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2018

Technical note: an augmented reality system for total hip arthroplasty


Abstract

Proper implant alignment is a critical step in total hip arthroplasty (THA) procedures. In current practice, correct alignment of the acetabular cup is verified in C-arm X-ray images that are acquired in an anteriorposterior (AP) view. Favorable surgical outcome is, therefore, heavily dependent on the surgeon’s experience in understanding the 3D orientation of a hemispheric implant from 2D AP projection images. This work proposes an easy to use intra-operative component planning system based on two C-arm X-ray images that is combined with 3D augmented reality (AR) visualization that simplifies impactor and cup placement according to the planning by providing a real-time RGBD data overlay. We evaluate the feasibility of our system in a user study comprising four orthopedic surgeons at the Johns Hopkins Hospital, and also report errors in translation, anteversion, and abduction as low as 1.98 mm, 1.10°, and 0.53°, respectively. The promising performance of this AR solution shows that deploying this system could eliminate the need for excessive radiation, simplify the intervention, and enable reproducibly accurate placement of acetabular implants.

Citation

@inproceedingsAlexander_2018 doi: 10.1117/12.2322399 url: https://doi.org/10.1117/12.2322399 year: 2018 month: mar publisher: SPIE author: Alexander Clayton and Taylor Giacomo and Lee Sing Chun and Fuerst Bernhard and Johnson Alex and Osgood Greg and Taylor Russell and Khanuja Herpal and Navab Nassir and Armand Mehran and Fotouhi Javad and Unberath Mathias editor: Robert J. Webster and Baowei Fei title: Technical note: an augmented reality system for total hip arthroplasty booktitle: Medical Imaging 2018: Image-Guided Procedures Robotic Interventions and Modeling

Citation

@inproceedingsAlexander_2018 doi: 10.1117/12.2322399 url: https://doi.org/10.1117/12.2322399 year: 2018 month: mar publisher: SPIE author: Alexander Clayton and Taylor Giacomo and Lee Sing Chun and Fuerst Bernhard and Johnson Alex and Osgood Greg and Taylor Russell and Khanuja Herpal and Navab Nassir and Armand Mehran and Fotouhi Javad and Unberath Mathias editor: Robert J. Webster and Baowei Fei title: Technical note: an augmented reality system for total hip arthroplasty booktitle: Medical Imaging 2018: Image-Guided Procedures Robotic Interventions and Modeling