3D interactive trace teaching system with anatomical model

Yosuke Uozumi, K. Nagamune
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Abstract

Total knee arthroplasty (TKA) is an effective surgical treatment for the knee osteoarthritis, and is currently performed about 50,000 per year in Japan. TAK minimally invasive surgery (TKA-MIS) is a smaller incision range than TKA, and can expect an early recovery and post-surgical pain reduction. The navigation system for the purpose of precision improvement and shortening of the operative time operated on has been already studied. However, a study for the instruction system to improve the skill of surgeons has not yet advanced. This study aims to develop a training system which can makes non-expert surgeon improved the skill by simulating the TKA-MIS. The proposed method developed a simulator for the knee model with a three-dimensional electromagnetism sensor. The experiment established an evaluation method for the skin incision by tracing a sham scalpel trace. The developed system was applied to one non-experts. In the experimental results, non-teaching case was 65.80+/-7.00; teaching case, 83.44+/-11.04 (p = 0.00 <; 0.05, student t-test). The experimental result leads to the conclusion that the proposed training system has the learning effect.
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基于解剖模型的三维互动轨迹教学系统
全膝关节置换术(TKA)是治疗膝关节骨性关节炎的有效手术,目前在日本每年实施约50,000例。TAK微创手术(TKA- mis)的切口范围比TKA小,可以预期早期恢复和术后疼痛减轻。以提高精度和缩短操作时间为目的的导航系统已经得到了研究。然而,提高外科医生技术水平的教学体系研究尚未深入。本研究旨在开发一套模拟TKA-MIS的训练系统,帮助非专业外科医生提高技能。该方法开发了一个具有三维电磁传感器的膝关节模型模拟器。本实验建立了一种基于假刀痕的皮肤切口评价方法。将开发的系统应用于一名非专家。实验结果中,非教学案例为65.80±7.00;教学案例,83.44+/-11.04 (p = 0.00 <;0.05,学生t检验)。实验结果表明,所提出的训练系统具有良好的学习效果。
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