Leveraging technology for preoperative planning in orthopaedic and spine surgery
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This talk was presented by Dr. Kshitij Chaudhary at the APROC SICOT 2015 conference at Sir HN Reliance Foundation Hospital. This talk is about technology that can help with preoperative planning. It includes a brief mention of 3D printed, patient-pathology-specific models that are being used in orthopedic and spine surgery.
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Leveraging technology for preoperative planning in orthopaedic and spine surgery
- 1. Dr. Kshitij Chaudhary, MS, DNB Consultant Spine Surgeon Sir HN Reliance Foundation Hospital Mumbai L E V E R A G I N G T E C H N O L O G Y F O R P R E O P E R A T I V E P L A N N I N G
- 2. DISCLAIMER No financial interests But, I wish I had !!
- 3. – C H I R U R G I A M A G N A , T R E A T I S E I , D O C T R I N E I , C H I “A blind man works on wood the same way as a surgeon on the body, when he is ignorant of anatomy.”
- 4. Proper preoperative planning prevents piss-poor performance (Seven P’s of success)
- 6. T H R P L A N N I N G ( O S I R I X )
- 7. Surgimap
- 8. Surgimap
- 9. 3 D P L A N N I N G
- 11. Anticipation of pathological anatomy Courtesy: Dr Arjun Dhawale
- 14. Virtual Surgery
- 19. If a picture is worth a 1000 words ……
- 20. Then a 3D model is worth a thousand pictures ! Slide courtesy - Dr Vaibhav Bagaria
- 21. What is 3D Printing?
- 23. Video Courtesy - Dr Vaibhav Bagaria
- 27. Medacta UK Signature Biomet Customized Surgical Guides and Jigs Pedicle screw jigs TKR Jigs
- 28. 4WEB Medical Spine Truss System Customized Implant manufacturing
- 29. 3D POST Prosthetics and Orthotics Bespoke Braces
- 30. The Future is Bio-printing Dr. Lawrence J. Bonasser at Cornell University
- 31. Cartilage bio-printing Lumbar disc bio-printing Dr. Lawrence J. Bonasser at Cornell University
- 32. I never think of the future. It comes soon enough.
Notas del editor
- First prerequisite for preoperative planning is knowing anatomy.
- We use this knowledge of normal and pathological anatomy to plan surgery. Surgical planning: Helps to Mentally rehearse operation Anticipate pathological anatomy to avoid problems Alternative planning (Having a Plan B). Pre-emptive implant contouring / selection (Failing to plan is planning to fail)
- Surgery as a specialty bloomed only after the publication of this book by Vesalius in the 16th century, which contained the first accurate drawings of the human anatomy. This was the book surgeons used to plan their surgeries and to navigate through the human body. And we have come so far since ….
- In the first half of the talk i am going to show some, Softwares that can help us with preoperative planning. These are basically DICOM manipulation softwares. Osirix is free for the Mac and Surgimap is free on Mac and Windows.
- DICOM 3D manipulation and multi planer reconstructions.
- But the model used in this surgery done at our hospital is not a regular normal anatomy model. It actually is a Patient specific model of the fractured pelvis that has been 3d printed. The biggest advantage of 3D models is that they can be taken to the operative field, and touched and viewed during the operation, helping surgeons to re-assess the complicated fracture pattern or pathological anatomy.
- Imagine downloading a set of plans from the Internet for just about any solid object that you desire, adding the correct base materials to your 3-D printing machine and printing the object at your home or business. This is what 3-D printing may potentially deliver.