Orthopaedic surgery planning

• US 7,388,972 B2
• Filed: 09/24/2003
• Issued: 06/17/2008
• Est. Priority Date: 09/26/2002
• Status: Active Grant

• Current Assignee: Meridian Technique Limited (Materialise NV)
• Original Assignee: Meridian Technique Limited (Materialise NV)
• Inventors: Kitson, David
• Primary Examiner(s): Johns; Andrew W.
• Assistant Examiner(s): ALLISON, ANDRAE S
• Application Number:
  US10/670,640
• Publication Number:
  US 20050054917A1
• Time in Patent Office: 1,728 Days
• Field of Search: 382128-132, 382/203, 382/209, 382/217, 382/254, 382/266, 600/427, 600/407, 128/920, 128/898, 128922-923, 623/914, 345629-630, 345/632, 345/634, 345/641
• US Class Current: 382/128
• CPC Class Codes: A61B 17/15 Guides therefor arrangements for guiding straight saw blades in general B23D51/025
• CPC Class Codes: A61B 17/154 for preparing bone for knee prosthesis
• CPC Class Codes: A61B 2090/364 Correlation of different images or relation of image positions in respect to the body
• CPC Class Codes: A61B 2090/376 using X-rays, e.g. fluoroscopy
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61F 2/30942 for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
• CPC Class Codes: A61F 2/32 for the hip
• CPC Class Codes: A61F 2/34 Acetabular cups
• CPC Class Codes: A61F 2/36 Femoral heads ; Femoral endoprostheses
• CPC Class Codes: A61F 2/367 Proximal or metaphyseal parts of shafts trochanteric devices connected to said proximal parts A61F2/30739
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2/3859 Femoral components
• CPC Class Codes: A61F 2/389 Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2002/3008 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30948 using computerized tomography, i.e. CT scans
• CPC Class Codes: A61F 2002/30953 using a remote computer network, e.g. Internet
• CPC Class Codes: A61F 2002/30963 using templates, e.g. grid charts
• CPC Class Codes: A61F 2002/3611 Heads or epiphyseal parts of femur
• CPC Class Codes: A61F 2250/0098 : radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2310/00011 : Metals or alloys
• CPC Class Codes: A61F 2310/00179 : Ceramics or ceramic-like structures
• CPC Class Codes: G16H 20/40 : relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 30/40 : for processing medical images, e.g. editing
• CPC Class Codes: G16H 40/67 : for remote operation
• CPC Class Codes: G16H 50/50 : for simulation or modelling of medical disorders
• CPC Class Codes: G16H 70/20 : relating to practices or guidelines

Abstract

A computer-implemented method of planning orthopaedic surgery comprises providing a library of templates representing orthopaedic prostheses, displaying and scaling one or more patient images such as X-ray images, allowing a user to reconfigure geometrical constructs displayed over the images to match the construct to anatomical features shown in the image; and selecting one or more templates from the library in accordance with parameters of the reconfigured constructs. The templates correspond to the orthopaedic prosthesis or prostheses which are most suitable for the patient. Hip replacement surgery can be planned using a single patient image. Knee surgery can be planned using two patient images showing different views of the anatomical features, in which case geometrical constructs for use with each view are provided. The library of templates is accessible via the Internet so as to be accessible by users in any location and readily updateable.

Claims

1. A computer-implemented method of planning orthopaedic surgery, comprising:

providing a library of templates representing orthopaedic prostheses;

displaying a patient image showing anatomical features that are relevant for the orthopaedic surgery being planned;

scaling the patient image according to user input;

displaying over the patient image a geometrical construct comprising a plurality of interrelated shapes and lines defined by a plurality of interrelated geometric parameters corresponding to parameters describing the orthopaedic prostheses represented by the templates in the library;

allowing a user to reconfigure the geometrical construct by adjusting the geometric parameters according to the anatomical features of the underlying patient image so as to specify a mapping of bone structure shown in the patient image; and

automatically selecting at least one template from the library in accordance with the geometric parameters adjusted by the user.

2. The method of claim 1, wherein the patient image is an X-ray image.

3. The method of claim 1, wherein the geometric parameters include lengths and/or angles.

4. The method of claim 1, and further comprising, before automatically selecting:

displaying a further patient image showing anatomical features that are relevant for the orthopaedic surgery being planned;

scaling the further patient image according to user input;

displaying over the further patient image a further geometrical construct defined by a plurality of interrelated further geometric parameters corresponding to parameters describing the orthopaedic prostheses represented by the templates in the library; and

allowing a user to reconfigure the further geometrical construct by adjusting the further geometric parameters according to the anatomical features of the underlying further patient image so as to specify a mapping of bone structure shown in the further patient image;

and wherein automatically selecting at least one template is in accordance with the geometric parameters and the further geometric parameters adjusted by the user.

