3D Hip

Your powerful tool for hip surgery of tomorrow!

mediCAD® 3D Hip opens up entirely new possibilities in terms of carrying out the anatomical assessment, planning and measurements of the hip, thereby implementing optimal, audit-compliant operation preparation.
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A modern and intuitive user interface that takes you straight to your objective and the usual, comfortable connection to an existing PACS system in your clinic are just two of the many reasons why mediCAD® 3D Hip is an indispensable tool for your day-to-day work.
mediCAD® 3D Hip was developed in close collaboration with specialists in the field of hip surgery. Constant development and improvement is the core mission of our company.


The most important performance characteristics:

➔ Anatomical 3D and 2D view
➔ Segmenting of the 3D object
➔ Simple analysis of the current pathological situation
➔ Implant visualisation using 3D shapes that is accurate in every detail
➔ Precise, simple and automatic measurement processes
➔ Simple selection and positioning of implants
➔ Range of Motion (ROM)
➔ Distance and bone contact visualisation
➔ Transparent view for better recognition of the planned position
➔ Individual prosthesis
➔ Removal of the femoral head
➔ Digital documentation
➔ 3D print of the bone/body
➔ Thieme eRef integration


 

Anatomical 3D & 2D view

mediCAD® 3D Hip offers you various displays for this.

Each image and each plan is different and follows a different objective or requires a different approach. It is therefore sometimes necessary to display the image data from different perspectives.

In addition to the 3D model that can be viewed from all sides, you can show individual 2D slices in an axial, sagittal or coronal plane. You can also display and view the 3D model from several different directions at the same time. You can switch to the anatomical view in order to better assess the pathological condition.

Anatomical 2D/3D View

 

Segmentation of the 3D bone

Bone segmentation and osteotomies

When you load CT datasets, mediCAD® 3D runs the manual segmentation, which forms an important part of preoperative planning in hip endoprosthesis. Segmentation can be used to freely display certain areas of the bone in a high-resolution, three-dimensional image. Segmentation can be used, for example, to make the femur (the hip joint) more visible in order for example to determine the condition of the joint.

By setting a cutting area, you can carry out an osteotomy and move or rotate the areas to be resected as needed. All of the dimensions are automatically adapted too and therefore reflect the new situation once they have successfully been corrected.

In this way, various different scenarios can be simulated and tested out in order to achieve the best possible result for the patient. In combination with manual segmentation, the femur can be cropped by inserting the resection line (osteotomy) and the ball of the hip can be removed.

Bone Segmentation

 

Transparent view and implant-bone contact visualisation

Since each image and each plan is different and follows a different objective or requires a different approach, you can use the transparent view to better observe the implants used in their respective positions.

It is often necessary to visually determine the quality of the bone at the planned implant position. The Hounsfield visualization provides support on this.
High and low density values can be observed at the planned implant location. Higher or lower primary stability can therefore be assumed when inserting the implants. The distance visualization of the Hounsfield units can be used to create concepts for preoperative planning in order to determine the correct preparation technique and the consecutive prosthetic solution
.

Transparent view

 

Range of motion simulation

The abnormal shape of the bones that leads to hip impingement is sometimes not identified by classical radiology. The complex relationship between the shape of the cup shell, the shape of the femoral head and how these interact with one another during movement is difficult to picture without visual representation. Hip problems are dynamic and multidimensional. The current static imagine leaves a lot to the imagination.

The simulation function in the planning software with movement simulations for hip impingement closes this gap. It offers an interactive 360° 3D view of the hip joint while moving. The function can be used to determine which movements may be restricted after the implant due to the shape of the pelvic bone.

Range of motion simulation

 

3D Hip implants

The easy options provided by mediCAD® 3D Hip can compile the individual implant components using the implant configurator and place this into the 3D model (CT images of the patient). In addition to this, the implants can be adjusted, rotated, moved or changed to another implant type as a group or individually.

The implant configurator enables you to select various hip implants. You can filter your implants by manufacturer, type, material or size, or simply your personal favourites or those popular in the clinic.

The implants you have selected and used are listed in the list of results with all relevant parameters and can therefore be used for further planning and preoperative preparation.

More than 15 years of collaboration with a large number of international implant manufacturers means includes mediCAD® 3D Hip the latest expertise and a monthly updated and supplemented implant database.

3D Hip Implants

 

Automatic setting of the measuring points by automatic detection

After you have loaded the CT image, you can start the automatic detection simply by clicking the mouse.
The software shows you the found measuring points and you have the possibility to modify the points.

messpunkte1

After you have confirmed the detection, the measuring points appear in the result area.

messpunkte2

 

Automatic reduction of implant artifacts

Preoperative preparation of a revision procedure requires accurate planning. mediCAD® 3D Hip helps you to make the preparation as easy as possible. The automatic artifact reduction of mediCAD® 3D Hip gives you a better view and representation of the actual situation in all levels.

Before:

artefakte1

After:

artefakte2

 

Show and hide implanted primary implants

Due to the automatic bone segmentation, mediCAD® 3D Hip facilitates the exchange of a prosthesis (revision) by showing and hiding the already implanted implants.

implant show hide

 

Implant compatibility

Increased accuracy in implant selection and implant compatibility

Every hip or hip pathology is individual and has its own specific requirements. Therefore, it is of great importance that the surgeon carefully examines the patient's condition before surgery. In addition to radiological examinations and other measures, the preoperative planning of the operation plays a decisive role in the selection of the right implants. mediCAD® 3D Hip Software makes it easier for you to choose the right implants. A large and permanently expanding implant database is at your disposal to help you choose the right prosthesis.

Automatic assembly of modular and non modular implants

The individual requirements of the implants, especially for revision procedures, are given and the determination which implant can be used is only determined by an optimal planning. mediCAD® 3D Hip helps you to make this decision easier. Through previously defined measuring points, the modular and non-modular implants are automatically positioned and assembled.

implant auswahl

 

Automatic preoperative and digital documentation of operations (surgical report)

For your personal quality requirements and the quality of your hospital, we recommend professional and digital OR preparation and revision-safe documentation of the planning, in order to meet the requirements of the legislator. mediCAD® 3D Hip digitally documents all preparation measures that you have taken during the planning and saves them revision-safe in your PAC system. In addition, you can easily print out the digital planning and give it to the patient during the consultation.

OP report1

OP report2