Author:
Carrillo Fabio,Suter Simon,Casari Fabio A.,Sutter Reto,Nagy Ladislav,Snedeker Jess G.,Fürnstahl Philipp
Abstract
AbstractState-of-the-art of preoperative planning for forearm orthopaedic surgeries is currently limited to simple bone procedures. The increasing interest of clinicians for more comprehensive analysis of complex pathologies often requires dynamic models, able to include the soft tissue influence into the preoperative process. Previous studies have shown that the interosseous membrane (IOM) influences forearm motion and stability, but due to the lack of morphological and biomechanical data, existing simulation models of the IOM are either too simple or clinically unreliable. This work aims to address this problematic by generating 3D morphological and tensile properties of the individual IOM structures. First, micro- and standard-CT acquisitions were performed on five fresh-frozen annotated cadaveric forearms for the generation of 3D models of the radius, ulna and each of the individual ligaments of the IOM. Afterwards, novel 3D methods were developed for the measurement of common morphological features, which were validated against established optical ex-vivo measurements. Finally, we investigated the individual tensile properties of each IOM ligament. The generated 3D morphological features can provide the basis for the future development of functional planning simulation of the forearm.
Publisher
Springer Science and Business Media LLC
Reference72 articles.
1. Fürnstahl, P. et al. Automatic and robust forearm segmentation using graph cuts. Biomedical Imaging: From Nano to Macro, 2008. ISBI 2008. 5th IEEE International Symposium on, 77–80 (2008).
2. Fürnstahl, P. et al. Surgical Treatment of Long-Bone Deformities: 3D Preoperative Planning and Patient-Specific Instrumentation, Computational Radiology for Orthopaedic Interventions. 123–149. (Springer International Publishing, 2016).
3. Jupiter, J. B., Ruder, J. & Roth, D. A. Computer-generated bone models in the planning of osteotomy of multidirectional distal radius malunions. J. Hand Surg. Am. 17, 406–415 (1992).
4. Fohanno, V., Lacouture, P. & Colloud, F. Improvement of upper extremity kinematics estimation using a subject-specific forearm model implemented in a kinematic chain. J. Biomech. 46, 1053–1059, https://doi.org/10.1016/j.jbiomech.2013.01.029 (2013).
5. Moore, D. C. et al. Three-dimensional in vivo kinematics of the distal radioulnar joint in malunited distal radius fractures. J. Hand Surg. Am. 27, 233–242 (2002).
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献