Novel computer-assisted preoperative planning system for humeral shaft fractures: report of 43 cases
Background Treatment for humeral shaft fractures is restoration of a painless shoulder and elbow with satisfactory function, but achieving good clinical outcomes for fracture healing is difficult, particularly in elderly patients. The aim of the study was to determine if computer‐assisted preoperati...
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| Veröffentlicht in: | The international journal of medical robotics + computer assisted surgery 2015-06, Vol.11 (2), p.109-119 |
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| container_title | The international journal of medical robotics + computer assisted surgery |
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| creator | Chen, Yanxi Qiang, Minfei Zhang, Kun Li, Haobo Dai, Hao |
| description | Background
Treatment for humeral shaft fractures is restoration of a painless shoulder and elbow with satisfactory function, but achieving good clinical outcomes for fracture healing is difficult, particularly in elderly patients. The aim of the study was to determine if computer‐assisted preoperative planning (CAPP) improves clinical outcomes of humeral shaft fractures.
Methods
In total, 43 patients were treated for humeral shaft fractures using locking plates with CAPP. The total time needed and total cost for fracture fragments' virtual segmentation/reduction/fixation were recorded. Intra‐ and inter‐observer reliability was analyzed with intraclass correlation coefficients (ICCs). Clinical function was analyzed with Constant Score, Mayo Elbow Performance Score (MEPS), visual analogue scale (VAS) for pain, short‐form health survey (SF‐36), and radiology.
Results
Mean total CAPP time for 12‐A, 12‐B, and 12‐C fractures were 12.78±1.19, 22.07±1.12, and 38.56±2.11 min, respectively. Observer reliability was high (ICC 0.766–0.995). Mean operation time was 76.8±9.2 min. Follow‐up (39/43 cases) averaged 36.5 months. Mean Constant Score and MEPS were 85.2±8.1 and 95.7±3.2, respectively. Average VAS was 1.3 points. Mean physical and mental component summary SF‐36 scores were 74.3±5.1 and 76.9±5.9, respectively. Two patients had delayed union.
Conclusions
The novel CAPP system was efficient and reliable, providing excellent clinical outcomes for treatment of humeral shaft fractures using locking plates. Copyright © 2014 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/rcs.1604 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1709752799</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1709752799</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4594-84f0ca69b5bf25cb1f822b652db495cca47aa1bdd2cdacdc6ad6f1c2cc5487e23</originalsourceid><addsrcrecordid>eNqF0ctO3DAUBmCrKiq3Sn2CylI3bAK24-Mk7NCoAwhEpeHS7izHlxKajFM7GZi3xxEwldh0dSz9n6xj_wh9oeSQEsKOgo6HVBD-Ae1QXpQZVOLXx80Z6DbajfGBEA5c8E9omwEFQXKyg8yVX9kWa9_142BDpmJs4mAN7oP1vQ1qaFYW961aLpvlbxzXKeyw8wHfj12KWxzvlRuwC0oPY7DxGAfb-zBg7zDPsVbRxn205VQb7efXuYdu599vZmfZ5Y_T89nJZaY5VDwruSNaiaqG2jHQNXUlY7UAZmpegdaKF0rR2himjdJGC2WEo5ppDbwsLMv30MHLvX3wf0cbB9k1Uds2bW_9GCUtSFUAK6rq_1SUgggoqzzRb-_ogx_DMj1kUmkzKBkk9fVVjXVnjexD06mwlm9fnUD2Ah6b1q43OSVyqlCmCuVUoVzMrqf5z099PG28Cn-kKPIC5M-rU3nB5_PFNSzkXf4MYT2eDQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1684955825</pqid></control><display><type>article</type><title>Novel computer-assisted preoperative planning system for humeral shaft fractures: report of 43 cases</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Chen, Yanxi ; Qiang, Minfei ; Zhang, Kun ; Li, Haobo ; Dai, Hao</creator><creatorcontrib>Chen, Yanxi ; Qiang, Minfei ; Zhang, Kun ; Li, Haobo ; Dai, Hao</creatorcontrib><description>Background
Treatment for humeral shaft fractures is restoration of a painless shoulder and elbow with satisfactory function, but achieving good clinical outcomes for fracture healing is difficult, particularly in elderly patients. The aim of the study was to determine if computer‐assisted preoperative planning (CAPP) improves clinical outcomes of humeral shaft fractures.
