Point and click alignment method for orthopedic surgeons, and surgical and clinical accessories and devices
The invention is a point and click method for positioning an external fixator on a patient, in which a surgeon—using a computer mouse or similar device—inscribes lines or points on a computer screen displaying an x-ray or other photographic image of the bones of a patient together with two rings in position adjacent the bones. By inscribing lines on the computer screen, the underlying drawings program detects the x-y coordinates of any point on the screen when the user (the surgeon or other practitioner) clicks on it, and outputs the x-y coordinates of every point identified by the user including the two points defining any desired line. The practitioner thus can, using “point and click” operation, govern the repositioning of two fixator rings on the bones of a patient.
1. An apparatus for external placement of a bone of a limb using an adjustable strut, comprising:
a circular platform having an open center adapted and configured for placement therethrough of a limb, the open center having an inner diameter, said circular platform having an outer circumferential surface spaced apart from the inner diameter, said circular platform having a top surface and a bottom surface, said circular platform having a width extending between said top surface and said bottom surface and located between the inner diameter and the outer circumferential surface, said circular platform including a plurality of holes each adapted and configured for attachment to an end of an adjustable strut, each of the holes extending through the width, said circular platform including a plurality of slots each adapted and configured for attachment to an end of an adjustable strut, each of the slots extending through the width, the plurality of holes being located along a first diameter greater than the inner diameter, and the plurality of slots being located along a second diameter greater than the first diameter;
three separable position markers located on said circular platform and supported at different respective positions spaced apart along said circular platform, at least one of said position markers located on a different diameter of said circular platform than said two other position markers; and
a computer including a computer screen and being adapted and configured to:
extract position data from at least two x-rays or other orthopedically significant images of said circular platform,
create a representation of the x-rays or images on said computer screen based on said position data,
calculate an adjustment to a relative placement of said circular platform based on said position data, and
display on said computer screen adjustment data pertaining to said adjustment.
2. The apparatus of claim 1 wherein the plurality of holes are a first plurality of holes, and said apparatus further comprising a second plurality of holes interspersed within the plurality of slots along the second diameter.
3. A Stewart Platform for supporting two adjacent bone fragments, comprising:
a first platform having a first plurality of holes and a first plurality of slots being intermixed with the first plurality of holes, said first platform being adapted and configured to be connected to a first bone fragment;
a second platform having a second plurality of holes and a second plurality of slots being intermixed with the second plurality of holes, said second platform being adapted and configured to be connected to a second bone fragment;
a first strut and a second strut, each said strut having two ends each adapted and configured for fixation to either one of said holes or one of said slots, one end of said first strut being fixed to a hole of said first platform and the other end of said first strut being fixed to a hole of said second platform, and one end of said second strut being fixed to a slot of said first platform and the other end of said second strut being fixed to a slot of said second platform;
a first three separable position markers located on said first platform and supported at different respective positions spaced apart along said first platform, at least one of said first three separable position markers located on a different diameter of said first platform than said two other of said first three separable position markers;
a second three separable position markers located on said second platform and supported at different respective positions spaced apart along said second platform, at least one of said second three separable position markers located on a different diameter of said second platform than said two other of said second three separable position markers; and
a computer including a computer screen and being adapted and configured to:
extract first position data from at least two x-rays or other orthopedically significant images of said first platform,
create, based on said first position data, a representation on said computer screen of the at least two x-rays or other orthopedically significant images of said first platform,
calculate, based on said first position data, an adjustment to a relative placement of said first platform,
display on said computer screen first adjustment data pertaining to said adjustment to said relative placement of said first platform,
extract second position data from at least two x-rays or other orthopedically significant images of said second platform,
create, based on said second position data, a representation on said computer screen of the at least two x-rays or other orthopedically significant images of said second platform,
calculate, based on said second position data, an adjustment to a relative placement of said second platform, and
display on said computer screen second adjustment data pertaining to said adjustment to said relative placement of second platform.
4. The Stewart Platform of claim 3 wherein said first platform includes a third plurality of holes, said third plurality of holes being located radially inward of said first plurality of holes and said first plurality of slots, and said second platform includes a fourth plurality of holes, said fourth plurality of holes being located radially inward of said second plurality of holes and said second plurality of slots.