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Computer-aided reconstruction of hip joint in revision arthroplasty

机译:关节置换术中髋关节的计算机辅助重建

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Geometric revision reconstruction of the hip joint of a female patient is presented. Because of extensive bone resorption and strong bone obstruction, we decided to employ a custom–made prosthesis not only in the pelvis but also in the femur. The custom prosthesis design and manufacturing processes were carried out with the aid of computed tomography (CT), a system of tomographic image processing, a computer–aided design (CAD) system and a computer–aided manufacturing (CAM) system. The process included tomographic measurements of the patient’s hip joint, conversion of the CT images, geometrical modelling of the femur and pelvis in the CAD system, prostheses design, virtual simulation of the reconstructed acetabulum, determination of prosthesis matching, and manufacturing on a CNC machine. The outcome of this engineering process was a total hip arthroplasty (THA) surgical operation.
机译:介绍了女性患者髋关节的几何翻修重建。由于广泛的骨吸收和强烈的骨阻塞,我们决定不仅在骨盆而且在股骨中使用定制的假体。定制假体的设计和制造过程借助计算机断层扫描(CT),断层图像处理系统,计算机辅助设计(CAD)系统和计算机辅助制造(CAM)系统进行。该过程包括对患者的髋关节进行断层成像测量,CT图像转换,CAD系统中股骨和骨盆的几何建模,假体设计,重建髋臼的虚拟模拟,假体匹配的确定以及在CNC机器上的制造。该工程过程的结果是全髋关节置换术(THA)的外科手术。

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