Migration Measurement of Pins in Postoperative Recovery of the Proximal Femur Fractures Based on 3D Point Cloud Matching

Medicina (Kaunas). 2021 Apr 22;57(5):406. doi: 10.3390/medicina57050406.

Abstract

Background and objectives: Internal fixation is one of the most effective methods for the treatment of proximal femur fractures. The migration of implants after the operation can seriously affect the reduction of treatment and even cause complications. Traditional diagnosis methods can not directly measure the extent of displacement. Methods: Based on the analysis of Hansson pins, this paper proposes a measurement method based on three-dimensional matching, which uses computerized tomography (CT) images of different periods of patients after the operation to analyze the implants' migration in three-dimensional space with the characteristics of fast speed and intuitive results. Results and conclusions: The measurement results show that the method proposed in this paper has more minor errors, more flexible coordinate system conversion, and more explicit displacement analysis than the traditional method of manually finding references in CT images and measuring displacement.

Keywords: 3D matching; CT images; internal fixation; migration of implants; proximal femur fractures.

MeSH terms

  • Bone Nails*
  • Femoral Fractures* / diagnostic imaging
  • Femoral Fractures* / surgery
  • Femur
  • Fracture Fixation, Internal
  • Humans
  • Tomography, X-Ray Computed