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Deveopment of the ultrasound device to improve accuracy in the computer assisted surgery in total knee arthroplasty

Research Project

Project/Area Number 17500328
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical systems
Research InstitutionKobe University

Principal Investigator

MURATSU Hirotsugu  Kobe University, Graduate School of Medicine, Research fellow (30273783)

Co-Investigator(Kenkyū-buntansha) NAGAMUNE Kouki  Kobe University, Fukui Graduate School of Engineering, Lecturer (80397827)
KURODA Ryosuke  Kobe University Hospital, 医学部附属病院, Lecturer (80379362)
YOSHIYA Shinichi  Hyogo Medical College, 医学部, Professor (00201070)
KURASAKA Masahiro  Kobe University, Graduate School of Medicine, Professor (70170115)
水野 清典  神戸大学, 大学院医学系研究科, 特命講師 (40418778)
Project Period (FY) 2005 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥3,850,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥150,000)
Fiscal Year 2007: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2006: ¥100,000 (Direct Cost: ¥100,000)
Fiscal Year 2005: ¥3,100,000 (Direct Cost: ¥3,100,000)
KeywordsInformation technoloey / Ultrasound / Electromagnetic sensor / Computer assisted suree / Knee / Knee arthroplasty / Clinical application / Orthopaedic surgery / コンピュータ支援技術
Research Abstract

1. Back ground & purpose: Computer assisted surgery has become popular in orthopedic surgery, and has been reported as an effective method to improve the accuracy in total knee arthroplasty. Nevertheless, manual determination of the anatomical reference point on the bone surface is potential source of error in the conventional system. In this research project, we developed new ultrasound system which could subjectively detect anatomical reference point and improve the accuracy in TKA navigation system.
2. Methods: We develope a new system, which integrates an ultrasound device and a 3D electromagnetic device. The ultrasound device is used for localizing the bone surface through the soft tissue. The 3D electromagnetic device is used for acquiring the 3D information of each points in real-time. One fresh-frozen human cadaveric knee was tested for the study. An identical examiner obtained anatomical reference points by a stylus with bone surface directly dissected, and obtained information of the bone surface by the developed new system. 6 degrees of freedom knee motion was measured by navigation system during passive knee motion. The kinematic data was compared between two different methods in obtaining anatomical reference pints.
3. Results: A proposed method could built the knee coordinate system which can be used as same as the conventional method. The error in motion data with the proposed method was within clinically acceptable range comparing to the result with direct dissection. This ultrasound device can be useful not only in total knee arthroplasty but also in total hip arthroplasty, spinal surgery and fracture fixation.

Report

(4 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • 2005 Annual Research Report
  • Research Products

    (33 results)

All 2008 2007 2006 2005

All Journal Article (16 results) (of which Peer Reviewed: 6 results) Presentation (17 results)

  • [Journal Article] ナビゲーションシステムを用いたTKA術中動作解析2008

    • Author(s)
      8. 村津裕嗣、久保晴司、木下恵祐、水野清典、黒田良祐、吉矢晋一、黒坂昌弘
    • Journal Title

      関節外科 27

      Pages: 1232-1238

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] aIntra-operative 6 DOF knee kinematic analysis using TKA navigation system2008

    • Author(s)
      Muratsu, H, Kubo, S, Kinoshita, K, Mizuno, K, Kuroda, R, Yoshiya, S, Kurosaka, M
    • Journal Title

      Joint Surgery 27(in press)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Soft tissue balance measurement in anterior cruciate ligament-resected knee joint: cadaveric study as a model for cruciate-retaining total knee arthroplasty2007

    • Author(s)
      5. Tanaka K, Muratsu H, Mizuno K, Kuroda R, Yoshiya S, Kurosaka M
    • Journal Title

      J Orthop Sci 12

      Pages: 149-153

    • NAID

      10019572458

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Influence of intra-operative joint gap on post-operative flexion angle in osteoarthritis patients undergoing posterior-stabilized total knee arthroplasty2007

    • Author(s)
      6. Matsumoto T, Mizuno K, Muratsu H, Tsumura N, Fukase N, Kubo S, Yoshiya S, Kurosaka M, Kuroda R
    • Journal Title

      Knee Surg Sports Traumatol Arthrosc 15

      Pages: 1013-1018

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Soft tissue balance measurement in anterior cruciate ligament-resected knee joint: cadaveric study as a model for cruciate-retaining total knee arthroplasty2007

    • Author(s)
      Tanaka, K, Muratsu, H, Mizuno, K, Kuroda, R, Yoshiya, S, Kurosaka, M
    • Journal Title

      J Orthop Sci 12

      Pages: 149-153

    • NAID

      10019572458

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Influence of intra-operative joint gap on post-operative flexion angle in osteoarthritis patients undergoing posterior-stabilized total knee arthroplasty2007

    • Author(s)
      Matsumoto, T, Mizuno, K, Muratsu, H, Tsumura, N, Fukase, N, Kubo, S, Yoshiya, S, Kurosaka, M, Kuroda, R
    • Journal Title

