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28. - 30. September 2011, Ni, Serbia University of Ni, Faculty of Mechanical Engineering METHODS FOR CREATING GEOMETRICAL MODEL OF FEMUR ANATOMICAL AXIS
Nikola VITKOVI1, Jelena MILOVANOVI1, Miroslav TRAJANOVI1, Nikola KORUNOVI1, Milo STOJKOVI1 , Miodrag MANI1 1 University of Ni, Faculty of Mechanical Engineering in Ni, A. Medvedeva 14, Ni, Serbia vitko@masfak.ni.ac.rs, jeki@masfak.ni.ac.rs,nikola.korunovic@masfak.ni.ac.rs, traja@masfak.ni.ac.rs, miloss@masfak.ni.ac.rs, mmanic@masfak.ni.ac.rs Abstract: The two methods for creation of the CAD model of the anatomical axis of femur will be presented in this paper. These methods are: GCM (Gravity Center Method), and CPM (Curve Projection Method). Both methods enable creation of femur anatomical axis geometrical model, which is based on data acquired from the medical imaging devices (CT, MRI, X-Ray). The basic difference between these two methods and the other applied for the geometrical modeling of femur anatomical axis is in the manner of generating the points through which 3D curve passes (or goes near). The technique applied is developed considering the natural shape of the femur bone, and not just by using standard CAD techniques for geometrical modeling which are common in standard engineering. The application of these methods can be extended to other bones in human body as in the fast creating of the model for the use in planning orthopedic operations, the input models for rapid prototyping, designing of implants, etc. Key words: Anatomical axis, femur shaft, surface, curve, geometrical model
1. INTRODUCTION
The main goal of this research is to develop CAD modeling method which enables creation of accurate geometrical model of the anatomical axis of femur (3D curve). The other important goal is to cultivate a method which is easy and quick to perform. Previous studies show that it is difficult to achieve these goals simultaneously, as the realization of one may obstruct the realization of the other. This paper presents two different methods which attempt to accomplish the appointed goals to the greatest extent possible. These methods are: GCM (Gravity Center Method) which conforms to the anatomical, morphological and geometrical properties of the femur, CPM (Curve Projection Method) which conforms to the position, topology and geometrical properties of the femur.
1.1.
Besides that, the 3D curve and the surface model of the femur shaft can be used to analyze the use of different aspects of implants in surgery of the skeletal system.
1.4.
Fig 1. Femur body cross sections for the GCM 5. Creating 3D spline curve using near operator, with gravity center points as reference, Fig 2.
Fig 2. 3D spline curve (anatomical axis) for the GCM 6. Extrapolating curve at end points towards the hip and tibia (tangent extrapolation). The result of this process is a 3D spline curve which is actually the model of femur anatomical axis in 3D space. The measuring of three angles is done in AP plane, with projected anatomical and mechanical axis. AN angle is measured between the projected neck axis and the line tangent to the anatomical axis projection in AP plane. AM angle is measured between the projected mechanical axis and the line tangent to the anatomical axis in the point of its intersection with the mechanical axis. DC angle is measured between the tangential line of distal femur and the projected anatomical axis, Fig 3. To confirm that this method is usable, the procedure is performed on ten femur specimens. The values for three defined angles are presented in the Table 1. Data in Table 1. show that angles are in the appropriate range (compared to study in [2]). Conclusion follows that this is an adequate procedure for creation of the femurs anatomical axis. For some bone models there is a possibility for vast angle(s) deviation; however, this is usually the case when a bone model is inadequate,
2.1.
Nikola Vitkovi, University of Ni, Faculty of Mechanical Engineering, A. Medvedeva 14. vitko@masfak.ni.ac.rs
perhaps due to: bone illness, wrong input data, osteoporosis, etc.
Fig 3. Adequate Femur dimensions (angles) defined on the femur polygonal model Table 1. Angle values for different femur models (GCM) Angle\Femur 1 2 3 4 5 6 7 8 9 AN AM DC 127.1 8.36 81 129 7.61 80.54 127 7.86 82.22 127 8 78.96 126 3.4 80.86 124.9 7.8 79.9 127.2 8 79.7 126.4 7.6 82 127.20 7.56 80.33
2.2.
