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Article type: Research Article
Authors: Oszwald, Markusa; * | Westphal, Ralfb | Calafi, Afshinc | Stier, Rebeccaa | Müller, Christian W.a | Gaulke, Ralpha | Wahl, Friedrichb | Krettek, Christiana | Gösling, Thomasa
Affiliations: [a] Department of Trauma Surgery, Hannover Medical School, Hannover, Germany | [b] Institute for Robotics and Process Control, Technical University of Braunschweig, Braunschweig, Germany | [c] Department of Orthopaedic Surgery, University of Washington, Harborview Medical Center, WA, USA
Correspondence: [*] Address for correspondence: Dr. Markus Oszwald; Carl-Neuberg-Str.1, 30625 Hannover, Germany. Tel.: +49 511 5322050; E-mail: [email protected].
Abstract: Fractures of the femoral bone are frequent injuries with a wide range of affected individuals. New treatment strategies and technologies are being explored permanently. Their quality is biomechanically judged by the accuracy of the anatomical reduction. Malalignment of the fragments would have an eminent impact on the overall outcome and rehabilitation. To establish a method for investigations of the reduction results of femoral fractures, we developed a model, using a navigation system for taking measurement. The dynamic reference bases (DRBs) where mounted to the intact femoral bone and registered as the reference position. A special construction allowed removal and reattachment of the DRBs without provoking change in the DRB-bone system. The model was evaluated in it's constancy. Translational deviations remained below 0.9 mm and rotational deviations below 0.3° after 40 repetitive reattachments. The model could prove to be valid and reliable. An application in long-bone trauma research is reasonable.
Keywords: Fracture model, femur, fracture reduction, navigation, robustness
DOI: 10.3233/THC-2010-0597
Journal: Technology and Health Care, vol. 18, no. 6, pp. 387-391, 2010
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