CN109758116A - A kind of judgment method of bone density distribution in bone reaming operation - Google Patents

A kind of judgment method of bone density distribution in bone reaming operation Download PDF

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CN109758116A
CN109758116A CN201811450912.3A CN201811450912A CN109758116A CN 109758116 A CN109758116 A CN 109758116A CN 201811450912 A CN201811450912 A CN 201811450912A CN 109758116 A CN109758116 A CN 109758116A
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bone
density
force
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represented
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CN109758116B (en
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王成勇
刘志华
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Guangdong University of Technology
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Abstract

The judgment method of bone density distribution in a kind of bone reaming operation is related to bone reaming operation auxiliary technical field comprising following steps: (1) obtaining the real-time stress feedback of the reaming tool in bone reaming surgical procedure by sensor;(2) in step (1), in the force feedback in m swing circle of reaming tool, the maxima and minima of reaming tool absolute value of stress in each swing circle is extracted, the value of m is chosen according to required measurement accuracy;(3) data acquired by step (2) are handled, the real-time function relationship and minimum value of maximizing and time and the real-time function relationship of time;(4) by the feature of the function in analytical procedure (3), to judge the operation locating stage of bone reaming at that time corresponding bone density distribution situation.The mechanics of qualitative discrimination marrow is distributed, and facilitates the decision in operation, if Density Distribution is uneven, operation may need to adjust the dosage and distribution of bone cement.

Description

A kind of judgment method of bone density distribution in bone reaming operation
Technical field
It performs the operation the present invention relates to bone reaming and assists technical field, more particularly to the bone density in a kind of bone reaming operation The judgment method of distribution.
Background technique
In existing technology, surgical assistant system is during carrying out bone reaming operation, be only capable of by surgical navigational, The means such as CT shooting visually substantially carry out the locating stage condition of judgement operation, while there will be a large amount of spokes for CT shooting It penetrates, is harmful to the human body.
And the Density Distribution of marrow has obvious influence to the operation decision of operation, if bone marrow density distribution is not , operation then may need to adjust the dosage and its distribution of bone cement, and existing surgical assistant system can not obtain accordingly Bone density prompt because most of robots do not have mechanics feedback device, without specific mechanics detection analysis patrol Volume and judgment method.Therefore, the operation error of surgical procedure can seriously affect the efficiency and effect of operation.
Summary of the invention
It is an object of the invention to avoid surgical assistant system in the prior art that from cannot prompting the bone in bone reaming operation The shortcoming of matter Density Distribution information, and the judgment method of the bone density distribution in a kind of bone reaming operation is provided.
The purpose of the present invention is achieved through the following technical solutions:
The judgment method of bone density distribution in a kind of bone reaming operation comprising following steps:
(1) real-time stress that the reaming tool in bone reaming surgical procedure is obtained by sensor is fed back;
(2) in the step (1), in the force feedback in m swing circle of reaming tool, reaming tool is extracted each The value of the maxima and minima of the absolute value of stress in swing circle, m is chosen according to required measurement accuracy;
(3) data acquired by the step (2) are handled, asks real-time function relationship and the institute of the maximum value and time State the real-time function relationship of minimum value and time;
(4) by analyzing the feature of the real-time function in the step (3), to judge that bone reaming at that time is performed the operation the locating stage Corresponding bone density distribution situation.
Preferably, the power that reaming tool is suffered in reaming procedure is divided into 3 coordinate directions of rectangular coordinate system in space On power, be respectively as follows: extruding force Fx, cutting force Fy and Fz;In the step (1), the real-time stress that sensor obtains is fed back Including cutting force Fy and Fz, the real-time function in the step (3) include: Fymax (t), Fzmax (t), Fymin (t) and Fzmin(t)。
Preferably, the cutting force Fy points are positive negative direction, in the analytical judgment of the step (4), if the step (3) real-time function in meets:Positive force is all represented, andPositive force is all represented, then judges to occur just It is greater than 2 times of the density that the side bone of negative sense Fy occurs to the density of the side bone of Fy;The Fz points are positive negative direction, In the analytical judgment of the step (4), if the real-time function in the step (3) meets:Positive force is all represented, andPositive force is all represented, then judges that the density for the side bone that positive Fz occurs is greater than the side bone that negative sense Fz occurs 2 times of density.
