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Software-based method for automated intraoperative planning of Schoettle Point in surgical medial patellofemoral ligament reconstruction: a comparative validation study

Background: The aim of the study was to validate a software-based planning method for the Schoettle Point and to evaluate precision and time efficiency of its live overlay on the intraoperative X-ray. Methods: A software-based method was compared with surgeons' manual planning in an inter- and...

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Hauptverfasser: Privalov, Maxim (VerfasserIn) , Kordon, Florian (VerfasserIn) , Kunze, Holger (VerfasserIn) , Beisemann, Nils (VerfasserIn) , Vetter, Sven Y. (VerfasserIn) , Franke, Jochen (VerfasserIn) , Grützner, Paul Alfred (VerfasserIn) , Swartman, Benedict (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: February 2024
In: The international journal of medical robotics and computer assisted surgery
Year: 2024, Jahrgang: 20, Pages: 1-11
ISSN:1478-596X
DOI:10.1002/rcs.2607
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1002/rcs.2607
Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/rcs.2607
Volltext
Verfasserangaben:Maxim Privalov, Florian Kordon, Holger Kunze, Nils Beisemann, Sven Yves Vetter, Jochen Franke, Paul Alfred Grützner, Benedict Swartman
Beschreibung
Zusammenfassung:Background: The aim of the study was to validate a software-based planning method for the Schoettle Point and to evaluate precision and time efficiency of its live overlay on the intraoperative X-ray. Methods: A software-based method was compared with surgeons' manual planning in an inter- and intrarater study. Subsequently, K-wire placement was performed with and without an overlay of the planning. The time used and the precision achieved were statistically compared. Results: The average deviation between the surgeons (1.68 mm; 2.26 mm) was greater than the discrepancy between the surgeons and the software-based planning (1.30 mm; 1.38 mm). In the intrarater comparison, software-based planning provided consistent results. Live overlay showed a significantly lower positioning error (0.9 ± 0.5 mm) compared with that without overlay (3.0 ± 1.4 mm, p = 0.000; 3.1 ± 1.4 mm, p = 0.001). Live overlay did not achieve a significant time gain (p = 0.393; p = 0.678). Conclusion: The software-based planning and live overlay of the Schoettle Point improves surgical precision without negatively affecting time efficiency.
Beschreibung:Vorab veröffentlicht: 04. Januar 2024
Gesehen am 27.03.2024
Beschreibung:Online Resource
ISSN:1478-596X
DOI:10.1002/rcs.2607

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