Methods
In total, 43 patients were treated for humeral shaft fractures using locking plates with CAPP. The total time needed and total cost for fracture fragments' virtual segmentation/reduction/fixation were recorded. Intra‐ and inter‐observer reliability was analyzed with intraclass correlation coefficients (ICCs). Clinical function was analyzed with Constant Score, Mayo Elbow Performance Score (MEPS), visual analogue scale (VAS) for pain, short‐form health survey (SF‐36), and radiology.
Results
Mean total CAPP time for 12‐A, 12‐B, and 12‐C fractures were 12.78±1.19, 22.07±1.12, and 38.56±2.11 min, respectively. Observer reliability was high (ICC 0.766–0.995). Mean operation time was 76.8±9.2 min. Follow‐up (39/43 cases) averaged 36.5 months. Mean Constant Score and MEPS were 85.2±8.1 and 95.7±3.2, respectively. Average VAS was 1.3 points. Mean physical and mental component summary SF‐36 scores were 74.3±5.1 and 76.9±5.9, respectively. Two patients had delayed union.
Conclusions
The novel CAPP system was efficient and reliable, providing excellent clinical outcomes for treatment of humeral shaft fractures using locking plates. Copyright © 2014 John Wiley & Sons, Ltd.</description><identifier>ISSN: 1478-5951</identifier><identifier>EISSN: 1478-596X</identifier><identifier>DOI: 10.1002/rcs.1604</identifier><identifier>PMID: 25156030</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>3D imaging ; Aged ; Aged, 80 and over ; Automation ; computer-aided design ; Constants ; Female ; Fracture Fixation, Internal ; Fracture mechanics ; Humans ; Humeral Fractures - diagnostic imaging ; Humeral Fractures - rehabilitation ; Humeral Fractures - surgery ; humeral shaft fractures ; Imaging, Three-Dimensional ; Male ; Mathematical analysis ; Mathematical models ; Medical services ; Middle Aged ; Patients ; Preoperative Period ; preoperative planning ; Reproducibility of Results ; Surgery, Computer-Assisted - methods ; Task planning (robotics) ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome ; User-Computer Interface</subject><ispartof>The international journal of medical robotics + computer assisted surgery, 2015-06, Vol.11 (2), p.109-119</ispartof><rights>Copyright © 2014 John Wiley & Sons, Ltd.</rights><rights>Copyright © 2015 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4594-84f0ca69b5bf25cb1f822b652db495cca47aa1bdd2cdacdc6ad6f1c2cc5487e23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Frcs.1604$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Frcs.1604$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25156030$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Yanxi</creatorcontrib><creatorcontrib>Qiang, Minfei</creatorcontrib><creatorcontrib>Zhang, Kun</creatorcontrib><creatorcontrib>Li, Haobo</creatorcontrib><creatorcontrib>Dai, Hao</creatorcontrib><title>Novel computer-assisted preoperative planning system for humeral shaft fractures: report of 43 cases</title><title>The international journal of medical robotics + computer assisted surgery</title><addtitle>Int J Med Robotics Comput Assist Surg</addtitle><description>Background
Treatment for humeral shaft fractures is restoration of a painless shoulder and elbow with satisfactory function, but achieving good clinical outcomes for fracture healing is difficult, particularly in elderly patients. The aim of the study was to determine if computer‐assisted preoperative planning (CAPP) improves clinical outcomes of humeral shaft fractures.
