摘要:
A tool for digitizing a mechanical axis of a tibia using a computer-assisted surgery system is described. The tool includes upper and lower mounting ends interconnected by an alignment rod extending therebetween. The upper mounting end is releasably fastenable to an upper reference point on a tibial plateau and the lower mounting end includes a self-centering malleoli engaging mechanism having opposed caliper arms displaceable in a common plane relative to each other for clamping engagement with the medial and lateral malleoli of the ankle. At least one trackable member is mounted to the alignment rod of the tool and is in communication with the computer assisted surgery system for providing at least orientation information of the alignment rod. The mechanical axis of the tibia is parallel to the alignment rod and extends between the upper and lower reference points when the tool is mounted on the tibia.
摘要:
A system tracks an object in computer-assisted surgery. The system comprises a sensor unit secured to the femur. Gyroscopes on the sensor unit produce readings related to orientation data about three axes of rotation. A tracking unit receives the gyroscope readings. An axis calibrator on the tracking unit comprises a calculator for adding at least part of the gyroscope readings for specific movements of the object about a desired axis. An axis normalizer on the tracking unit determines an orientation of the desired axis with respect to the sensor unit from the added gyroscope readings. A tracking processor tracks the desired axis from the gyroscope readings. An interface displays orientation data for the object from a tracking of the desired axis. A method for tracking an object with a gyroscope sensor unit is also provided.
摘要:
A method of determining a reference point on condyles of a femur uses a computer assisted surgery system having a digitizer with perpendicular first and second planar surfaces, the digitizer being locatable and trackable in three dimensional space by the computer assisted surgery system. A digitized plane is created using the digitizer, the digitized plane being a posterior plane and/or a distal plane of the condyles. The posterior plane and the distal plane are respectively defined by the first and second planar surfaces of the digitizer. A location of the reference point in the digitized plane is then determined using the computer assisted surgical system. The reference point is a most remote point of the femur within the digitized plane.
摘要:
A positioning block (10) for use in total knee replacement surgery, permitting five degrees-of-freedom movement relative to a bone element (39) to which it is fixed. The positioning block (10) comprises a rotational mounting element (14) that is removably engaged to the bone element such that the mounting element (14) is selectively rotatable relative to the bone element, about three substantially perpendicular axes of rotation. A guide body portion (12) is engaged with the mounting element (14) such that it is translatable relative thereto along a proximal-distal axis (43) and an anterior-posterior axis (47), while being rotationally fixed relative to the mounting element (14) such that the guide body portion (12) and the mounting element (14) rotate together relative to the bone element (39).
摘要:
There is provided a method for intra-operatively presenting an approximate model of an anatomical structure by collecting a cloud of small surfaces. The cloud of small surfaces is gathered with a registration pointer having an adapted tip capable of making contact with the surface of an anatomical structure and registering the normal at the point of contact.
摘要:
A positioning block (10) for use in total knee replacement surgery, permitting five degrees-of-freedom movement relative to a bone element (39) to which it is fixed. The positioning block (10) comprises a rotational mounting element (14) that is removably engaged to the bone element such that the mounting element (14) is selectively rotatable relative to the bone element, about three substantially perpendicular axes of rotation. A guide body portion (12) is engaged with the mounting element (14) such that it is translatable relative thereto along a proximal-distal axis (43) and an anterior-posterior axis (47), while being rotationally fixed relative to the mounting element (14) such that the guide body portion (12) and the mounting element (14) rotate together relative to the bone element (39).
摘要:
A kit and a method for implanting a prosthetic acetabular cup in an acetabular has a prosthetic acetabular cup having an open end for receiving a head of a prosthetic femoral component. The cup has a flange extending outwardly from a surface thereof adjacent the open end. The flange is angled toward the acetabulum. The acetabulum is prepared to receive the prosthetic acetabular cup, the preparation includes forming a circumferential rim shaped seat in the bone around the acetabulum. The cup flange has a maximum diameter less than the outer diameter of the circumferential rim.
摘要:
A computer assisted surgery system for conducting orthopedic surgery on a knee joint includes a condyle digitizer having a posterior condyle abutment surface defining a first plane and a distal condyle abutment surface defining a second plane perpendicular to the first plane, and a trackable member which is locatable and trackable in three dimensional space by the computer assisted surgery system to define at least orientation of the condyle digitizer in real time. A computer determines a most remote reference point of the femur of the knee joint lying within at least one of the first and second planes when the condyle digitizer is abutted against condyles of the femur such that the posterior condyle abutment surface abuts a posterior side of the condyles and the distal condyle abutment surface abuts a distal side of the condyles.
摘要:
A computer-assisted surgery system for guiding alterations to a bone, comprises a trackable member secured to the bone. The trackable member has a first inertial sensor unit producing orientation-based data. A positioning block is secured to the bone, and is adjustable once the positioning block is secured to the bone to be used to guide tools in altering the bone. The positioning block has a second inertial sensor unit producing orientation-based data. A processing system providing an orientation reference associating the bone to the trackable member comprises a signal interpreter for determining an orientation of the trackable member and of the positioning block. A parameter calculator calculates alteration parameters related to an actual orientation of the positioning block with respect to the bone.
摘要:
A positioning block for use in knee surgery includes a rotational mounting removably engageable to the bone element by a multi-axial fastener such that the mounting element is selectively rotatable relative to the bone element about at least two substantially perpendicular axes of rotation. A guide body portion is engaged with the rotational mounting element such that it is translatable relative thereto along while being rotationally fixed relative to the mounting element. The guide body portion is moveable relative to the bone element in at least three degrees of freedom, the three degrees of freedom including at least two rotational degrees of freedom and at least one translational degree of freedom. A trackable member on the guide body portion is identified and tracked by a computer assisted surgery system.