Nikola Vitkovi, University of Ni, Faculty of Mechanical Engineering, A. Medvedeva 14. vitko@masfak.ni.ac.rs
Table 2. shows that angles are in the adequate range, with some deflections (compared to study in [1]). Conclusion follows, that this method is appropriate for anatomical axis creation.
Nikola Vitkovi, University of Ni, Faculty of Mechanical Engineering, A. Medvedeva 14. vitko@masfak.ni.ac.rs
Table 2. Angle values for different femur models (CPM) Angle\Femur 1 2 3 4 5 AN AM DC 129.93 6.36 78.27 131.14 8.78 79.4 126.93 11.21 79.47 137.56 8.85 78.12 133.59 5.94 78.31
7 127.2 8 79.7
8 126.4 7.6 82
project (Virtual Human Osteoarticular System and its Application in Preclinical and Clinical Practice) is sponsored by the Ministry of Science and Technology of the Republic of Serbia - project id III 41017 for the period of 2011-2014.
REFERENCES
[1] Stojkovic, M., Trajanovic, M., Vitkovic, N., Milovanovic, J., Arsic, S., Mitkovic, M. (2009) Referential Geometrical Entities for Reverse Modeling of Geometry of Femur, Vip Image 2009, Porto, Portugal. [2] Cong-Feng, Luo. (2004) Reference axis for reconstruction of the knee, The Knee, Vol.11, No 4, pp 251 257 [3] Cong-Feng, Luo., Koshino, T., Takeuchi, R., Saito T. (2001) Reliability of the transepicondylar line as a parameter of femoral axial alignment, Journal of Orthopaedic Science, Vol. 6, No 5, pp 373 377. [4] Hsu, RWW., Himeno, S., Conventry, MB., Chao, EY. (1990) Normal axial alignment of the lower extremity and load-bearing distribution at the knee, Clinical Orthopaedics and Related Research, Vol. 255 pp 215227. [5] Morland, JR., Bassett, LW., Hanker, GJ. (1987) Radiographic analysis of the axial alignment of the lower extremity, Journal of Bone and Joint Surgery, Vol. 69, No 5, pp 745-749. [6] Fening, S. (2003) The creation of solid models of the human knee from Magnetic resonance images, Doctor thesis, The faculty of the Fritz J. and Dolores H. Russ College of Engineering and Technology of Ohio University, pp 41 [7] Kharwadkara, N., Kent, R.E., Shararab, K.H., Naiquec, S. (2006) 5 to 6 of distal femoral cut for uncomplicated primary total knee arthroplasty : Is it safe?, The Knee, Vol.13, No 1, pp 57 - 60 [8] Dargel, J., Joern, M., Feiser, J., Ivo, R., Koebke, J. (2010) Human Knee Joint Anatomy Revisited: Morphometry in the Light of Sex-Specific Total Knee Arthroplasty, Journal of Arthroplasty, Vol. 26 , No 3, pp 346 - 353 [9] William, M., Boyle, J., Clark, L., Krackow, Kenneth A. (2005) The Variability of Intramedullary Alignment of the Femoral Component During Total Knee Arthroplasty, Journal of Arthroplasty ,Vol. 20, No 1, pp 25 - 28
4. CONCLUSION
The presented research describes a new approach that will help to clearly comprehend the geometry of the femurs shaft region (especially the cross section geometry) and, therefore, the geometry of the femur, too. Furthermore, this can improve the design of new implants, taking into consideration their anatomical landmarks, structure and distribution of their bony tissue, and stresses. Finally, the new way of looking at femur shaft can improve the surgery preparation and make it more efficient [7-9]. The methods described in this paper will be tested on more femur specimens, and this does not imply only the amount of specimens, yet, their more comparative values (dimensions), different geographical region, various age groups, etc,. The main reason for further testing is the possibility for creation of one universal method for femur anatomical axis definition, which will produce accurate results regardless of the input data.
ACKNOWLEDGEMENT
The paper presents a case that is a result of application of multidisciplinary research in the domain of bioengineering in real medical practice. The research
CORRESPONDENCE
Nikola VITKOVI, M.Sc. in Mechanical Engineering, University of Ni, Faculty of Mechanical Engineering in Ni, Aleksandra Medvedeva 14, Ni, Serbia, vitko@masfak.ni.ac.rs.