Preferably, in the analytical judgment of the step (4), if the real-time function in the step (3) meets:Negative force is all represented, andNegative force is all represented, then judges the density that the side bone of negative sense Fy occurs Greater than 2 times of the density for the side bone that forward direction Fy occurs;In the analytical judgment of the step (4), if in the step (3) Real-time function meet:Negative force is all represented, andNegative force is all represented, then judges to occur negative sense Fz's The density of side bone is greater than 2 times of the density that the side bone of forward direction Fz occurs.
Preferably, the cutting force Fy points are positive negative direction, in the analytical judgment of the step (4), if the step (3) real-time function in meets:Positive force is all represented, and, wherein, then judge that the density for the side bone that positive Fy occurs is the 1-2 that the density of side bone of negative sense Fy occurs Times;The Fz points are positive negative direction, in the analytical judgment of the step (4), if the real-time function in the step (3) is full Foot:Positive force is all represented, and, wherein, then judge to occur just Density to the side bone of Fz is 1-2 times of the density of the side bone of generation negative sense Fz.
Preferably, in the analytical judgment of the step (4), if the real-time function in the step (3) meets:Negative force is all represented, and, wherein, then judge that negative sense occurs The density of the side bone of Fy is 1-2 times of the density of the side bone of generation forward direction Fy;Analytical judgment in the step (4) In, if the real-time function in the step (3) meets:Negative force is all represented, and, wherein, then judge that the density that the side bone of negative sense Fz occurs is to occur 1-2 times of the density of the side bone of positive Fz.
Preferably, the cutting force Fy points are positive negative direction, in the analytical judgment of the step (4), if the step (3) real-time function in meets:Positive force is all represented,All represent negative force;Alternatively,All Negative force is represented,Positive force is all represented, then judge the density that the side bone of negative sense Fy occurs and forward direction Fy occurs The density of side bone be identical;The Fz points are positive negative direction, in the analytical judgment of the step (4), if described Real-time function in step (3) meets:Positive force is all represented,All represent negative force;Alternatively,Negative force is all represented,All represent positive force, then judge occur negative sense Fz side bone density with It is identical that the density of the side bone of forward direction Fz, which occurs,.
Preferably, in the analytical judgment of the step (4), if the real-time function in the step (3) meets:Positive force is all represented,Negative force is all represented, and=;Alternatively, Negative force is all represented,Positive force is all represented, and=, then judge the side that negative sense Fy occurs The density of bone and the density for the side bone that forward direction Fy occurs are identical;In the analytical judgment of the step (4), if institute The real-time function stated in step (3) meets:Positive force is all represented,Negative force is all represented, and=;Alternatively,Negative force is all represented,Positive force is all represented, and=, then judge that the density of the density that the side bone of negative sense Fz occurs and the side bone that forward direction Fz occurs is identical 's.
Preferably, in the step (2), m is greater than or equal to 1;To acquired by the step (2) in the step (3) The processing of data, including denoising and Passivation Treatment.
Preferably, it is characterised in that: 4≤m≤6.
Beneficial effects of the present invention:
The present invention can provide in real time the bone density distributed intelligence at reaming position in bone reaming operation, and the distribution of bone density is closed It is the mechanical state of marrow, the influence count for much to bone reaming operation.The mechanics of qualitative discrimination marrow point Cloth facilitates the decision in operation, if Density Distribution is uneven, operation may need to adjust the dosage and distribution of bone cement.
The present invention can improve prompt and the impulse of bone reaming surgical procedure, mitigate the psychological pressure for applying art doctor and Operating burden improves the efficiency and safety of operation.
