Pratibha Masand, TNN | Apr 14, 2011, 03.44am IST
http://timesofindia.indiatimes.com/city/mumbai/Doctors-use-iPod-for-knee-surgery/articleshow/7976462.cms

In many ways, MP3 players have gone above their call of duty as music
storing devices, and are often used to help bring criminals to
justice, record flight data, etc. MUMBAI: In many ways, MP3 players
have gone above their call of duty as music storing devices, and are
often used to help bring criminals to justice, record flight data,
etc. Now, they are being used to assist orthopaedic surgeons in
knee-replacement procedures. For the first time in Asia, a city doctor
on Wednesday performed a knee-replacement computer-assisted surgery on
an elderly patient-with an iPod.

The patient, 75-year-old Gulab Singhvi, had been suffering from severe
joint pain in her left knee for the past four years. When she decided
to undergo a knee-replacement procedure, little did her family realize
that Singhvi would be the first person in Asia to undergo the surgery
with the help of an iPod navigation system.

Dr Arun Mullaji, who performed the surgery at Breach Candy Hospital,
said: "Though the computer navigation itself was a breakthrough, the
iPod navigation allows for better accuracy."

So how does it work? The hardware is made up of a special casing for
the iPod as well as a computer system that communicates wirelessly
with the device. The computing system also comprises a camera equipped
with an infrared sensor. The casing has slots for miniature
instruments and three antennae with reflecting spheres. These spheres
provide a frame of reference to the camera's infrared sensor, which
tracks each of them to plot the x, y and z axis of each point. (See
Cutting Edge box).

This system, which has been developed by Smith & Nephew Inc, works on
a similar technology used in computer navigation systems. "The iPod is
connected to a camera attached to a stand which is kept at a distance.
Instead of a screen, which used to be at the same stand earlier, the
surgeon can see the image along with other information on the iPod
screen," said Tim Frandsen, director of global surgical navigation in
the company.

Mullaji added: "The iPod screen shows accurate measurements, angles,
positions and the movement that will be possible for each point
touched by the sensor pointer connected to it. And since the iPod is
carried by us in hand, the screen is at the same area where the
surgery is being done as against the screen at a distance in a
computer navigation system."-

In a replacement surgery, there's a 3 mm margin of error. If there is
an error beyond this, the person may suffer multiple fractures and
dislocations even after the surgery. "Studies prove that within the
next 30 years, there is likely to be a 600% increase in the number of
revision surgeries world over. The iPod navigation system helps in
giving the alignment of the bone joint with 0.1 mm precision," said
Mullaji.


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