The development of navigation system for arthroscopic surgery using 3-D simulation system

• Project/Area Number: 15K10442
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Orthopaedic surgery
• Research Institution: Osaka University
• Principal Investigator: Oka Kunihiro 大阪大学, キャンパスライフ健康支援センター, 助教 (50724085)
• Co-Investigator(Kenkyū-buntansha): 田中 啓之 大阪大学, 医学部附属病院, その他 (00432542) ; 岡田 潔 大阪大学, 医学(系)研究科(研究院), 助教 (40576279) ; 村瀬 剛 大阪大学, 医学系研究科, 准教授 (50335361)
• Project Period (FY): 2015-04-01 – 2018-03-31
• Project Status: Completed (Fiscal Year 2017)
• Budget Amount: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000); Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000); Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2015: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
• Keywords: ナビゲーションシステム / 関節鏡 / 手術シミュレーション / 運動解析 / バイオメカニクス / ナビゲーション / 精度

Outline of Final Research Achievements

We have developed the computer simulation system combined with the navigation system for elbow arthroscopic surgery. The 3-D shape of lesion was illustrated in the preoperative computer simulation using the motion analysis method. Introducing those data to the navigation system allows to visualize the lesion on the navigation monitor during actual surgery. We validated the registration accuracy of the navigation system for the elbow using 3-D plastic models for practical clinical application. The total registration accuracy was 0.96mm for the humerus and 0.85mm for the ulna. No significant differences were found in the registration accuracy for the humerus and ulna among the three observers.
From the results of this preliminary study, the arthroscopically assisted registration procedure is sufficiently feasible and accurate for application of the navigation system to arthroscopic debridement arthroplasty in clinical settings.

Research Products

• [Journal Article] Three-dimensional kinematics of the lunate, hamate, capitate and triquetrum with type 1 or 2 lunate morphology. (2018)
  • Author(s): Abe S, Moritomo H, Oka K, Sugamoto K, Kasubuchi K, Murase T, Yoshikawa H.
  • Journal Title: J Hand Surg Eur Vol. Volume: 43 Issue: 4 Pages: 380-386
  • DOI: 10.1177/1753193417744420
  • Peer Reviewed
• [Journal Article] Altered bone density and stress distribution patterns in long-standing cubitus varus deformity and their effect during early osteoarthritis of the elbow. (2018)
  • Author(s): Miyamura S, Oka K, Abe S, Shigi A, Tanaka H, Sugamoto K, Yoshikawa H, Murase T.
  • Journal Title: Osteoarthritis Cartilage. Volume: 26 Issue: 1 Pages: 72-83
  • DOI: 10.1016/j.joca.2017.10.004
  • Peer Reviewed
• [Journal Article] Rotational Corrective Osteotomy for Malunited Distal Diaphyseal Radius Fractures in Children and Adolescents. (2018)
  • Author(s): Kataoka T., Oka K., Murase T.
  • Journal Title: J Hand Surg Am. Volume: 43 Issue: 3 Pages: 286.e1-286.e8
  • DOI: 10.1016/j.jhsa.2017.09.003
  • Peer Reviewed
• [Journal Article] In Vivo 3-Dimensional Kinematics of Thumb Carpometacarpal Joint During Thumb Opposition. (2018)
  • Author(s): Kawanishi Y, Oka K, Tanaka H, Okada K, Sugamoto K, Murase T.
  • Journal Title: J Hand Surg Am. Volume: 43 Issue: 2 Pages: 182.e1-182.e7
  • DOI: 10.1016/j.jhsa.2017.07.028
• [Journal Article] 最先端の医療機器開発の現状と展望 新しい医療機器をいち早く臨床現場で使うために 上肢カスタムメイド骨切りガイド・プレートの薬事承認申請を経験して(解説) (2017)
  • Author(s): 岡田潔, 村瀬剛, 岡久仁洋, 吉川秀樹
  • Journal Title: 日本整形外科学会雑誌 Volume: 91 Pages: 881-884
  • Peer Reviewed
• [Journal Article] 日常よく遭遇する小児上肢の外傷と後遺症-３次元的画像評価と治療－ (2017)
  • Author(s): 岡久仁洋
  • Journal Title: 一般社団法人大阪臨床整形外科医会会報 Volume: 43 Pages: 47-50
• [Journal Article] Single-plane rotational osteotomy for cubitus varus deformity based on preoperative computer simulation. (2017)
  • Author(s): Oka K, Murase T, Okada K, Tanaka H, Yoshikawa H.
