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Complex surgeries often need multi-disciplinary surgeons to work collaboratively and set synthesized operation plans. Aided by collaboration enabled three dimensional visualization software over network, operation plans can be made more intuitively and accurately. Because different disciplinary surgeons often work at different locations, a distributed collaboration virtue environment over network should be provided. By our knowledge, such a system does not exist yet. Toward this, we implement a platform upon Client/Server architecture over network. The 3D model is reconstructed from CT image data of DICOM format and the resulting mesh is then simplified, using the Visualization Toolkit (VTK). The simplified polygon mesh data is further seamlessly integrated into our 3D graphics system developed with the HOOPS/3DAF for displaying, where the model is converted to the lossless compression stream file format-HSF, which is suited for network transmission. Using this format, a collaboration enabled interactive visualization system is implemented upon Client/Server architecture, developed with HOOPS/NET toolkit. The reconstructed 3D model is clear, and the interactive collaboration with 3D visualization is fairly real-time. We then implemented a platform for developing collaborative surgery simulation software, into which the surgery operation simulation and prosthesis design function can be easily added.
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J ISAKOS
September 2025
OrthoIndy, Indianapolis, IN USA.
Introduction: The extent of change in Patient Reported Outcome Measures (PROs) required to meet surgeon-defined satisfactory outcomes after isolated Medial Patellofemoral Ligament Reconstruction (MPFL-R) has not been reported. The primary aim of the study was to define the threshold value of maximal outcome improvement (MOI) in PROs associated with surgeon-defined satisfactory postoperative outcomes. The secondary aim was to identify the most effective PRO in predicting these outcomes and to evaluate the factors associated with it.
View Article and Find Full Text PDFJ Mech Behav Biomed Mater
September 2025
Department of Biomechanical Engineering, Faculty of Engineering Technology, University of Twente, Enschede, 7522 NB, the Kingdom of the Netherlands. Electronic address:
In orthopaedic surgical procedures, bone cutting is often performed with an oscillating saw. Achieving an optimal cut requires high accuracy, low temperature, minimal surgeon effort, and time efficiency, all of which may be influenced by the forces applied on the sawing device, and the microstructure of the cut bone. The relation between bovine bone microstructure and sawing forces has been studied.
View Article and Find Full Text PDFInjury
August 2025
Department of Trauma Surgery, University Medical Center Groningen, Groningen, the Netherlands.
Background: Lateral-sided tibial plateau fractures are most common and can range from minor to very extensive injuries of the lateral plateau. The impact of fracture location and extent on functional outcomes remains unclear. This study aimed to investigate this relationship.
View Article and Find Full Text PDFHPB (Oxford)
August 2025
Mater Hospital Brisbane, South Brisbane, Queensland, Australia.
Background: The rise in malignant hepatopancreatobiliary tumors disproportionately affects low- and middle-income countries (LMICs) due to systemic challenges. In 2023, the International Hepatopancreatobiliary Association (IHPBA) launched a relationship-building initiative to mitigate outcome disparities by increasing capacity and quality. This study aimed to understand the dynamics and value of such collaborations.
View Article and Find Full Text PDFOrthop Traumatol Surg Res
September 2025
Service de Chirurgie Orthopédique, CHRU de Tours, France - Faculté de Médecine, Université de Tours, France.
Purpose: The potential of mixed reality to improve the accuracy of glenoid preparation pin positioning in shoulder arthroplasty has been previously reported. Another benefit of mixed reality may be its ability to assist junior surgeons in enhancing their precision during prosthetic procedures. The aim of this study was to evaluate and compare the accuracy of glenoid preparation pin positioning between a senior surgeon and a junior surgeon utilizing mixed reality guidance.
View Article and Find Full Text PDF