Minimization of intra-operative shaping of orthopaedic fixation plates: a population-based design

  • Authors:
  • Habib Bou-Sleiman;Lucas E. Ritacco;Lutz-Peter Nolte;Mauricio Reyes

  • Affiliations:
  • Institute for Surgical Technology and Biomechanics, University of Bern, Bern, Switzerland;Hospital Italiano de Buenos Aires, Buenos Aires, Argentina;Institute for Surgical Technology and Biomechanics, University of Bern, Bern, Switzerland;Institute for Surgical Technology and Biomechanics, University of Bern, Bern, Switzerland

  • Venue:
  • MICCAI'11 Proceedings of the 14th international conference on Medical image computing and computer-assisted intervention - Volume Part II
  • Year:
  • 2011

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Abstract

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.