  • Journal Title: J Orthop Sci. Volume: in press Issue: 5 Pages: 30121-5
  • DOI: 10.1016/j.jos.2017.04.012
  • Peer Reviewed / Open Access
• [Journal Article] Corrective osteotomy assisted by computer simulation for a malunited intra-articular fracture of the distal humerus: two case reports. (2017)
  • Author(s): Oura K, Oka K, Okada K, Tanaka H, Murase T.
  • Journal Title: Arch Orthop Trauma Surg. Volume: 137 Issue: 1 Pages: 147-147
  • DOI: 10.1007/s00402-016-2611-9
  • Peer Reviewed
• [Journal Article] Three-dimensional analysis of osteophyte formation on distal radius following scaphoid nonunion. (2016)
  • Author(s): Oura K, Moritomo H, Kataoka T, Oka K, Murase T, Sugamoto K, Yoshikawa H.
  • Journal Title: J Orthop Sci. Volume: 22 Issue: 1 Pages: 50-55
  • DOI: 10.1016/j.jos.2016.06.018
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] 舟状骨のcast内動態 舟状骨骨折の最適なcast固定法は? (2016)
  • Author(s): 川西 洋平, 岡 久仁洋, 信貴 厚生, 大浦 圭一郎, 村瀬 剛
  • Journal Title: 日本手外科学会雑誌 Volume: 32 Pages: 1006-1009
  • Peer Reviewed
• [Journal Article] 【リハ専門医が知っておくべき骨関節の3次元動態】 肘関節のバイオメカニクス(解説/特集) (2016)
  • Author(s): 岡 久仁洋
  • Journal Title: The Japanese Journal of Rehabilitation Medicine Volume: 53 Pages: 758-761
• [Journal Article] 新規に薬事承認されたPatient-Matched Instrumentを用いた矯正骨切り術の経験 (2016)
  • Author(s): 岡 久仁洋, 信貴 厚生, 阿部 真悟, 宮村 聡, 田中 啓之, 村瀬 剛
  • Journal Title: 日本手外科学会雑誌 Volume: 33 Pages: 383-387
  • Peer Reviewed
• [Journal Article] 1.In vivo three-dimensional elbow biomechanics during forearm rotation. (2016)
  • Author(s): Omori S, Miyake J, Oka K, Tanaka H, Yoshikawa H, Murase T.
  • Journal Title: J Shoulder Elbow Surg. Volume: 25 Issue: 1 Pages: 112-9
  • DOI: 10.1016/j.jse.2015.07.002
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] 6.変形性肘関節症に対するコンピューター支援関節形成術 術中リファレンスツールとしての骨棘を可視化した2色造形骨モデルの有用性. (2015)
  • Author(s): 信貴 厚生, 岡 久仁洋, 有光 小百合, 堀木 充, 森友 寿夫, 田中 啓之, 村瀬 剛
  • Journal Title: 日本コンピュータ外科学会誌 Volume: 17 Pages: 229-229
  • Peer Reviewed
• [Journal Article] 4.Volar morphology of the distal radius in axial planes: a quantitative analysis. (2015)
  • Author(s): Oura K, Oka K, Kawanishi Y, Sugamoto K, Yoshikawa H, Murase T.
  • Journal Title: J Orthop Res. Volume: 33 Issue: 4 Pages: 496-503
  • DOI: 10.1002/jor.22780
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] 統計的機械学習を用いた肘関節屈伸回転軸の予測. (2015)
  • Author(s): 大浦 圭一郎, 横田 太, 岡 久仁洋, 村瀬 剛, 吉川 秀樹, 大竹 義人, 佐藤 嘉伸.
  • Journal Title: 日本整形外科学会雑誌 Volume: 89 Pages: 1647-1647
  • Peer Reviewed
• [Journal Article] 橈骨の正常3次元形状予測の試み. (2015)
  • Author(s): 大浦 圭一郎, 横田 太, 岡 久仁洋, 村瀬 剛, 佐藤 嘉伸.
