日本福祉工学会誌 論文 概要
日本福祉工学会誌 Vol. 1, pp. 25-32 (1999) |
人工膝関節置換術直後における膝関節運動の術中モニタリングシステム
西野勝敏,林 豊彦,近藤由資,鈴木禎宏,大森 豪,古賀良生
An Intraoperative Monitoring System of Knee Movement Immediately After
Total Knee Arthroplasty
Katsutoshi NISHINO, Toyohiko HAYASHI, Yoshisuke KONDO, Yoshisuke KONDO, Yashihiro
SUZUKI, Go OMORI and Yoshio KOGA
This paper describes a novel system capable of intraoperatively
measuring knee movement after total knee arthroplasty (TKA) on a
real-time basis. Such intraoperative measurement has yet to be
attempted, despite a number of clinical benefits, due to difficult
prerequisites, such as sterilizability, high operationality and
measurement accuracy. To achieve this, we employed a linear CCD
camera-based photostereometric system, KKN/1B, which can measure knee
movement in 6 degrees-of freedom. By combining kinematic data obtained
form KKN/1B with geometric data of opposing articular surfaces of
prosthetic components, the inter-surface articulation was computed and
subsequently visualized by using either a wire-frame representation or
a distance map on the tibial surface. To realize a real-time
visualization, a fast algorithm was incorporated for time-consuming
distance-map computation. Through experiments using six patients, our
system was verified to be applicable to intraoperative measurement and
analysis of knee kinematics.
Key words: |
Knee Movement, Total Knee Arthroplasty, Intraoperative
Measurement, Articulation of Knee Joint, Real-Time Visualization |
日本福祉工学会 : The Japan Society for Welfare Engineering