Minimization of Intra-Operative Shaping of Orthopaedic Fixation Plates: A Population-Based Design

Bou Sleiman, Habib; Ritacco, Lucas; Nolte, Lutz-Peter; Reyes, Mauricio (2011). Minimization of Intra-Operative Shaping of Orthopaedic Fixation Plates: A Population-Based Design. In: Fichtinger, Gabor; Martel, Anne; Peters, Terry (eds.) Medical Image Computing and Computer-Assisted Intervention -- MICCAI 2011. Lecture Notes in Computer Science: Vol. 14 (pp. 409-416). Berlin Heidelberg: Springer 10.1007/978-3-642-23629-7_50

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In this paper we present a new population-based method for the design of bone fixation plates. Standard pre-contoured plates are designed based on the mean shape of a certain population. We propose a computational process to design implants while reducing the amount of required intra-operative shaping, thus reducing the mechanical stresses applied to the plate. A bending and torsion model was used to measure and minimize the necessary intra-operative deformation. The method was applied and validated on a population of 200 femurs that was further augmented with a statistical shape model. The obtained results showed substantial reduction in the bending and torsion needed to shape the new design into any bone in the population when compared to the standard mean-based plates.

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