      Knee Surg Sports Traumatol Arthrosc 15

      Pages: 1013-1018

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Joint gap kinematics in posterior-stabilized total knee arthroplasty measured by a new tensor with the navigation system2006

    • Author(s)
      3. Matsumoto T, Muratsu H, Tsumura N, Mizuno K, Kuroda R, Yoshiya S, Kurosaka M
    • Journal Title

      J Biomech Eng 128

      Pages: 867-871

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Determination Method of the Femoral Bone Coordinate System by Integrating Ultrasound Device with 3D Electromagnetic Device2006

    • Author(s)
      4. Nagamune K, Muratsu H, Nishimoto K, Hoshino Y, Tanaka K, Mizuno K, Yagi Y, Kuroda R, Yoshiya R, Kurosaka M
    • Journal Title

      SCIS&ISIS2006

      Pages: 1842-1847

    • NAID

      130004672446

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Joint gap kinematics in posterior-stabilized total knee arthroplasty measured by a new tensor with the navigation systm2006

    • Author(s)
      Matsumoto, T, Muratsu, H, Tsumura, N, Mizuno, K, Kuroda, R, Yoshiya, S, Kurosaka, M
    • Journal Title

      J Biomech Eng 128

      Pages: 867-871

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Determination Method of the Femoral Bone Coordinate System by Integrating Ultrasound Device with 3D Electromagnetic Device2006

    • Author(s)
      Nagamune, K, Muratsu, H, Nishimoto, K, Hoshino, Y, Tanaka, K, Mizuno, K Yagi, Y, Kuroda, R, Yoshiya, R, Kurosaka, M
    • Journal Title

      SCIS&ISIS2006

      Pages: 1842-1847

    • NAID

      130004672446

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Joint surface geometry based standardization for the ACL insertion by using fuzzy logic2005

    • Author(s)
      1. Nagamune K, Muratsu H, Hoshino Y, Tanaka K, Mizuno K, Kuroda R, Kurosaka M, Yagi M, Yoshiya S
    • Journal Title

      Proceeding of the 2005 IEEE International Conference on Systems

      Pages: 1949-1954

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Non-invasive real time visualization of the 6 DOF knee kinematics during manual testing2005

    • Author(s)
      2. Nagamune K, Muratsu H, Hoshino Y, Tanaka K, Kubo S, Yagi M, Mizuno K, Kuroda R, Yoshiya S, Kurosaka M
    • Journal Title

      Proceeding of Orthopaedic Research Society,

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] 人工膝関節手術におけるナビゲーションシステムの注意点と今後の展望2005

    • Author(s)
      7. 長宗高樹、田中浩一、村津裕嗣、吉矢晋一、黒坂昌弘
    • Journal Title

      関節外科 24

      Pages: 107-112

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Joint surface geometry based standardization for the ACL insertion by using fuzzy logic2005

    • Author(s)
      Nagamune, K, Muratsu, H, Hoshino, Y, Tanaka, K, Mizuno, K, Kuroda, R, Kurosaka, M, Yagi, M, Yoshiya, S
    • Journal Title

      Proceeding of the 2005 IEEE International Conference on Systems

      Pages: 1949-1954

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Non-invasive real time visualization of the 6 DOF knee kinematics during manual testing2005

    • Author(s)
      Nagamune, K, Muratsu, H, Hoshino, Y, Tanaka, K, Kubo, S, Yagi, M, Mizuno, K, Kuroda, R, Yoshiya, S, Kurosaka, M
    • Journal Title

      Proceeding of Orthopaedic Research Society

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Point of issue in the TKA navigation system2005

    • Author(s)
      Nagamune, K, Tanaka, K, Muratsu, H, Yoshiya, S, Kurosaka, M
    • Journal Title

      Joint Surgery 24

      Pages: 107-112

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 人工膝関節置換術における超音波装置を用いたナビゲーションシステムの開発2007

    • Author(s)
      9 村津裕嗣、長宗 高樹、久保晴司、水野清典、黒田良祐、吉矢晋一、黒坂昌弘
    • Organizer
      第34回 日本臨床バイオメカニクス学会
    • Place of Presentation
      東京
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Development of TKA navigation system using ultrasound2007

    • Author(s)
      Muratsu, H, Nagamune, K, Kubo, S, Mizuno, K, Kuroda, R, Yoshiya, S, Kurosaka, M
    • Organizer
      34th. Japanese Society of Clinical Biomechanics
    • Place of Presentation
      Tokyo
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 人工膝関節置換術における超音波装置を用いたビゲーションシステムの開発2007

    • Author(s)
      村津 裕嗣
    • Organizer
      第34回日本臨床バイオメカ学会
    • Place of Presentation
      東京
    • Related Report
      2007 Annual Research Report
  • [Presentation] Difference in knee flexion angle during arthroscopic ACL reconstruction may affect the accuracy of femoral tunnel placement2006

    • Author(s)
      2. Nagamune K, Muratsu H, Nishimoto K, Hoshino Y, Tanaka K, Mizuno K, Yagi M, Kuroda R, Yoshiya S, Kurosaka M
    • Organizer
      12th. ESSKA
    • Place of Presentation
      Innsbruck
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Determination Method of the Femoral Bone Coordinate System by Integrating Ultrasound Device with 3D EIectromagnetic Device2006

