Surgical navigation in paediatric orthopaedics

Docquier, Pierre-Louis;Paul, Laurent;Tran Duy, Khanh
(2017) EFORT Open Reviews — Vol. 1, n° 5, p. 152-159 (2017)

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Abstract
- Computer-assisted orthopaedic surgery was born in the 1990s. Nowadays, computer-assisted orthopaedic surgery is used for transpedicular screw fixation and for total knee arthroplasty. - Patient-specific instrumentation is one type of computer-assisted surgery based on volumetric images, such as computed tomography or magnetic resonance imaging. - In this article, possible applications of patient-specific instruments in paediatric orthopaedics are described. The use of patient-specific instrumentation for the correction of cubitus varus is given as an example with complex osteotomy. Another application for tarsal coalition resection is shown. - A last example of using patient-specific instrumentation for both tumour resection and allograft reconstruction is illustrated. - Patient-specific instruments based on computed tomography of the bone can increase peri-operative accuracy and decrease operative time. They are very helpful for the surgeon. Other applications are possible and will be probably developed in the future.
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Docquier, P.-L., Paul, L., & Tran Duy, K. (2017). Surgical navigation in paediatric orthopaedics. EFORT Open Reviews, 1(5), 152-159. https://doi.org/10.1302/2058-5241.1.000009 (Original work published 2017)