  • Journal Title: 日本手外科学会雑誌 Volume: 32 Pages: 2-2
  • Peer Reviewed
• [Presentation] 変形性肘関節症に対する鏡視下関節形成術の中期成績 (2018)
  • Author(s): 田中 啓之, 信貴 厚生, 岡田 潔, 岡 久仁洋, 村瀬 剛
  • Organizer: 第30回日本肘関節学会学術集会
• [Presentation] 陳旧性モンテジア骨折における橈骨尺骨長の定量的評価と術前計画 (2018)
  • Author(s): 岡久仁洋, 信貴厚生, 阿部慎吾, 宮村聡, 岡田潔, 田中啓之, 村瀬剛
  • Organizer: 第30回日本肘関節学会学術集会
• [Presentation] 3.Triceps snapping syndromeを合併した肘部管症候群の治療経験 (2017)
  • Author(s): 阿部真悟、岡久仁洋、田中啓之、森友寿夫、正富隆、有光小百合、村瀬剛
  • Organizer: 第29回日本肘関節学会学術集会
  • Place of Presentation: 東京
  • Year and Date: 2017-02-03
• [Presentation] 10.内反肘変形における長期力学的負荷が肘関節に与える影響について (2017)
  • Author(s): 宮村聡, 岡久仁洋, 信貴厚生, 阿部真悟, 田中啓之, 菅本一臣, 吉川秀樹, 村瀬剛
  • Organizer: 第29回日本肘関節学会学術集会
  • Place of Presentation: 東京
  • Year and Date: 2017-02-03
• [Presentation] 変形性肘関節症鏡視下術へのnavigation systemの応用：模擬骨を用いた精度検証実験 (2017)
  • Author(s): 信貴厚生, 岡久仁洋, 田中啓之, 阿部真悟, 宮村聡, 村瀬剛
  • Organizer: 第29回日本肘関節学会学術集会
  • Place of Presentation: 東京
  • Year and Date: 2017-02-03
• [Presentation] 変形性肘関節症鏡視下術へのnavigation systemの応用 模擬骨を用いた精度検証実験 (2017)
  • Author(s): 信貴 厚生, 岡 久仁洋, 田中 啓之, 阿部 真悟, 宮村 聡, 村瀬 剛
  • Organizer: 第29回日本肘関節学会学術集会
• [Presentation] 前腕回旋運動と形態評価に基づいた前腕変形治癒骨折に対する治療戦略 (2017)
  • Author(s): 岡久仁洋, 阿部真悟, 信貴厚生, 宮村聡, 村瀬剛
  • Organizer: 第60回日本手外科学会学術集会
  • Invited
• [Presentation] 肘関節後外側回旋不安定性を合併した内反肘変形に対する治療経験 (2017)
  • Author(s): 岡久仁洋, 信貴厚生, 阿部真悟, 宮村聡, 田中啓之, 岡田潔, 村瀬剛
  • Organizer: 第29回日本肘関節学会学術集会
• [Presentation] The influences of age and morphological changes of the elbow on surgical results of chronic Monteggia lesion. (2017)
  • Author(s): Oka K., Shigi A., Abe S., Miyamura S., Tanaka H., Murase T.
  • Organizer: 11th APFSSH
  • Int'l Joint Research
• [Presentation] 前腕回旋制限を伴う前腕骨幹部骨折変形治癒の3次元解析 (2016)
  • Author(s): 阿部真悟、岡久仁洋、宮村聡、信貴厚生、村瀬剛、菅本一臣、吉川秀樹
  • Organizer: 第31回日本整形外科基礎学術集会
  • Place of Presentation: 福岡
  • Year and Date: 2016-10-13
• [Presentation] 衝突部位を可視化した2色成型骨モデルは鏡視下肘関節形成術のリファレンスツールとして有用か？ (2016)
  • Author(s): 信貴厚生, 岡久仁洋, 有光小百合, 田中啓之, 村瀬剛
  • Organizer: 第127回中部整形外科災害外科学会学術集会
  • Place of Presentation: 松本
  • Year and Date: 2016-09-30
• [Presentation] 17.In vivo three-dimensional analysis of malunited forearm diaphyseal fractures (2016)
  • Author(s): Abe S, Oka K, Miyamura S, Shigi A, Murase T
  • Organizer: 71st Annual Meeting of the American Society for Surgery of the Hand
  • Place of Presentation: Austin
  • Year and Date: 2016-09-06
• [Presentation] In vivo three-dimensional analysis of malunited forearm diaphyseal fractures (2016)
  • Author(s): Abe S, Oka K, Miyamura S, Shigi A, Murase T
  • Organizer: 16th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery.
