Development and Accuracy Test of a Robot-arm Type Image-guided Surgery System for Percutaneous Screw Fixation of the Sacro-iliac Joint.
10.12671/jkfs.2005.18.2.191
- Author:
Jin Sup YEOM
1
;
Won Sik CHOY
;
Hayong KIM
;
Jong Won KANG
;
Kwang Won LEE
;
Whoan Jeang KIM
;
Jae Hoon AHN
;
Seong Kyu PARK
;
Jong Hwa WON
;
Hyungmin KIM
;
Namkug KIM
Author Information
1. Department of Orthopedic Surgery, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Sacro-iliac joint;
Separation;
Screw fixation;
Image-guided surgery system;
Intraoperative navigation system
- MeSH:
Immersion;
Joints*;
Microcomputers;
Pelvic Bones;
Plastics;
Surgery, Computer-Assisted*
- From:Journal of the Korean Fracture Society
2005;18(2):191-197
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To develop a robot-arm type image-guided surgery system for percuatneous screw fixation of the sacro-iliac joint and to evaluate its accuracy. MATERIALS AND METHODS: We have developed an image-guided surgery system using a three-dimensional digitizer (Microscribe 3-D G2, Immersion, USA) and a personal computer. The registration error and target localization error at fiducial registration were measured 30 times for each using a phantom made with plastic pelvic bone model (Sawbones, USA). Sixteen 6.5 mm cannulated screws were inserted into four plastic bone models, and the accuracy was evaluated. RESULTS: The target localization error was 1.46+/-0.47 mm while the registration error was 0.73+/-0.23 mm. All of the 16 screws were inserted well across the sacro-iliac joint, and there was neither cortical breach nor collision between screws or washers. CONCLUSION: The accuracy of the developed system was similar to that of optical tracker-based navigation systems, and its helpfulness and usefulness was proven with simulation surgery using plastic bone models.