Methods
In total, 43 patients were treated for humeral shaft fractures using locking plates with CAPP. The total time needed and total cost for fracture fragments' virtual segmentation/reduction/fixation were recorded. Intra‐ and inter‐observer reliability was analyzed with intraclass correlation coefficients (ICCs). Clinical function was analyzed with Constant Score, Mayo Elbow Performance Score (MEPS), visual analogue scale (VAS) for pain, short‐form health survey (SF‐36), and radiology.
Results
Mean total CAPP time for 12‐A, 12‐B, and 12‐C fractures were 12.78±1.19, 22.07±1.12, and 38.56±2.11 min, respectively. Observer reliability was high (ICC 0.766–0.995). Mean operation time was 76.8±9.2 min. Follow‐up (39/43 cases) averaged 36.5 months. Mean Constant Score and MEPS were 85.2±8.1 and 95.7±3.2, respectively. Average VAS was 1.3 points. Mean physical and mental component summary SF‐36 scores were 74.3±5.1 and 76.9±5.9, respectively. Two patients had delayed union.
Conclusions
The novel CAPP system was efficient and reliable, providing excellent clinical outcomes for treatment of humeral shaft fractures using locking plates. Copyright © 2014 John Wiley & Sons, Ltd.</description><subject>3D imaging</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Automation</subject><subject>computer-aided design</subject><subject>Constants</subject><subject>Female</subject><subject>Fracture Fixation, Internal</subject><subject>Fracture mechanics</subject><subject>Humans</subject><subject>Humeral Fractures - diagnostic imaging</subject><subject>Humeral Fractures - rehabilitation</subject><subject>Humeral Fractures - surgery</subject><subject>humeral shaft fractures</subject><subject>Imaging, Three-Dimensional</subject><subject>Male</subject><subject>Mathematical analysis</subject><subject>Mathematical models</subject><subject>Medical services</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Preoperative Period</subject><subject>preoperative planning</subject><subject>Reproducibility of Results</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Task planning (robotics)</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>User-Computer Interface</subject><issn>1478-5951</issn><issn>1478-596X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0ctO3DAUBmCrKiq3Sn2CylI3bAK24-Mk7NCoAwhEpeHS7izHlxKajFM7GZi3xxEwldh0dSz9n6xj_wh9oeSQEsKOgo6HVBD-Ae1QXpQZVOLXx80Z6DbajfGBEA5c8E9omwEFQXKyg8yVX9kWa9_142BDpmJs4mAN7oP1vQ1qaFYW961aLpvlbxzXKeyw8wHfj12KWxzvlRuwC0oPY7DxGAfb-zBg7zDPsVbRxn205VQb7efXuYdu599vZmfZ5Y_T89nJZaY5VDwruSNaiaqG2jHQNXUlY7UAZmpegdaKF0rR2himjdJGC2WEo5ppDbwsLMv30MHLvX3wf0cbB9k1Uds2bW_9GCUtSFUAK6rq_1SUgggoqzzRb-_ogx_DMj1kUmkzKBkk9fVVjXVnjexD06mwlm9fnUD2Ah6b1q43OSVyqlCmCuVUoVzMrqf5z099PG28Cn-kKPIC5M-rU3nB5_PFNSzkXf4MYT2eDQ</recordid><startdate>201506</startdate><enddate>201506</enddate><creator>Chen, Yanxi</creator><creator>Qiang, Minfei</creator><creator>Zhang, Kun</creator><creator>Li, Haobo</creator><creator>Dai, Hao</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7SC</scope><scope>7SP</scope><scope>7TB</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>JQ2</scope><scope>K9.</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>7X8</scope><scope>KR7</scope></search><sort><creationdate>201506</creationdate><title>Novel computer-assisted preoperative planning system for humeral shaft fractures: report of 43 cases</title><author>Chen, Yanxi ; Qiang, Minfei ; Zhang, Kun ; Li, Haobo ; Dai, Hao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4594-84f0ca69b5bf25cb1f822b652db495cca47aa1bdd2cdacdc6ad6f1c2cc5487e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>3D imaging</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Automation</topic><topic>computer-aided design</topic><topic>Constants</topic><topic>Female</topic><topic>Fracture Fixation, Internal</topic><topic>Fracture mechanics</topic><topic>Humans</topic><topic>Humeral Fractures - diagnostic imaging</topic><topic>Humeral Fractures - rehabilitation</topic><topic>Humeral Fractures - surgery</topic><topic>humeral shaft