F. Portheine

Bio: F. Portheine is an academic researcher from RWTH Aachen University. The author has contributed to research in topics: Computer-assisted surgery & Femoral head. The author has an hindex of 11, co-authored 27 publications receiving 1080 citations.

Computer assisted orthopaedic surgery with image based individual templates.

Abstract: Recent developments in computer assisted surgery offer promising solutions for the translation of the high accuracy of the preoperative imaging and planning into precise intraoperative surgery. Broad clinical application is hindered by high costs, additional time during intervention, problems of intraoperative man and machine interaction, and the spatially constrained arrangement of additional equipment within the operating theater. An alternative technique for computerized tomographic image based preoperative three-dimensional planning and precise surgery on bone structures using individual templates has been developed. For the preoperative customization of these mechanical tool guides, a desktop computer controlled milling device is used as a three-dimensional printer to mold the shape of small reference areas of the bone surface automatically into the body of the template. Thus, the planned position and orientation of the tool guide in spatial relation to bone is stored in a structural way and can be reproduced intraoperatively by adjusting the position of the customized contact faces of the template until the location of exact fit to the bone is found. No additional computerized equipment or time is needed during surgery. The feasibility of this approach has been shown in spine, hip, and knee surgery, and it has been applied clinically for pelvic repositioning osteotomies in acetabular dysplasia therapy.

Computer assisted orthopaedic surgery with image based individual templates : Computer assisted orthopaedic surgery: Medical robotics and image guided surgery

Abstract: Recent developments in computer assisted surgery offer promising solutions for the translation of the high accuracy of the preoperative imaging and planning into precise intraoperative surgery. Broad clinical application is hindered by high costs, additional time during intervention, problems of intraoperative man and machine interaction, and the spatially constrained arrangement of additional equipment within the operating theater. An alternative technique for computerized tomographic image based preoperative three-dimensional planning and precise surgery on bone structures using individual templates has been developed. For the preoperative customization of these mechanical tool guides, a desktop computer controlled milling device is used as a three-dimensional printer to mold the shape of small reference areas of the bone surface automatically into the body of the template. Thus, the planned position and orientation of the tool guide in spatial relation to bone is stored in a structural way and can be reproduced intraoperatively by adjusting the position of the customized contact faces of the template until the location of exact fit to the bone is found. No additional computerized equipment or time is needed during surgery. The feasibility of this approach has been shown in spine, hip, and knee surgery, and it has been applied clinically for pelvic repositioning osteotomies in acetabular dysplasia therapy.

Image-guided orthopedic surgery using individual templated - experimental results and aspects of the development of a demonstrator for pelvis surgery

Abstract: Individual templates for Orthopedic Surgery provide a precise intraoperative reproduction of the geometries of work on bone planned preoperatively on the base of CT-image data. The general feasibility concerning the adaptation to different surgical applications has already been demonstrated in various in-vitro studies as well as within clinical application1,2,3,4,5. Within the framework of the European IGOS-project a demonstrator for image guided pelvis surgery as an exemplary clinical application will be developed. In contrast to initial feasibility studies with our first labtyp systems, the introduction into clinical routine induces additional constraints. To provide an adequate level of reliability and usability additional efforts are necessary especially concerning quality assurance, ergonomic design and standardisation of the related chain of image acquisition and surgical planning, manufacturing of individual templates and finally the intraoperative execution. Aspects of the integration into clinical routine as well as laboratory investigations concerning accuracy and integrated manufacturing are discussed.

CT-basierte Planung und DISOS-Schablonennavigation in der Kniegelenkendoprothetik

Abstract: Unter den verschiedenen Varianten der prothetischen Versorgung des Kniegelenkes ist der vollstandige Gelenkflachenersatz die am haufigsten angewandte Methode. Schwere arthrotische Deformitaten und Valgusoder Varusfehlstellungen bis ca. 30° konnen hierdurch ausgeglichen werden. Die biomechanisch gunstigste Stellung und der anatomisch korrekte Sitz der Prothese sind masgebliche Qualitatsanforderungen fur die Operation. Weiterhin muss die postoperative Funktionalitat des kunstlichen Gelenks unter Berucksichtigung seiner verschiedenen Komponenten, aber auch aller benachbarten Weichteilstrukturen und der dadurch bedingten Spannungsverhaltnisse bedacht werden.

Medical image registration: a review.

Abstract: This paper presents a review of automated image registration methodologies that have been used in the medical field The aim of this paper is to be an introduction to the field, provide knowledge on the work that has been developed and to be a suitable reference for those who are looking for registration methods for a specific application The registration methodologies under review are classified into intensity or feature based The main steps of these methodologies, the common geometric transformations, the similarity measures and accuracy assessment techniques are introduced and described

Patient selectable joint arthroplasty devices and surgical tools

Abstract: Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Patient selectable joint arthroplasty devices and surgical tools facilitating increased accuracy, speed and simplicity in performing total and partial joint arthroplasty

Abstract: Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Patient-adapted and improved articular implants, designs and related guide tools

Abstract: Methods and devices are disclosed relating improved articular models, implant components, and related guide tools and procedures. In addition, methods and devices are disclosed relating articular models, implant components, and/or related guide tools and procedures that include one or more features derived from patient-data, for example, images of the patient's joint. The data can be used to create a model for analyzing a patient's joint and to devise and evaluate a course of corrective action. The data also can be used to create patient-adapted implant components and related tools and procedures.

Methods and Compositions for Articular Repair

Abstract: Disclosed herein are methods and compositions for producing articular repair materials and for repairing an articular surface. In particular, methods for providing articular repair systems. Also provided are articular surface repair systems designed to replace a selected area cartilage, for example, and surgical tools for repairing articular surfaces.