5. The method of claim 4, wherein the patient image is an anterior-posterior view and the further patient image is a medio-lateral view.

6. The method of claim 1, wherein the geometric parameters are adjusted according to anatomical features of a femur so as to allow automatic selection of a template representing a femoral component of a hip prosthesis.

7. The method of claim 1, wherein the geometric parameters are adjusted according to anatomical features of a pelvis so as to allow automatic selection of a template representing an acetabular component of a hip prosthesis.

8. The method of claim 4, wherein the geometric parameters and the further geometric parameters are adjusted according to anatomical features of a knee joint so as to allow automatic selection of templates representing femoral and tibial components of a knee prosthesis.

9. A computer-implemented method of planning orthopaedic surgery, comprising:

providing a library of templates representing orthopaedic implants;

displaying first and second patient images showing anatomical features that are relevant for the orthopaedic surgery being planned;

scaling the first and second patient images according to user input;

displaying over the first patient image a first view of a geometrical construct, the geometrical construct comprising a plurality of interrelated shapes and lines being defined by a plurality of geometric parameters interrelated in three dimensions, the geometric parameters corresponding to parameters describing the orthopaedic prostheses represented by the templates in the library;

displaying over the second patient image a second view of the geometrical construct;

allowing a user to reconfigure the geometrical construct according to the anatomical features of the underlying patient images so as to specify a mapping of the bone structure shown in the first and second patient images, by adjusting geometric parameters adjustable in the first and second views; and

automatically selecting at least one template from the library in accordance with the geometric parameters adjusted by the user.

10. The method of claim 9, wherein the first patient image is an anterior-posterior view and the second patient image is a medio-lateral view.

11. The method of claim 9, wherein the geometric parameters are adjusted according to anatomical features of a femur so as to allow automatic selection of a template representing a femoral component of a knee prosthesis.

12. The method of claim 9, wherein the geometric parameters are adjusted according to anatomical features of a tibia so as to allow automatic selection of a template representing a tibial component of a knee prosthesis.

13. The method of claim 9, wherein the geometric parameters are adjusted according to anatomical features of a femur so as to allow automatic selection of a template representing a femoral component of a hip prosthesis.

14. A computer-readable medium having stored thereon computer-readable instructions for implementing a method of planning orthopaedic surgery, comprising:

providing a library of templates representing orthopaedic prostheses;

displaying a patient image showing anatomical features that are relevant for the orthopaedic surgery being planned;

scaling the patient image according to user input;

displaying over the patient image a geometrical construct comprising a plurality of interrelated shapes and lines defined by a plurality of interrelated geometric parameters corresponding to parameters describing the orthopaedic prostheses represented by the templates in the library;

allowing a user to reconfigure the geometrical construct by adjusting the geometric parameters according to the anatomical features of the underlying patient image so as to specify a mapping of the bone structure shown in the patient image; and

automatically selecting at least one template from the library in accordance with the geometric parameters adjusted by the user.

15. The computer-readable medium of claim 14, wherein the patient image is an X-ray image.

16. The computer-readable medium of claim 14, wherein the geometric parameters include lengths and/or angles.

17. The computer-readable medium of claim 14, and further comprising, before automatically selecting:

displaying a further patient image showing anatomical features that are relevant for the orthopaedic surgery being planned;

scaling the further patient image according to user input;

displaying over the further patient image a further geometrical construct defined by a plurality of interrelated further geometric parameters corresponding to parameters describing the orthopaedic prostheses represented by the templates in the library; and

allowing a user to reconfigure the further geometrical construct by adjusting the further geometric parameters according to the anatomical features of the underlying further patient image so as to specify a mapping of the bone structure shown in the further patient image;

and wherein automatically selecting at least one template is in accordance with the geometric parameters and the further geometric parameters adjusted by the user.

18. The computer-readable medium of claim 17, wherein the patient image is an anterior-posterior view and the further patient image is a medio-lateral view.

19. The computer-readable medium of claim 14, wherein the geometric parameters are adjusted according to anatomical features of a femur so as to allow automatic selection of a template representing a femoral component of a hip prosthesis.

20. The computer-readable medium of claim 14, wherein the geometric parameters are adjusted according to anatomical features of a pelvis so as to allow automatic selection of a template representing an acetabular component of a hip prosthesis.

