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  • 學位論文

操作容積同質面重建與三角形之膝蓋韌帶手術模擬

Knee ligament surgery simulation by manipulating marching cubes triangles associated on regular voxels

指導教授 : 蔡明達
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摘要


對膝關節而言,前十字韌帶斷裂是相當常見的傷害[賴],因為其發生機率較大,所以特別引人注意。但由於單純的韌帶縫合癒合不好,且癒合後或有強度問題,因此目前開刀的方法是取移植物,作前十字韌帶重健手術。而副韌帶位於膝關節兩側,各有一條副韌帶,分別稱為外側副韌帶(MCL)及內側副韌帶(LCL),本篇所模擬的術式為內側副韌帶,當側韌帶是完全的撕毀或無法癒合,就可能需要動手術。 本論文提出各組織同質面的操作方法,來完成模擬前十字韌帶、後十字韌帶以及內側副韌帶三種復原術式,希望先在電腦程式環境下模擬,幫助醫生在手術計畫擬定、驗證、手術練習與教學有更多可以參考的資料。

並列摘要


For the knee, the anterior cruciate ligament rupture is a fairly common injury [Lai], because it is more likely to occur, so it is particularly noticeable. But because of the simple ligament suture healing is not good, and after healing or strength problems, so the current method of surgery is to take the graft, for the anterior cruciate ligament surgery. The collateral ligament is located on both sides of the knee joint, each with a collateral ligament, known as the lateral collateral ligament and medial collateral ligament, this simulation is the medial collateral ligament, when the lateral ligament is complete Torn or can not heal, it may need surgery. This paper presents the method of homogeneous surface operation of each organization, to complete the simulation of the anterior cruciate ligament, posterior cruciate ligament and medial collateral ligament three recovery surgery, hope to first computer program environment simulation, to help doctors in the surgical plan preparation, validation, surgery Practice and teaching have more reference to the information.

參考文獻


[Heng 04] Pheng-Ann Heng, Chun-Yiu Cheng, Tien-Tsin Wong, Yangsheng Xu Yim-Pan Chui, Kai-Ming Chan and Shiu-Kit Tso , “ A virtual-reality training system for knee arthroscopic surgery”, IEEE Transactions on Information Technology in Biomedicine, Vol.8(2), pp.217-227, 2004.
[Lee 14] SooChahn Lee, Sang Hyun Park, Hackjoon Shim, Il Dong Yun and Sang UK Lee,“Optimization of local shape and appearance probabilities for segmentation of knee cartilage in 3-D MR images”, Computer Vision and Image Understanding, Vol.115/12, pp.1710-1720, 2011.
[Woo 06] Savio L.-Y. Woo, Steven D. Abramowitch, Robert Kilger and Rui Liang, “Biomechanics of knee ligaments: injury, healing, and repair” , Journal of Biomechanics, vol.39/1, pp.1-20, 2006.
[楊06] 楊維喬 Volume Based Surgery Simulator Combining Burring Operation
[蕭05] 蕭博文 Realization of Haptic Device under Volume Representation,

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