Specific embodiment
The invention will be further described with the following Examples.
The judgment method of bone density distribution in a kind of bone reaming operation of the present embodiment comprising following steps:
(1) real-time stress that the reaming tool in bone reaming surgical procedure is obtained by sensor is fed back;
(2) in the step (1), in the force feedback in m swing circle of reaming tool, reaming tool is extracted each The value of the maxima and minima of the absolute value of stress in swing circle, m is chosen according to required measurement accuracy;
(3) data acquired by the step (2) are handled, asks real-time function relationship and the institute of the maximum value and time State the real-time function relationship of minimum value and time;
(4) by analyzing the feature of the real-time function in the step (3), to judge that bone reaming at that time is performed the operation the locating stage Corresponding bone density distribution situation.
The present embodiment can provide in real time the bone density distributed intelligence at reaming position in bone reaming operation, and bone density Distribution relation the mechanical state of marrow, to bone reaming operation the influence count for much.Qualitative discrimination marrow Mechanics distribution, facilitates the decision in operation, if Density Distribution is uneven, operation may need to adjust the dosage of bone cement and divide Cloth.
Preferably, the power that reaming tool is suffered in reaming procedure is divided into 3 coordinate directions of rectangular coordinate system in space On power, be respectively as follows: extruding force Fx, cutting force Fy and Fz;In the step (1), the real-time stress that sensor obtains is fed back Including cutting force Fy and Fz, the real-time function in the step (3) include: Fymax (t), Fzmax (t), Fymin (t) and Fzmin(t).Above-mentioned Fy and Fz is used equally for analyzing and determining the corresponding bone density distribution of the operation of bone reaming at that time locating stage Situation.
Preferably, the cutting force Fy points are positive negative direction, in the analytical judgment of the step (4), if the step (3) real-time function in meets:Positive force is all represented, andPositive force is all represented, then judges to occur just It is greater than 2 times of the density that the side bone of negative sense Fy occurs to the density of the side bone of Fy;The Fz points are positive negative direction, In the analytical judgment of the step (4), if the real-time function in the step (3) meets:Positive force is all represented, andPositive force is all represented, then judges that the density for the side bone that positive Fz occurs is greater than the side bone that negative sense Fz occurs 2 times of density;If the real-time function in the step (3) meets:Negative force is all represented, andAll generations Table negative force then judges that the density that the side bone of negative sense Fy occurs is greater than 2 times of the density that the side bone of forward direction Fy occurs; If the real-time function in the step (3) meets:Negative force is all represented, andNegative force is all represented, then The density that the side bone of negative sense Fz occurs for judgement is greater than 2 times of the density that the side bone of forward direction Fz occurs.This method energy Larger difference present in the density of the simple and effective side bone for judging that positive Fy occurs and the side bone that negative sense Fy occurs It is different, meanwhile, this method simple and effective can also judge that the side bone of positive Fz occurs and the side bone of negative sense Fz occurs Density present in larger difference.
Preferably, the cutting force Fy points are positive negative direction, in the analytical judgment of the step (4), if the step (3) real-time function in meets:Positive force is all represented, and, wherein, then judge that the density for the side bone that positive Fy occurs is the 1-2 that the density of side bone of negative sense Fy occurs Times;The Fz points are positive negative direction, in the analytical judgment of the step (4), if the real-time function in the step (3) is full Foot:Positive force is all represented, and, wherein, then judge to occur just Density to the side bone of Fz is 1-2 times of the density of the side bone of generation negative sense Fz;If real-time in the step (3) Function meets:Negative force is all represented, and, wherein, then judge The density of the side bone of generation negative sense Fy is 1-2 times of the density of the side bone of generation forward direction Fy;If in the step (3) Real-time function meet:Negative force is all represented, and, wherein, Then judge that the density that the side bone of negative sense Fz occurs is 1-2 times of the density of the side bone of generation forward direction Fz.This method Difference present in the density of the simple and effective side bone that judge that positive Fy occurs of energy and the side bone that negative sense Fy occurs, Meanwhile this method simple and effective can also judge to occur the close of the side bone of positive Fz and the side bone that negative sense Fz occurs The existing difference of degree.
