Interactive Surgery System with 3D Electromagnetic Motion Tracker for Training Surgeons in Skin Cutting Skills Needed in Total Knee Arthroplasty
Yosuke Uozumi* and Kouki Nagamune**
*Research Division on Advanced Information Technology, Cyberscience Center, Tohoku University
6-6-05 Aoba, Aramaki, Aoba-ku, Sendai 980-8579, Japan
**Department of Human and Artificial Intelligence Systems, Graduate School of Engineering, University of Fukui
3-9-1 Bunkyo, Fukui, Fukui 910-8507, Japan
Total knee arthroplasty (TKA) is an effective surgery for knees damaged by osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis. This procedure requires an expert surgeon with a high level of skill and experience. Although a navigation system for improving precision and shortening operative time has been already studied, there has not yet been a study done on an instruction system for improving the skills of surgeons. The purpose of this study is to develop a training system that teaches the TKA surgery so that non-expert surgeons can use it to obtain skin-cutting skills. The proposed method includes a simulator for a model knee with a 3D electromagnetism motion tracker. Through experimentation, a method of evaluating incisions into the skin is established by tracing a line with a mock scalpel. The proposed method is applied to six non-experts. The results for the length experiments are 87.82±8.88 (Set 1: non-teaching), 92.66±5.77 (Set 2: teaching), and 92.14±6.17 (Set 3: non-teaching). The results for the position experiments are 70.64±15.11 (Set 1: non-teaching), 83.63±10.07 (Set 2: teaching), and 82.05±7.80 (Set 3: non-teaching). In conclusion, the proposed method succeeds in teaching the operator scalpel incision skills.
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