Fluoroscopic Bone Fragment Tracking for Surgical Navigation in Femur Fracture Reduction by Incorporating Optical Tracking of Hip Joint Rotation Center

Abstract

A new method for fluoroscopic tracking of a proximal bone fragment in femoral fracture reduction is presented. The proposed method combines 2-D and 3-D image registration from single-view fluoroscopy with tracking of the head center position of the proximal femoral fragment to improve the accuracy of fluoroscopic registration without the need for repeated manual adjustment of the C-arm as required in stereo-view registrations. Kinematic knowledge of the hip joint, which has a positional correspondence with the femoral head center and the pelvis acetabular center, allows the position of the femoral fragment to be determined from pelvis tracking. The stability of the proposed method with respect to fluoroscopic image noise and the desired continuity of the fracture reduction operation is demonstrated, and the accuracy of tracking is shown to be superior to that achievable by single-view image registration, particularly in depth translation.

DOI: 10.1109/TBME.2007.900822

Cite this paper

@article{Nakajima2007FluoroscopicBF, title={Fluoroscopic Bone Fragment Tracking for Surgical Navigation in Femur Fracture Reduction by Incorporating Optical Tracking of Hip Joint Rotation Center}, author={Yoshikazu Nakajima and Takahito Tashiro and Nobuhiko Sugano and Kazuo Yonenobu and Tsuyoshi Koyama and Yuki Maeda and Yuichi Tamura and Masanobu Saito and Shinichi Tamura and Mamoru Mitsuishi and Naohiko Sugita and Ichiro Sakuma and Takahiro Ochi and Yoichiro Matsumoto}, journal={IEEE transactions on bio-medical engineering}, year={2007}, volume={54 9}, pages={1703-6} }