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A laboratory comparison of computer navigation and individualized guides for distal radius osteotomy

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose   

This article presents the results of a multiuser, randomized laboratory trial comparing the accuracy and precision of image-based navigation against individualized guides for distal radius osteotomy (DRO).

Methods    

Six surgeons each performed four DROs using image-based navigation and four DROs using individualized guides in a laboratory setting with plastic phantom replicas of radii from patients who had received DRO as treatment for radial deformity. Time required and correction errors of ulnar variance, radial inclination, and volar tilt were measured.

Results    

There were no statistically significant differences in the average correction errors. There was a statistically significant difference in the standard deviation of ulnar variance error (2.0 mm for navigation vs. 0.6 mm for guides). There was a statistically significant difference in the standard deviation of radial inclination error (\(6.1^{\circ }\) for navigation vs. \(1.4^{\circ }\) for guides). There were statistically significant differences in the times required (705 s for navigation vs. 214 s for guides) and their standard deviations (144 s for navigation vs. 98 s for guides).

Conclusions    

Compared to navigated DRO, individualized guides were easier to use, faster, and produced more precise correction of ulnar variance and radial inclination. The combination of true three-dimensional planning, ease of use, and accurate and precise corrective guidance makes the individualized guide technique a promising approach for performing corrective osteotomy of the distal radius.

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Conflict of interest

Burton Ma, Manuela Kunz, Braden Gammon, Randy E. Ellis, and David R. Pichora declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Electrical Engineering and Computing Science, York University, Toronto, ON, Canada

    Burton Ma

  2. Human Mobility Research Centre, Kingston General Hospital and Queen’s University, Kingston, ON, Canada

    Manuela Kunz & Braden Gammon

  3. School of Computing, Queen’s University, Kingston, ON, Canada

    Randy E. Ellis

  4. Hotel Dieu Hospital, Kingston, ON, Canada

    David R. Pichora

Authors
  1. Burton Ma
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  2. Manuela Kunz
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  3. Braden Gammon
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  4. Randy E. Ellis
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  5. David R. Pichora
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Correspondence to Burton Ma.

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Ma, B., Kunz, M., Gammon, B. et al. A laboratory comparison of computer navigation and individualized guides for distal radius osteotomy. Int J CARS 9, 713–724 (2014). https://doi.org/10.1007/s11548-013-0966-8

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  • DOI: https://doi.org/10.1007/s11548-013-0966-8

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