    • Author(s)
      3 Nagamune K, Muratsu H, Nishimoto K, Hoshino Y, Tanaka K, Mizuno K, Yagi Y, Kuroda R, Yoshiya R, Kurosaka M
    • Organizer
      SCIS&ISIS2006
    • Place of Presentation
      Tokyo
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 3次元膝運動解析の有用性(新たな人工膝関節デザインの膝運動解析)2006

    • Author(s)
      8 村津裕嗣、柴沼均、山口基、水野清典、小橋昌司、近藤克哉、吉矢晋一、畑豊、黒坂昌弘
    • Organizer
      第33回日本臨床バイオメカニクス学会
    • Place of Presentation
      新潟
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Determination Method of the Femoral Bone Coordinate System by Integrating Ultrasound Device with 3D Electromaenetic Device2006

    • Author(s)
      Nagamune, K, Muratsu, H, Nishimoto, K, Hoshino, Y, Tanaka, K, Mizuno, K, Yagi, Y, Kuroda, R, Yoshiya, R, Kurosaka, M
    • Organizer
      SCIS&ISIS
    • Place of Presentation
      Tokyo
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Usefulness' of 3D knee kinematic Analysis for the evaluation of newly developed TKA2006

    • Author(s)
      Muratsu, H, Shibanuma, N, Yamaguchi, M, Mizuno, K, Kobashi, M, Kondo, K, Yoshiya, S, Hata, Y, Kurosaka, M
    • Organizer
      33rd Japanese Society of Clinical Biomechanics
    • Place of Presentation
      Niigata
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Intra-operative 6 DOF motion measurements using a newly developed TKA navigation system2005

    • Author(s)
      1. Muratsu H, Kurosaka M
    • Organizer
      Expertise in Orthopaedic Navigation System
    • Place of Presentation
      Edinburgh
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 新たな膝前十字靭帯付着位置の標準化の試み2005

    • Author(s)
      4 村津裕嗣、長宗高樹、星野祐一、田中浩一、木下恵祐、水野清典、八木正義、黒田良祐、吉矢晋一、黒坂昌弘
    • Organizer
      第31回日本整形外科スポーツ学会
    • Place of Presentation
      奈良
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] ナビゲーションシステムを用いたTKA術中3次元動作解析の試み2005

    • Author(s)
      5 水野清典、村津裕嗣、長宗高樹、田中浩一、星野祐一、高倉義幸、松本彰生、黒田良祐、吉矢晋一、黒坂昌弘
    • Organizer
      第78回日本整形外科学会学術集会
    • Place of Presentation
      横浜
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 解剖学的2重束ACL再建術で移植腱固定部位決定を支援するナビゲーションシステムの開発2005

    • Author(s)
      6 村津裕嗣、長宗高樹、八木正義、黒田良祐、吉矢晋一、黒坂昌弘
    • Organizer
      第20回日本整形外科基礎学術集会
    • Place of Presentation
      伊勢市
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Pivot shift testにおける膝運動の非侵襲的計測2005

    • Author(s)
      7 星野祐一、村津裕嗣、長宗高樹、田中浩一、八木正義、水野清典、黒田良祐、山口基、黒坂昌弘
    • Organizer
      第32回日本臨床バイオメカニクス学会
    • Place of Presentation
      札幌
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Standardizing methods for the ACL insertion sites2005

    • Author(s)
      Muratsu, H, Nagamune, K, Hoshino, S, Tanaka, K, Kinoshita, K, Mizuno, K, Yagi, M, Kuroda, R, Yoshiya, S, Kurosaka, M
    • Organizer
      31th Japan Orthopaedic Sports Medicine
    • Place of Presentation
      Nara
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Intra-operative knee Kinematic analysis using TKA navigation system2005

    • Author(s)
      Mizuno, K, Muratsu, H, Nagamune, K, Tanaka, K, Hoshino, Y, Takakura, Y Matsumoto, A, Kuroda, R, Yoshiya, S, Kurosaka, M
    • Organizer
      78th, Japan Orthopaedic Association
    • Place of Presentation
      Yokohama
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] New navigation system assisting fixation site determination in the anatomical two bundle ACL recnnstrurtinn2005

    • Author(s)
      Muratsu, H, Nagamune, K, Yagi, M, Kuroda, R, Yoshiya, S, Kurosaka, M
    • Organizer
      20th. Japan Orthopaedic Research Society
    • Place of Presentation
      Mie
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Non-invasive measurement of knee kinematics during- nivnt shiff tact2005

    • Author(s)
      Hoshino, S, Muratsu, H, Nagamune, K, Tanaka, K, Yagi, M, Mizuno, K, Kuroda, R, Yamaguchi, M, Kurosaka, M
    • Organizer
      32nd. Japanese Society of Clinical Biomechanics
    • Place of Presentation
      Sapporo
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary

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Published: 2005-04-01   Modified: 2016-04-21  

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