Preferably, the cutting force Fy points are positive negative direction, in the analytical judgment of the step (4), if the step (3) real-time function in meets:Positive force is all represented,All represent negative force;Alternatively,All Negative force is represented,Positive force is all represented, then judge the density that the side bone of negative sense Fy occurs and forward direction Fy occurs The density of side bone be identical;The Fz points are positive negative direction, in the analytical judgment of the step (4), if described Real-time function in step (3) meets:Positive force is all represented,All represent negative force;Alternatively,Negative force is all represented,All represent positive force, then judge occur negative sense Fz side bone density with It is identical that the density of the side bone of forward direction Fz, which occurs,.This method can the simple and effective side seam for judging that positive Fy occurs Difference is substantially not present in the density of the side bone of head and generation negative sense Fy, meanwhile, this method simple and effective can judge to set out Difference is substantially not present in the side bone of raw forward direction Fz and the density for the side bone that negative sense Fz occurs.
Preferably, the processing in the step (3) to data acquired by the step (2), including denoising and passivation Processing.These are conducive to the bone density distributed intelligence for more precisely analyzing and determining reaming position to the processing of data.
Preferably, m=5.This value is conducive to the bone density distributed intelligence for more precisely analyzing and determining reaming position.
The present embodiment can improve prompt and the impulse of bone reaming surgical procedure, mitigate the psychological pressure for applying art doctor And operating burden, improve the efficiency and safety of operation.
Finally it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention, rather than the present invention is protected The limitation of range is protected, although explaining in detail referring to preferred embodiment to the present invention, those skilled in the art are answered Work as understanding, it can be with modification or equivalent replacement of the technical solution of the present invention are made, without departing from the reality of technical solution of the present invention Matter and range.

Claims (10)

1. a kind of judgment method of the bone density distribution in bone reaming operation, it is characterised in that: the following steps are included:
(1) real-time stress that the reaming tool in bone reaming surgical procedure is obtained by sensor is fed back;
(2) in the step (1), in the force feedback in m swing circle of reaming tool, reaming tool is extracted in each rotation The value of the maxima and minima of the absolute value of the interim stress of turn-week, m is chosen according to required measurement accuracy;
(3) data acquired by the step (2) are handled, asks real-time function relationship and the institute of the maximum value and time State the real-time function relationship of minimum value and time;
(4) by analyzing the feature of the real-time function in the step (3), to judge that bone reaming at that time is performed the operation the locating stage Corresponding bone density distribution situation.
2. the judgment method of the bone density distribution in a kind of bone reaming operation as described in claim 1, it is characterised in that: Reaming tool power suffered in reaming procedure is divided into the power on 3 coordinate directions of rectangular coordinate system in space, is respectively as follows: crowded Pressure Fx, cutting force Fy and Fz;In the step (1), the real-time stress feedback that sensor obtains includes cutting force Fy and Fz, institute Stating the real-time function in step (3) includes: Fymax (t), Fzmax (t), Fymin (t) and Fzmin (t).
3. the judgment method of the bone density distribution in a kind of bone reaming operation as claimed in claim 2, it is characterised in that: institute Cutting force Fy points are stated for positive negative direction, in the analytical judgment of the step (4), if the real-time function in the step (3) is full Foot:Positive force is all represented, andPositive force is all represented, then judges the density for the side bone that positive Fy occurs Greater than 2 times of the density for the side bone that negative sense Fy occurs;The Fz points are positive negative direction, are sentenced in the analysis of the step (4) In disconnected, if the real-time function in the step (3) meets:Positive force is all represented, andPositive force is all represented, Then judge that the density that the side bone of positive Fz occurs is greater than 2 times of the density that the side bone of negative sense Fz occurs.