  • Place of Presentation: Osaka
  • Year and Date: 2016-06-08
• [Presentation] Accuracy of Navigation System for Elbow Arthroscopic Surgery: An in Vitro Study (2016)
  • Author(s): Shigi A, Oka K, Abe S, Miyamura S, Murase T
  • Organizer: 16th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery.
  • Place of Presentation: Osaka
  • Year and Date: 2016-06-08
• [Presentation] 新規骨接合プレートシステムの開発と臨床応用 (2016)
  • Author(s): 岡久仁洋、村瀬剛、坂井孝司、阿部真悟、宮村聡、吉川秀樹、石本卓也、中野貴由
  • Organizer: 第89回日本整形外科学会学術集会
  • Place of Presentation: 横浜
  • Year and Date: 2016-05-26
  • Invited
• [Presentation] 橈骨遠位端骨折変形治癒における矯正骨切術後の遠位橈尺関節アライメントと前腕回旋可動域の変化 (2016)
  • Author(s): 阿部真悟、岡久仁洋、大浦圭一郎、信貴厚生、村瀬剛
  • Organizer: 第59回日本手外科学会学術集会
  • Place of Presentation: 広島
  • Year and Date: 2016-04-27
• [Presentation] 新規に薬事承認されたPatient-Matched Instrumentを用いた矯正骨切術 (2016)
  • Author(s): 岡久仁洋、大浦圭一郎、阿部真悟、田中啓之、村瀬剛
  • Organizer: 第59回日本手外科学会学術集会
  • Place of Presentation: 広島
  • Year and Date: 2016-04-27
• [Presentation] 上肢変形矯正のためのカスタムメイド骨接合プレート 開発と実用化、そして金属3Dプリンティング技術の応用 (2016)
  • Author(s): 岡久仁洋
  • Organizer: 第59回日本手外科学会学術集会
  • Place of Presentation: 広島
  • Year and Date: 2016-04-27
  • Invited
• [Presentation] 3D corrective osteotomy for malunited fractures in the upper extremity (2016)
  • Author(s): Oka K, Murase T
  • Organizer: The 19th Asia Pacific Orthopaedic Congress
  • Place of Presentation: Merborune
  • Year and Date: 2016-04-01
• [Presentation] 3D corrective osteotomy for malunited fractures in the upper extremity (2016)
  • Author(s): Oka K, Murase T.
  • Organizer: The 19th Asia Pacific Orthopaedic Assosiation Congress
  • Place of Presentation: Melbourne, Australia
  • Year and Date: 2016-03-29
  • Int'l Joint Research / Invited
• [Presentation] 肘関節疾患の形態・動態解析で分かったこと (2016)
  • Author(s): 岡 久仁洋
  • Organizer: 第28回日本肘関節学会
  • Place of Presentation: 岡山
  • Year and Date: 2016-02-12
  • Invited
• [Presentation] 28.小児内反肘変形に対する患者適合型手術器械を用いた3次元矯正骨切術の治療成績. (2015)
  • Author(s): 岡 久仁洋、村瀬 剛,
  • Organizer: 第26回日本小児整形外科学会学術集会
  • Place of Presentation: 岐阜
  • Year and Date: 2015-12-04
  • Int'l Joint Research
• [Presentation] Three-Dimensional analysis of malunited distal radius fracture with limitation of forearm rotation. (2015)
  • Author(s): Abe S, Oka K, Murase T, Kawanishi Y, Oura K, Shigi A.
  • Organizer: 70th Annual Meeting of the American Society for Surgery of the Hand .
  • Place of Presentation: Seattle, U.S.A.
  • Year and Date: 2015-09-09
  • Int'l Joint Research
• [Presentation] 10.交叉指変形に対する矯正骨切り術－動作解析の基づいた手術シミュレーション－. (2015)
  • Author(s): 岡 久仁洋、信貴厚生、大浦圭一郎、田中啓之、村瀬 剛,
  • Organizer: 第58回日本手外科学会
  • Place of Presentation: 東京
  • Year and Date: 2015-04-16