Computer assisted preoperative planning of bone fracture reduction: Simulation techniques and new trends

• Published in: Medical image analysis 2016-05, Vol.30, p.30-45
• Main Authors: Jiménez-Delgado, Juan J., Paulano-Godino, Félix, PulidoRam-Ramírez, Rubén, Jiménez-Pérez, J. Roberto
• Format: Article
• Language: English
• Subjects: Bone fracture reduction; Bone fragments identification; Computer Simulation; Forecasting; Fracture Fixation - methods; Fracture Fixation - trends; Fractures, Bone - diagnostic imaging; Fractures, Bone - surgery; Humans; Image Interpretation, Computer-Assisted - methods; Imaging, Three-Dimensional - methods; Imaging, Three-Dimensional - trends; Models, Biological; Preoperative Care - methods; Preoperative Care - trends; Preoperative planning; Reproducibility of Results; Sensitivity and Specificity; Simulation Training - methods; Simulation Training - trends; Stabilization; Stress analysis; Surgery, Computer-Assisted - methods; Surgery, Computer-Assisted - trends
• ISSN: 1361-8415; 1361-8423
• DOI: 10.1016/j.media.2015.12.005

•We provide an overall scheme of a virtual bone fracture reduction process.•We classify the techniques proposed to generate 3D models from medical images (usually CT).•We classify the approaches proposed to perform a preoperative planning of a virtual bone fracture reduction.•We classify the methods proposed to analyze a virtual bone fracture reduction planning.•We discuss challenges and new trends of this open field of research. [Display omitted] The development of support systems for surgery significantly increases the likelihood of obtaining satisfactory results. In the case of fracture reduction interventions these systems enable surgery planning, training, monitoring and assessment. They allow improvement of fracture stabilization, a minimizing of health risks and a reduction of surgery time. Planning a bone fracture reduction by means of a computer assisted simulation involves several semiautomatic or automatic steps. The simulation deals with the correct position of osseous fragments and fixation devices for a fracture reduction. Currently, to the best of our knowledge there is no computer assisted methods to plan an entire fracture reduction process. This paper presents an overall scheme of the computer based process for planning a bone fracture reduction, as described above, and details its main steps, the most common proposed techniques and their main shortcomings. In addition, challenges and new trends of this research field are depicted and analyzed.