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StraightTrack: Towards Mixed Reality Navigation System for Percutaneous K-wire Insertion
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  • Han Zhang,
  • Benjamin Killeen,
  • Yu-Chun Ku,
  • Lalithkumar Seenivasan,
  • Yuxuan Zhao,
  • Mingxu Liu,
  • Yue Yang,
  • Suxi Gu,
  • Alejandro Martin-Gomez,
  • Russell Taylor,
  • Greg Osgood,
  • Mathias Unberath
Han Zhang
Johns Hopkins University
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Benjamin Killeen
Johns Hopkins University
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Yu-Chun Ku
Johns Hopkins University
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Lalithkumar Seenivasan
Johns Hopkins University
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Yuxuan Zhao
Johns Hopkins University
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Mingxu Liu
Johns Hopkins University
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Yue Yang
Johns Hopkins University
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Suxi Gu
Johns Hopkins University
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Alejandro Martin-Gomez
Johns Hopkins University
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Russell Taylor
Johns Hopkins University
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Greg Osgood
Johns Hopkins Medical Institutions Campus
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Mathias Unberath
Johns Hopkins University

Corresponding Author:[email protected]

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Abstract

In percutaneous pelvic trauma surgery, accurate placement of Kirschner wires(K-wires) is crucial to ensure effective fracture fixation and avoid complications due to breaching the cortical bone along an unsuitable trajectory. Surgical navigation via mixed reality(MR) can help achieve precise wire placement in a low-profile form factor. Current approaches in this domain are as yet unsuitable for real-world deployment because they fall short of guaranteeing accurate visual feedback due to uncontrolled bending of the wire. To ensure accurate feedback, we introduce StraightTrack, an MR navigation system designed for percutaneous wire placement in complex anatomy. StraightTrack features a marker body equipped with a rigid access cannula that mitigates wire bending due to interactions with soft tissue and a covered bony surface. Integrated with an Optical See-Through Head-Mounted Display (OST HMD capable of tracking the cannula body, StraightTrack offers real-time 3D visualization and guidance without external trackers. In phantom experiments with two experienced orthopedic surgeons, StraightTrack improves wire placement accuracy, achieving the ideal trajectory within 5.26 ± 2.29 mm and 2.88 ±1.49°, compared to over 12.08 mm and 4.07° for comparable methods. As MR navigation systems continue to mature, StraightTrack realizes their potential for internal fracture fixation and other percutaneous orthopedic procedures.
03 Nov 2024Submitted to Healthcare Technology Letters
06 Nov 2024Submission Checks Completed
06 Nov 2024Assigned to Editor
12 Nov 2024Reviewer(s) Assigned
22 Nov 2024Review(s) Completed, Editorial Evaluation Pending
25 Nov 2024Editorial Decision: Accept