TABLE 3.
Types and characteristics of intraoperative navigation and registration technologies in RAFR systems.
Types of navigation | Using preoperative CT | Intraoperative data | Registration techniques | Typical features | Indications | References |
---|---|---|---|---|---|---|
2D fluoroscopy-based navigation | NO | 2D fluoroscopic images | No preoperative images registration | Last X-ray image is overlaid with the moving bone axis | Femur shaft fracture | Westphal et al. (2006) |
3D fluoroscopy-based navigation | NO | Iso C 3D | Surgical planning is conducted and implemented in the operation room | Femur fracture/femoral head fracture/femoral shaft fractures/intra-articular joint fractures | Warisawa et al. (2004), Mitsuishi et al. (2005), Westphal et al. (2008); Westphal et al. (2009a); Westphal et al. (2009b); Westphal et al. (2009b); Oszwald et al. (2009), Raabe et al. (2012) | |
CT-based navigation | NO | CT images | Special design of orthopedic pins | Intra-articular lower-limb fracture | Dagnino et al. (2017b), Dagnino et al. (2017c) | |
YES | 2D fluoroscopic images | 2D/3D image-based registration | Conventional | Long bone fracture | Kim et al. (2016) | |
YES | 2D fluoroscopic images | CT-scan is conducted before inserting the orthopedic pins; a custom-made fiducial marker | Joint fracture | Dagnino et al. (2017b), Dagnino et al. (2017c) | ||
YES | Locations of fiducial markers | 3D/3D feature-based registration | Paired–point matching; fiducial markers | Femur fracture | Lee et al. (2013), Kim and Ko, (2019) | |
YES | Locations of fiducial markers | Micron tracker | Diaphyseal fracture | Li et al. (2015b), Li et al. (2016) | ||
YES | Digitized anatomical points | Match landmarks on the preoperative CT and the spatial coordinates | Pelvic fracture | Wu et al. (2020) | ||
YES | Iso C 3D | Image fusion-based registration | Non-rigid ICP algorithm; high-precision registration | Pelvic fracture | Zhao et al. (2022b), Ge et al. (2022), Shi et al. (2021) |