The demand for simulation-based skills training in orthopedics is steadily growing. Wire navigation, or the ability to use 2D images to place an implant through a specified path in bone, is an area of training that has been difficult to simulate given its reliance on radiation-based fluoroscopy. Our group previously presented on the development of a wire navigation simulator for a hip fracture module. In this paper, we present a new methodology for extending the simulator to other surgical applications of wire navigation. As an example, this paper focuses on the development of an iliosacral wire navigation simulator. We define three criteria that must be met to adapt the underlying technology to new areas of wire navigation; surgical working volume, system precision, and tactile feedback. The hypothesis being that techniques, which fall within the surgical working volume of the simulator, demand a precision less than or equal to what the simulator can provide, and that require the tactile feedback offered through simulated bone can be adopted into the wire navigation module and accepted as a valid simulator for the surgeons using it. Using these design parameters, the simulator was successfully configured to simulate the task of drilling a wire for an iliosacral screw. Residents at the University of Iowa successfully used this new module with minimal technical errors during use.
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September 2019
Research-Article
An Extensible Orthopedic Wire Navigation Simulation Platform
Steven Long,
Steven Long
Department of Orthopaedics and Rehabilitation,
The University of Iowa,
2181 Westlawn,
Iowa City, IA 52242
e-mail: steven-long@uiowa.edu
The University of Iowa,
2181 Westlawn,
Iowa City, IA 52242
e-mail: steven-long@uiowa.edu
Search for other works by this author on:
Geb W. Thomas,
Geb W. Thomas
Department of Mechanical and
Industrial Engineering,
Center for the Engineering Arts and Sciences,
The University of Iowa,
2404 Seamans,
Iowa City, IA 52242
e-mail: geb-thomas@uiowa.edu
Industrial Engineering,
Center for the Engineering Arts and Sciences,
The University of Iowa,
2404 Seamans,
Iowa City, IA 52242
e-mail: geb-thomas@uiowa.edu
Search for other works by this author on:
Donald D. Anderson
Donald D. Anderson
Mem. ASME
Department of Orthopaedics and Rehabilitation,
The University of Iowa,
Iowa City, IA 52242
e-mail: don-anderson@uiowa.edu
Department of Orthopaedics and Rehabilitation,
The University of Iowa,
2181 Westlawn
,Iowa City, IA 52242
e-mail: don-anderson@uiowa.edu
Search for other works by this author on:
Steven Long
Department of Orthopaedics and Rehabilitation,
The University of Iowa,
2181 Westlawn,
Iowa City, IA 52242
e-mail: steven-long@uiowa.edu
The University of Iowa,
2181 Westlawn,
Iowa City, IA 52242
e-mail: steven-long@uiowa.edu
Geb W. Thomas
Department of Mechanical and
Industrial Engineering,
Center for the Engineering Arts and Sciences,
The University of Iowa,
2404 Seamans,
Iowa City, IA 52242
e-mail: geb-thomas@uiowa.edu
Industrial Engineering,
Center for the Engineering Arts and Sciences,
The University of Iowa,
2404 Seamans,
Iowa City, IA 52242
e-mail: geb-thomas@uiowa.edu
Donald D. Anderson
Mem. ASME
Department of Orthopaedics and Rehabilitation,
The University of Iowa,
Iowa City, IA 52242
e-mail: don-anderson@uiowa.edu
Department of Orthopaedics and Rehabilitation,
The University of Iowa,
2181 Westlawn
,Iowa City, IA 52242
e-mail: don-anderson@uiowa.edu
Manuscript received August 27, 2018; final manuscript received April 4, 2019; published online July 15, 2019. Assoc. Editor: Kunal Mitra.
J. Med. Devices. Sep 2019, 13(3): 031001 (7 pages)
Published Online: July 15, 2019
Article history
Received:
August 27, 2018
Revised:
April 4, 2019
Citation
Long, S., Thomas, G. W., and Anderson, D. D. (July 15, 2019). "An Extensible Orthopedic Wire Navigation Simulation Platform." ASME. J. Med. Devices. September 2019; 13(3): 031001. https://doi.org/10.1115/1.4043461
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