Optimizing the 3D Plate Shape for Proximal Humerus Fractures - Inria - Institut national de recherche en sciences et technologies du numérique
Communication Dans Un Congrès Année : 2023

Optimizing the 3D Plate Shape for Proximal Humerus Fractures

Résumé

To treat bone fractures, implant manufacturers produce 2D anatomically contoured plates. Unfortunately, existing plates only fit a limited segment of the population and/or require manual bending during surgery. Patient-specific implants would provide major benefits such as reducing surgery time and improving treatment outcomes but they are still rare in clinical practice. In this work, we propose a patient-specific design for the long helical 2D PHILOS (Proximal Humeral Internal Locking System) plate, used to treat humerus shaft fractures. Our method automatically creates a custom plate from a CT scan of a patient's bone. We start by designing an optimal plate on a template bone and, with an anatomy-aware registration method, we transfer this optimal design to any bone. In addition, for an arbitrary bone, our method assesses if a given plate is fit for surgery by automatically positioning it on the bone. We use this process to generate a compact set of plate shapes capable of fitting the bones within a given population. This plate set can be preprinted in advance and readily available, removing the fabrication time between the fracture occurrence and the surgery. Extensive experiments on ex-vivo arms and 3D-printed bones show that the generated plate shapes (personalized and plate-set) faithfully match the individual bone anatomy and are suitable for clinical practice.
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Dates et versions

hal-04396635 , version 1 (16-01-2024)

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Marilyn Keller, Marcell Krall, James Smith, Hans Clement, Alexander Kerner, et al.. Optimizing the 3D Plate Shape for Proximal Humerus Fractures. MICCAI 2023 - 26th International Conference on Medical Image Computing and Computer-Assisted Intervention, Oct 2023, Vancouver, Canada. pp.487-496, ⟨10.1007/978-3-031-43990-2_46⟩. ⟨hal-04396635⟩
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