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Reconstructionoftheanteriorcruciateligament(ACL)througharthroscopyisone
of themost common procedures in orthopaedics.Itrequiresaccuratealignment Re: Constrained statistical modelling of knee flexion From multipose magnetic resona
and drilling of the tibial and femoral tunnels through which the ligament graft is
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attached. Although commercial computerassisted navigation systems exist to
guide the placement of these tunnels, most of them are limited to a fixed pose
without due consideration of dynamic factors involved in different knee flexion
angles.ThispaperpresentsanewmodelforintraoperativeguidanceofarthroscopicACLreconstructionwithreducederrorparticularly
intheligamentattachmentarea.Themethoduses3Dpreoperativedataatdifferentflexionanglestobuildasubjectspecificstatistical
model of knee pose. To circumvent the problem of limited training samples and ensure physically meaningful pose instantiation,
homogeneoustransformationsbetweendifferentposesandlocaldeformationfiniteelementmodellingareusedtoenlargethetraining
set. Subsequently, an anatomical geodesic flexion analysis is performed to extract the subjectspecific flexion characteristics. The
advantagesofthemethodwerealsotestedbydetailedcomparisontostandardPrincipalComponentAnalysis(PCA),nonlinearPCA
without training set enlargement, and other stateoftheart articulated joint modelling methods. The method yielded submillimetre
accuracy,demonstratingitspotentialclinicalvalue.
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