21. The computer-readable medium of claim 17, wherein the geometric parameters and the further geometric parameters are adjusted according to anatomical features of a knee joint so as to allow automatic selection of templates representing femoral and tibial components of a knee prosthesis.

27. The computer-readable medium of claim 14 or claim 22, wherein the computer-readable instructions are stored in a recording medium.

28. The computer-readable medium of claim 14 or claim 22, wherein the computer-readable instructions are conveyed on a transmission medium.

22. A computer-readable medium having stored thereon computer-readable instructions for implementing a method of planning orthopaedic surgery, comprising:

providing a library of templates representing orthopaedic implants;

displaying first and second patient images showing anatomical features that are relevant for the orthopaedic surgery being planned;

scaling the first and second patient images according to user input;

displaying over the first patient image a first view of a geometrical construct, the geometrical construct comprising a plurality of interrelated shapes and lines being defined by a plurality of geometric parameters interrelated in three dimensions the geometric parameters corresponding to parameters describing the orthopaedic prostheses represented by the templates in the library;

displaying over the second patient image a second view of the geometrical construct;

allowing a user to reconfigure the geometrical construct according to the anatomical features of the underlying patient images so as to specify a mapping of the bone structure shown in the first and second patient images, by adjusting geometric parameters adjustable in the first and second views; and

automatically selecting at least one template from the library in accordance with the geometric parameters adjusted by the user.

23. The computer-readable medium of claim 22, wherein the first patient image is an anterior-posterior view and the second patient image is a medio-lateral view.

24. The computer-readable medium of claim 22, wherein the geometric parameters are adjusted according to anatomical features of a femur so as to allow automatic selection of a template representing a femoral component of a knee prosthesis.

25. The computer-readable medium of claim 22, wherein the geometric parameters are adjusted according to anatomical features of a tibia so as to allow automatic selection of a template representing a tibial component of a knee prosthesis.

26. The computer-readable medium of claim 22, wherein the geometric parameters are adjusted according to anatomical features of a femur so as to allow automatic selection of a template representing a femoral component of a hip prosthesis.

29. A computer system for implementing a method of planning orthopaedic surgery, comprising:

memory in which is stored;

a library of templates representing orthopaedic prostheses; and

patient images showing anatomical features that are relevant for the orthopaedic surgery being planned;

a display device operable to display one of the patient images; and

a processor operable to;

scale the displayed patient image according to user input;

display over the patient image a geometrical construct comprising a plurality of interrelated shapes and lines defined by a plurality of interrelated geometric parameters corresponding to parameters describing the orthopaedic prostheses represented by the templates in the library;

allow a user to reconfigure the geometrical construct by adjusting the geometric parameters according to the anatomical features of the displayed patient image so as to specify a mapping of the bone structure shown in the patient image; and

automatically select at least one template from the library in accordance with the geometric parameters adjusted by the user.

30. The computer system of claim 29, wherein

the display device is further operable to display a further one of the patient images;

and

the processor is further operable to;

scale the displayed further patient image according to user input;

display over the further patient image a further geometrical construct defined by a plurality of interrelated further geometric parameters, corresponding to parameters describing the orthopaedic prostheses represented by the templates in the library;

allow a user to reconfigure the further geometrical construct by adjusting the further geometric parameters according to the anatomical features of the displayed further patient image so as to specify a mapping of the bone structure shown in the further patient image; and

automatically select at least one template from the library in accordance with the geometric parameters and the further geometric parameters adjusted by the user.

32. The computer system of claim 29 or claim 31, wherein the library of templates is stored such that it can be accessed by the processor via the Internet.

33. The computer system of claim 29 or claim 31, wherein the patient images are stored in an archive comprised within a Picture Archiving and Communication System.

31. A computer system for implementing a method of planning orthopaedic surgery, comprising:

memory in which is stored;

a library of templates representing orthopaedic prostheses; and

patient images showing anatomical features that are relevant for the orthopaedic surgery being planned;

a display device operable to display a first and a second of the patient images; and

a processor operable to;

scale the displayed patient images according to user input;

display over the first patient image a first view of a geometrical construct, the geometrical construct comprising a plurality of interrelated shapes and lines being defined by a plurality of geometric parameters interrelated in three dimensions corresponding to parameters describing the orthopaedic prostheses represented by the templates in the library;

display over the second patient image a second view of the geometrical construct;

allow a user to reconfigure the geometrical construct according to the anatomical features of the underlying patient images so as to specify a mapping of the bone structure shown in the first and second patient images, by adjusting geometric parameters adjustable in the first and second views; and

automatically select at least one template from the library in accordance with the geometric parameters adjusted by the user.