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Home / Equine Research Bank / Vet Surg / Influence of the Vertek aiming device on the surgical accura...
Veterinary surgery : VS2024; doi: 10.1111/vsu.14176

Influence of the Vertek aiming device on the surgical accuracy of computer-assisted drilling of the equine distal sesamoid bone-An experimental cadaveric study.

Abstract: To determine the effect of the Vertek aiming device (VAD) on the surgical accuracy of navigated drilling of the distal sesamoid bone (DSB). Methods: Experimental cadaveric study. Methods: A total of 30 paired equine cadaveric limbs from 15 horses. Methods: Each specimen was placed in a purpose-built frame (PBF). Preoperative cone beam computed tomography (CBCT) images were acquired with an imaging unit coupled with a surgical navigation system. In the DSB of each specimen, a 4.5 mm glide hole and a 3.2 mm thread hole were drilled under navigation guidance, to simulate drilling for the repair of a mid-sagittal DSB fracture. In the VAD group navigated drilling was assisted by using the VAD. In the free-hand drilling group navigated drilling was performed without the VAD. Pre-and postoperative CBCT scans were merged and surgical accuracy aberrations (SAA) between the planned drill corridor and the created bone tunnel were measured. Descriptive statistics and repeated-measures analyses of variance (rep.-meas. ANOVA) were performed to compare SAA measurements between the study groups. Results: The SAA measurements ranged from 0 to 2.9 mm in the free-hand group and from 0 to 2.8 mm in the VAD group. The median overall SAA was lower in the VAD group than in the free-hand navigated group (0.6 mm ± [0.5-0.7] vs. 0.8 mm ± [0.7-1], rep.-meas. ANOVA p = .007). Conclusions: The additional use of the VAD in the described set-up for navigated drilling significantly improved surgical accuracy. Conclusions: The combined use of the VAD and PBF may help improve surgical accuracy in navigated lag screw repair of DSB fractures.
© 2024 The Author(s). Veterinary Surgery published by Wiley Periodicals LLC on behalf of American College of Veterinary Surgeons.
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Publication Date: 2024-10-24 PubMed ID: 39445680DOI: 10.1111/vsu.14176Google Scholar: Lookup
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Summary

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The research highlights the role of Vertek aiming device (VAD) in enhancing the accuracy of surgically navigated drilling in an experimental cadaveric study of the equine distal sesamoid bone (DSB).

Study Details

  • The study involved the utilization of 30 paired equine cadaveric limbs sourced from 15 horses. Each specimen was placed systematically in a purpose-built frame (PBF).
  • A preoperative cone-beam computed tomography (CBCT) was carried out, teaming the imaging unit with a surgical navigation system. The process involved the drilling of 4.5 mm glide hole and a 3.2 mm thread hole in each specimen’s DSB as a part of simulating a DSB fracture repair.
  • With a focus on determining the VAD’s impact on surgical accuracy, the study divided the process into two parts. In the first part, the navigated drilling was conducted using the VAD (VAD group). Simultaneously, the other part witnessed the navigated drilling without the VAD (Free-hand drilling group).
  • The researchers then merged the preoperative and postoperative CBCT scans to measure the Surgical Accuracy Aberrations (SAA) between the planned and the created bone tunnel in each group.
  • A statistical analysis was performed, employing descriptive statistics and repeated-measures analyses of variance (rep.-meas. ANOVA) to compare SAA measurements across both groups.

Findings and Conclusions

  • The researchers found that SAA measurements in the free-hand group ranged from 0 to 2.9 mm, while in the VAD group, they ranged from 0 to 2.8 mm. However, the median overall SAA was lower in the VAD group (0.6 mm ± [0.5-0.7]) than the free-hand navigated group (0.8 mm ± [0.7-1]), which proved statistically significant with a p-value = .007 in the rep.-meas. ANOVA.
  • These findings led to the conclusion that the inclusion of VAD in the navigated drilling process noticeably enhances surgical accuracy.
  • The researchers concluded that the combination of the VAD and PBF could potentially improve surgical accuracy in navigated lag screw repairs of DSB fractures.

Cite This Article

APA
de Preux M, Precht C, Travaglini AT, Propadalo LM, Farra D, Vidondo B, Easley JT, Koch C. (2024). Influence of the Vertek aiming device on the surgical accuracy of computer-assisted drilling of the equine distal sesamoid bone-An experimental cadaveric study. Vet Surg. https://doi.org/10.1111/vsu.14176

Publication

Veterinary surgery : VS
ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English

Researcher Affiliations

de Preux, Mathieu
  • Swiss Institute of Equine Medicine (ISME), Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, University of Bern, Bern, Switzerland.
Precht, Christina
  • Division of Clinical Radiology, Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, University of Bern, Bern, Switzerland.
Travaglini, Andrea T
  • Vetsuisse-Faculty, University of Bern, Bern, Switzerland.
Propadalo, Ljubo M
  • Vetsuisse-Faculty, University of Bern, Bern, Switzerland.
Farra, Dima
  • Veterinary Institute for Public Health, Vetsuisse-Faculty, University of Bern, Bern, Switzerland.
Vidondo, Beatriz
  • Veterinary Institute for Public Health, Vetsuisse-Faculty, University of Bern, Bern, Switzerland.
Easley, Jeremiah T
  • Preclinical Surgical Research Laboratory, Department of Clinical Sciences, Translational Medicine Institute, Colorado State University, Fort Collins, Colorado, USA.
Koch, Christoph
  • Swiss Institute of Equine Medicine (ISME), Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, University of Bern, Bern, Switzerland.

