, anterior cruciate ligament reconstruction, and placement of pedicle screws in complex spinal surgery. New techniques in Minimally Invasive Surgery will require the precision and digital "surgical exposure" offered by the computer. However, we anticipate in a few years, that robotics with computer activated technology will rise to an important role for the practicing surgeon. Surgeons who are comfortable with technology and yearn for better solutions with their techniques will benefit from the knowledge of this experience. Americans at the AAOS 2003 annual meeting in New Orleans, have now joined the wave of enthusiasm for computer assisted orthopaedic surgery (CAOS) as well as the exciting new vistas of Minimally Invasive Surgery.

This book focuses on two major areas in the field of computer assisted orthopaedic surgery (CAOS): hip and knee surgery. It reviews the current clinical status of the various CAOS tools for hip and knee arthroplasty, osteotomy, ligament reconstruction, spine surgery, trauma surgery, and tumour surgery that have become available in recent years and discusses future applications based on fundamental research and continuously developing computer technology / devices. Computer Assisted Orthopaedic Surgery for Hip and Knee highlights three areas – total knee arthroplasty (TKA); total hip arthroplasty (THA) and hip osteotomy; and statistical shape modelling. It is a valuable resource for orthopaedic surgeons, clinical technologists and computer scientists and other specialists interested in this technology.

Computer-assisted surgery is a growing sub-discipline of orthopaedic surgery. This book offers a comprehensive presentation of scientific work and clinical experience including new technologies like individual templating in unicompartmental and total knee arthoplasty based on computer-assisted design technology. Computer-assisted surgery involves not only total knee and total hip arthroplasty, but also trauma, sports and revision surgery. In this edition we have added sections on 3D fluoroscopy-based spinal surgery as well as 3D fluoroscopy-based trauma surgery. Even in total hip surgery, navigation systems offer exciting new aspects, and the clinical benefit of navigation in total knee arthroplasties has now been demonstrated. We believe that this textbook will be of interest to those new to this specific field, while also providing an update for experienced users. An added benefit is the international character of this textbook, including experiences from Switzerland, Israel, the United States and the German-speaking countries.

This book discusses the full range of current applications of computer-assisted surgery and robotics in the field of knee surgery, and also considers potential future applications. The impact of computer-assisted surgery on a wide range of surgical procedures is clearly explained. Procedures considered include total knee arthroplasty, unicompartmental knee arthroplasty, cruciate ligament reconstruction, patellofemoral arthroplasty, and revision surgery. In each case, technical aspects are thoroughly addressed in a readily understandable manner. Knee Surgery Using Computer-Assisted Surgery and Robotics will be an ideal guide to this exciting field for both novice and more experienced surgeons who treat knee injuries and disorders.

The techniques of computer and robotic assisted surgery are making a major impact on the practice of orthopaedics. This book provides a complete overview of the technical and clinical aspects of computer-assisted surgery with extensive coverage of the use of robotic and navigation technologies in the surgical setting. The first part of the book presents the clinical problems and describes the basic technological components. The second part of the book describes specific applications in hip and knee reconstructive surgery.