Leo Joskowicz: Computed-Assisted Surgery Publications

Interference-Free Insertion of a Solid Body into a Cavity: An Algorithm and a Medical Application

Leo Joskowicz (1) and Russell H. Taylor (2)

(1) Institute of Computer Science, The Hebrew University of Jerusalem, Israel.
(2) Computer Science Department, Johns Hopkins University, Baltimore, MD, USA.

This paper presents a novel algorithm for efficiently computing an interference-free insertion path of a body into a cavity and shows its practical use in the insertability analysis of custom orthopaedic hip implants. The algorithm is designed to handle tightly fit, very complex three-dimensional bodies requiring fine, complex, coupled six-degree of freedom motions in a preferred direction. It provides a practical method for efficiently handling the geometric complexity of tight fit insertions. The algorithm computes an insertion path consisting of small interference-free body motion steps. It formulates local, linearized configuration space constraints derived from the shapes and computes successive motion steps by solving a series of linear optimization problems whose solution corresponds to the maximum allowed displacement in a preferred direction satisfying the constraints. It either finds a successful insertion path or a stuck configuration. We demonstrate the algorithm with EXTRACT, a program for analyzing the insertability of cementless custom orthopaedic hip implants. EXTRACT computes interference-free insertion paths for tightly fit implant and canal shapes described with 10,000 facets to an accuracy of 0.01in. in 30 minutes on a workstation. It has been successfully tested on 30 real cases provided by a medical equipment manufacturer.

Keywords: Insertability analysis, orthopaedic implants, motion planning

International Journal of Robotics Research, Vol. 15 No. 3, 1996.