4. the judgment method of the bone density distribution in a kind of bone reaming operation as claimed in claim 3, it is characterised in that: In the analytical judgment of the step (4), if the real-time function in the step (3) meets:Negative force is all represented, andNegative force is all represented, then judges that the density that the side bone of negative sense Fy occurs is greater than the side bone that forward direction Fy occurs 2 times of density;In the analytical judgment of the step (4), if the real-time function in the step (3) meets:All generations Table negative force, andNegative force is all represented, then judges that the density that the side bone of negative sense Fz occurs is greater than and forward direction Fz occurs 2 times of density of side bone.
5. the judgment method of the bone density distribution in a kind of bone reaming operation as claimed in claim 2, it is characterised in that: institute Cutting force Fy points are stated for positive negative direction, in the analytical judgment of the step (4), if the real-time function in the step (3) is full Foot:Positive force is all represented, and, wherein, then judge that positive Fy occurs The density of side bone be 1-2 times of density of side bone that negative sense Fy occurs;The Fz points are positive negative direction, described In the analytical judgment of step (4), if the real-time function in the step (3) meets:Positive force is all represented, and, wherein, then judge that the density for the side bone that positive Fz occurs is to occur to bear To 1-2 times of the density of the side bone of Fz.
6. the judgment method of the bone density distribution in a kind of bone reaming operation as claimed in claim 5, it is characterised in that: In the analytical judgment of the step (4), if the real-time function in the step (3) meets:Negative force is all represented, and, wherein, then judge that it is to occur just that the density of the side bone of negative sense Fy, which occurs, To 1-2 times of the density of the side bone of Fy;In the analytical judgment of the step (4), if the real-time letter in the step (3) Number meets:Negative force is all represented, and, wherein, then judge to occur negative Density to the side bone of Fz is 1-2 times of the density of the side bone of generation forward direction Fz.
7. the judgment method of the bone density distribution in a kind of bone reaming operation as claimed in claim 2, it is characterised in that: institute Cutting force Fy points are stated for positive negative direction, in the analytical judgment of the step (4), if the real-time function in the step (3) is full Foot:Positive force is all represented,All represent negative force;Alternatively,Negative force is all represented,All Positive force is represented, then judges that the density of the density that the side bone of negative sense Fy occurs and the side bone that forward direction Fy occurs is identical 's;The Fz points are positive negative direction, in the analytical judgment of the step (4), if the real-time function in the step (3) is full Foot:Positive force is all represented,All represent negative force;Alternatively,Negative force is all represented,All generations Table positive force then judges that the density of the density that the side bone of negative sense Fz occurs and the side bone that forward direction Fz occurs is identical 's.
8. the judgment method of the bone density distribution in a kind of bone reaming operation as claimed in claim 7, it is characterised in that: In the analytical judgment of the step (4), if the real-time function in the step (3) meets:Positive force is all represented,Negative force is all represented, and=;Alternatively,Negative force is all represented,It all represents just Xiang Li, and=, then judge the side bone of the density that the side bone of negative sense Fy occurs and generation forward direction Fy Density be identical;In the analytical judgment of the step (4), if the real-time function in the step (3) meets:Positive force is all represented,Negative force is all represented, and=;Alternatively,It all represents negative Xiang Li,Positive force is all represented, and=, then judge density and hair that the side bone of negative sense Fz occurs The density of the side bone of raw forward direction Fz is identical.
9. the judgment method of the bone density distribution in a kind of bone reaming operation as described in claim 1, it is characterised in that: In the step (2), m is greater than or equal to 1;Processing in the step (3) to data acquired by the step (2), including Denoising and Passivation Treatment.
10. the judgment method of the bone density distribution in a kind of bone reaming operation as claimed in claim 9, it is characterised in that: 4 ≤m≤6。
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