Surgical Tool Can Help Accuracy Of Hip, Spinal Surgeries

Surgical Tool
An opto-electronic drilling system called BendGuide will help surgical accuracy by detecting minute changes in guide-wire trajectory during hip fracture, spinal fusion, and other similar procedures. Photo by The Hebrew University of Jerusalem

JERUSALEM, Feb. 23 (UPI) — For procedures such as hip and pelvic repair, or spinal fusion surgery, doctors insert a guide wire, allowing them to insert pins and screws holding bone together.

The guide wires can bend or break during surgery, however, lengthening the procedure and sometimes causing side effects.

Researchers at the Hebrew University of Jerusalem created a computer-guided system that alerts doctors to a bend in the guide when it happens, allowing it to be corrected. Bends or breaks in the guide wire can lead to revision surgeries, increasing hospitalization time and cost for patients.

The BendGuide is an opto-electric drilling system that detects minute changes in the guide wire’s trajectory, so it can be corrected mid-surgery. Changes in direction or bends in the wire are detected using a fiber bundle with a reflecting laser beam that, when when misaligned, indicates to a surgeon the guide wire is off target.

“This is an elegant technological solution to a complex problem,” Yaakov Nahmias, director of the Bioengineering and the BioDesign program at Hebrew University, said in a press release. “The group model and proof-of-concept experiments showed they could detect even miniscule changes in guide-wire trajectory.”

The BendGuide one of several tools in the growing market for computer-aided surgical navigation. Computer-aided surgical and medical tools represent a $500 million annual business in the United States that researchers said will grow as the U.S. population gets older.


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