fractures</topic><topic>Imaging, Three-Dimensional</topic><topic>Male</topic><topic>Mathematical analysis</topic><topic>Mathematical models</topic><topic>Medical services</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Preoperative Period</topic><topic>preoperative planning</topic><topic>Reproducibility of Results</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Task planning (robotics)</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>User-Computer Interface</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Yanxi</creatorcontrib><creatorcontrib>Qiang, Minfei</creatorcontrib><creatorcontrib>Zhang, Kun</creatorcontrib><creatorcontrib>Li, Haobo</creatorcontrib><creatorcontrib>Dai, Hao</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>MEDLINE - Academic</collection><collection>Civil Engineering Abstracts</collection><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Yanxi</au><au>Qiang, Minfei</au><au>Zhang, Kun</au><au>Li, Haobo</au><au>Dai, Hao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel computer-assisted preoperative planning system for humeral shaft fractures: report of 43 cases</atitle><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle><addtitle>Int J Med Robotics Comput Assist Surg</addtitle><date>2015-06</date><risdate>2015</risdate><volume>11</volume><issue>2</issue><spage>109</spage><epage>119</epage><pages>109-119</pages><issn>1478-5951</issn><eissn>1478-596X</eissn><abstract>Background
Treatment for humeral shaft fractures is restoration of a painless shoulder and elbow with satisfactory function, but achieving good clinical outcomes for fracture healing is difficult, particularly in elderly patients. The aim of the study was to determine if computer‐assisted preoperative planning (CAPP) improves clinical outcomes of humeral shaft fractures.
Methods
In total, 43 patients were treated for humeral shaft fractures using locking plates with CAPP. The total time needed and total cost for fracture fragments' virtual segmentation/reduction/fixation were recorded. Intra‐ and inter‐observer reliability was analyzed with intraclass correlation coefficients (ICCs). Clinical function was analyzed with Constant Score, Mayo Elbow Performance Score (MEPS), visual analogue scale (VAS) for pain, short‐form health survey (SF‐36), and radiology.
Results
Mean total CAPP time for 12‐A, 12‐B, and 12‐C fractures were 12.78±1.19, 22.07±1.12, and 38.56±2.11 min, respectively. Observer reliability was high (ICC 0.766–0.995). Mean operation time was 76.8±9.2 min. Follow‐up (39/43 cases) averaged 36.5 months. Mean Constant Score and MEPS were 85.2±8.1 and 95.7±3.2, respectively. Average VAS was 1.3 points. Mean physical and mental component summary SF‐36 scores were 74.3±5.1 and 76.9±5.9, respectively. Two patients had delayed union.
Conclusions
The novel CAPP system was efficient and reliable, providing excellent clinical outcomes for treatment of humeral shaft fractures using locking plates. Copyright © 2014 John Wiley & Sons, Ltd.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25156030</pmid><doi>10.1002/rcs.1604</doi><tpages>11</tpages></addata></record> |
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| ispartof | The international journal of medical robotics + computer assisted surgery, 2015-06, Vol.11 (2), p.109-119 |
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| subjects | 3D imaging Aged Aged, 80 and over Automation computer-aided design Constants Female Fracture Fixation, Internal Fracture mechanics Humans Humeral Fractures - diagnostic imaging Humeral Fractures - rehabilitation Humeral Fractures - surgery humeral shaft fractures Imaging, Three-Dimensional Male Mathematical analysis Mathematical models Medical services Middle Aged Patients Preoperative Period preoperative planning Reproducibility of Results Surgery, Computer-Assisted - methods Task planning (robotics) Time Factors Tomography, X-Ray Computed Treatment Outcome User-Computer Interface |
| title | Novel computer-assisted preoperative planning system for humeral shaft fractures: report of 43 cases |
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