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Dr. Kshitij Chaudhary, MS, DNB
Consultant Spine Surgeon
Sir HN Reliance Foundation Hospital
Mumbai
L E V E R A G I N G
T E C H N O L O G Y
F O R
P R E O P E R A T I V E P L A N N I N G
DISCLAIMER
No financial interests
But, I wish I had !!
– C H I R U R G I A M A G N A , T R E A T I S E I , D O C T R I N E I , C H I
“A blind man works on wood the same way as a
surgeon on the body, when he is ignorant of anatomy.”
Proper
preoperative planning
prevents piss-poor performance
(Seven P’s of success)
T H R P L A N N I N G ( O S I R I X )
Surgimap
Surgimap
3 D P L A N N I N G
Courtesy:
Dr Arjun Dhawale
Anticipation of pathological
anatomy
Courtesy:
Dr Arjun Dhawale
Courtesy:
Dr Arjun Dhawale
Pedicle entry points
Virtual Surgery
16y Boy
Cervical dysraphism
If a picture is worth a 1000 words 


Then a 3D model is worth
a thousand pictures !
Slide courtesy - Dr Vaibhav Bagaria
What is 3D Printing?
Video Courtesy - Dr Vaibhav Bagaria
Medacta UK
Signature Biomet
Customized Surgical Guides and Jigs
Pedicle screw jigs
TKR Jigs
4WEB Medical Spine Truss System
Customized Implant manufacturing
3D POST
Prosthetics and Orthotics
Bespoke Braces
The Future is Bio-printing
Dr. Lawrence J. Bonasser at Cornell University
Cartilage bio-printing Lumbar disc bio-printing
Dr. Lawrence J. Bonasser at Cornell University
I never think of the future.
It comes soon enough.

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Leveraging technology for preoperative planning in orthopaedic and spine surgery

Hinweis der Redaktion

  1. First prerequisite for preoperative planning is knowing anatomy.
  2. We use this knowledge of normal and pathological anatomy to plan surgery. Surgical planning: Helps to Mentally rehearse operation Anticipate pathological anatomy to avoid problems Alternative planning (Having a Plan B). Pre-emptive implant contouring / selection (Failing to plan is planning to fail)
  3. Surgery as a specialty bloomed only after the publication of this book by Vesalius in the 16th century, which contained the first accurate drawings of the human anatomy. This was the book surgeons used to plan their surgeries and to navigate through the human body. And we have come so far since 
.
  4. In the first half of the talk i am going to show some, Softwares that can help us with preoperative planning. These are basically DICOM manipulation softwares. Osirix is free for the Mac and Surgimap is free on Mac and Windows.
  5. DICOM 3D manipulation and multi planer reconstructions.
  6. But the model used in this surgery done at our hospital is not a regular normal anatomy model. It actually is a Patient specific model of the fractured pelvis that has been 3d printed. The biggest advantage of 3D models is that they can be taken to the operative field, and touched and viewed during the operation, helping surgeons to re-assess the complicated fracture pattern or pathological anatomy.
  7. Imagine downloading a set of plans from the Internet for just about any solid object that you desire, adding the correct base materials to your 3-D printing machine and printing the object at your home or business. This is what 3-D printing may potentially deliver.