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Orthopaedic templating : ウィキペディア英語版
Orthopaedic templating

Orthopedic templating is a process wherein surgeons or joint reps using either acetate templates or digital templates estimate the correct size of the prosthesis to be used. The biggest educator on the subject has been AO/ASIF. In a study published in the injury magazine published in 1998, 94% of consultants and 100% of trainees felt that planning was important but half, respectively, routinely planned fracture treatment.
Since 1996 there have been multiple attempts to computerize the process, Hectec has been the first commercially available software, mainly focused on the German market. Other later work includes that of the orthopedic pediatric surgeon Peter Stevens MD from University Of Utah. The market only truly developed in 2003 when UK based OrthoView was founded by Albany Ventures, and the Israeli-based Voyant Health which was bootstrapped by an experienced Orthopedic Surgeon Doron Norman MD at the time deputy director of Orthopedics in Rambam Hospital in Haifa and a crazy software entrepreneur Zeev Glozman.
It all happened at the time of introduction of digital radiology systems on a mass scale, which in essence eliminated film from the hospital environment, creating the need for digital templating. Unfortunately, eliminating film creates a major flaw when viewing the digital images on a variety of viewing formats. Therefore a value of known size must be present within the image much like a legend on a map. The first calibration device has been introduced into the market by Zimmer corporation which consisted of an acrylic bar with two embedded steel balls. Ehud Atoun MD designed the first device using a spherical marker on a base which could be placed next to or even under a patient. Many companies created such devices, and the most prominent of them is J2 Medical. Later this technology was greater improved and refined by Mr Richard King of University of Coventry & Warwickshire with development of two market calibration method.
The vast majority of PACS providers have partnered with Tel Aviv-based Voyant Health or Southampton-based OrthoView. Some PACS providers such as Sectra, and Medstrat, as well as Cedara have developed templating as part of PACS solution such as Medstrat. The surgical packages homegrown by PACS vendors are typically underdeveloped compared in terms of functionality and usability compared to OEM products which are used by thousands of surgeons. While none of the software packages necessarily address the entire aspect of the surgical tactic, instead focusing on pre-operative implant size selection, the tools prove to be quite usable, convenient, and efficient. In 2012 German BrainLab, purchased Israeli Voyant Health.
The next step of this technology is making it available on mobile devices such as iPad as well as Android platforms. BrainLab demonstrated its iPad application for Orthopaedic templating at AAOS 2014.
Medstrat envisioned digital templating helping pre-plan cases as a result of relationship between a Stryker joint rep and his brother-in-law. Voyant Health was founded as a result of patient-doctor relationship between a young rock climber and an orthopedic surgeon. OrthoView was founded in 2003 by Adrian Dwyer, Peter Quinn, and John Chambers as well as an orthopaedic surgeon Grant Shaw of Southampton.
==References==


抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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