References

This article includes 29 references
  1. Baxter GM. Adams and Stashak's Lameness in Horses. John Wiley & Sons; 2020.
  2. Lillich J, Ruggles A, Gabel A, Bramlage L, Schneider R. Fracture of the distal sesamoid bone in horses: 17 cases (1982‐1992). J Am Vet Med Assoc 1995;207(7):924‐927.
  3. Colles C. How to repair navicular bone fractures in the horse. Proc Am Assoc Equine Practnr 2001;47:270‐278.
  4. Colles C. Navicular bone fractures in the horse. Equine Vet Educ 2011;23(5):255‐261.
  5. Arnbjerg J. Spontaneous fracture of the navicular bone in the horse. Nord Vet Med 1979;31(10):429‐435.
  6. Wintzer H, Dämmrich K. Über Strahlbeinfrakturen beim Pferd. Schw Arch Tierheilk 1967;109:487‐496.
  7. Nemeth F, Dik K. Lag screw fixation of sagittal navicular bone fractures in five horses. Equine Vet Jl 1985;17(2):137‐139.
  8. Smith R, Schramme M, Archer R, May S. Surgical repair of navicular bone fractures. Proc Am Assoc Equine Practnr 2007;17:129‐131.
  9. Perrin R, Launois T, Brogniez L. Computed tomography to identify preoperative guidelines for internal fixation of the distal sesamoid bone in horses: an in vitro study. Vet Surg 2010;39(8):1030‐1036.
  10. Gasiorowski JC, Richardson DW. Clinical use of computed tomography and surface markers to assist internal fixation within the equine hoof. Evaluation studies. Vet Surg 2015;44(2):214‐222.
  11. Biedrzycki AH, Kistler HC, Perez‐Jimenez EE, Morton AJ. Use of Hausdorff distance and computer modelling to evaluate virtual surgical plans with three‐dimensional printed guides against freehand techniques for navicular bone repair in equine orthopaedics. Vet Comp Orthop Traumatol 2021;34(1):9‐16.
  12. Perez‐Jimenez EE, Biedrzycki AH, Morton AJ, McCarrel TM. Three‐dimensional printed guides for screw placement in equine navicular bones. Vet Surg 2021;50(4):758‐766.
  13. Gygax D, Lischer C, Auer JA. Computer‐assisted surgery for screw insertion into the distal sesamoid bone in horses: an in vitro study. Vet Surg 2006;35(7):626‐633.
  14. Schwarz CS, Rudolph T, Kowal JH, Auer JA. Introduction of 3.5 mm and 4.5 mm cortex screws into the equine distal sesamoid bone with the help of the VetGate computer assisted surgery systems and comparison of the results with the previously reported ones, acquired with the SurgiGATE 1.0 system–an in vitro study. Pferdeheilkunde 2017;33(3):223‐230.
  15. De Preux M, Vidondo B, Koch C. Influence of a purpose‐built frame on the accuracy of computer‐assisted orthopedic surgery of equine extremities. Vet Surg 2020;49(7):1367‐1377.
  16. Widmann G, Eisner W, Kovacs P. Accuracy and clinical use of a novel aiming device for frameless stereotactic brain biopsy. Minim Invasiv Neurosurg 2008;51(6):361‐369.
  17. Wallach D, Toporek G, Weber S, Bale R, Widmann G. Comparison of freehand‐navigated and aiming device‐navigated targeting of liver lesions. Int J Med Robot Comp 2014;10(1):35‐43.
  18. Ortler M, Widmann G, Trinka E. Frameless stereotactic placement of foramen ovale electrodes in patients with drug‐refractory temporal lobe epilepsy. Oper Neurosurg 2008;62(5):481‐489.
  19. Ortler M, Sohm F, Eisner W. Frame‐based vs frameless placement of intrahippocampal depth electrodes in patients with refractory epilepsy: a comparative in vivo (application) study. Neurosurgery 2011;68(4):881‐887.
  20. Bale RJ, Laimer I, Martin A. Frameless stereotactic cannulation of the foramen ovale for ablative treatment of trigeminal neuralgia. Oper Neurosurg 2006;59(4):ONS‐394‐ONS‐402.
  21. Widmann G, Schullian P, Fasser M, Niederwanger C, Bale R. CT‐guided stereotactic targeting accuracy of osteoid osteoma. Int J Med Robot Comp 2013;9(3):274‐279.
  22. Meneses F, Maiolini A, Forterre F, Oevermann A, Schweizer‐Gorgas D. Feasability of a frameless brain biopsy system for companion animals using cone‐beam CT‐based automated registration. Front Vet Sci 2022;8:779845.
  23. Santistevan L, Easley J, Ruple A. A pilot study of optical neuronavigation‐guided brain biopsy in the horse using anatomic landmarks and fiducial arrays for patient registration. J Vet Inter Med 2020;34(4):1642‐1649.
  24. Wickham H. ggplot2: Elegant Graphics for Data Analysis. Springer‐Verlag; 2016.
  25. Pedersen T. _ggforce: Accelerating ‘ggplot2’_. R package version 0.4.2, 2024.
  26. Ringel F, Ingerl D, Ott S, Meyer B. VarioGuide: a new frameless image‐guided stereotactic system—accuracy study and clinical assessment. Oper Neurosurg 2009;64(5):ons365‐ons373.
  27. Al‐Saiari S, Farag AA, Al Orabi K, Abdoh M, Kheshaifati H, Wakel M. A simple modified technique for frameless brain lesion biopsy. Cureus 2020;12(12):e12002.
  28. Batista PD, Machado IP, Roios P. Position and orientation errors in a neuronavigation procedure: a stepwise protocol using a cranial phantom. World Neurosurg 2019;126:e342‐e350.
  29. Dorfer C, Stefanits H, Pataraia E. Frameless stereotactic drilling for placement of depth electrodes in refractory epilepsy: operative technique and initial experience. Oper Neurosurg 2014;10(4):582‐591.

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