{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T15:18:22Z","timestamp":1777043902611,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,8,7]],"date-time":"2018-08-07T00:00:00Z","timestamp":1533600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Siemens Healthcare GmbH"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A virtual guidance framework is used to assist the conventional method of virtual implant planning system (VIPS). The study null hypothesis was that its screw placement accuracy is equal to that of conventional VIPS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In 34 distal radius sawbone models, 3D implant planning was performed. A camera attached to the surgical drill was used to support screw positioning. Differences of angles\/tip distances between planned and placed screws were identified in intraoperative cone beam Computer tomography (CT) and compared with already existing data from 22 patients treated by conventional VIPS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The virtual guidance group showed tip distances of 1.02\u00a0\u00b1\u00a00.56\u00a0mm, azimuth of 3.69<jats:bold>\u00b0<\/jats:bold>\u00a0\u00b1\u00a04.34<jats:bold>\u00b0<\/jats:bold>, and inclination of 1.75<jats:bold>\u00b0<\/jats:bold>\u00a0\u00b1\u00a01.37<jats:bold>\u00b0<\/jats:bold>, whereas the VIPS group showed tip distances of 2.23\u00a0\u00b1\u00a00.99\u00a0mm (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), azimuth of 23.17<jats:bold>\u00b0<\/jats:bold>\u00a0\u00b1\u00a033.50<jats:bold>\u00b0<\/jats:bold> (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), and inclination angle of 4.18<jats:bold>\u00b0<\/jats:bold>\u00a0\u00b1\u00a06.29<jats:bold>\u00b0<\/jats:bold> (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results reveal that using a guidance framework leads to a higher accuracy in screw placement compared with the conventional VIPS itself.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.1945","type":"journal-article","created":{"date-parts":[[2018,8,7]],"date-time":"2018-08-07T12:49:28Z","timestamp":1533646168000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Virtual guidance versus virtual implant planning system in the treatment of distal radius fractures"],"prefix":"10.1002","volume":"14","author":[{"given":"Sven Yves","family":"Vetter","sequence":"first","affiliation":[{"name":"BG\u2010Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma Trauma Clinic at Heidelberg University  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Magaraggia","sequence":"additional","affiliation":[{"name":"Division of Medical Image Computing German Cancer Research Center (DKFZ)  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nils","family":"Beisemann","sequence":"additional","affiliation":[{"name":"BG\u2010Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma Trauma Clinic at Heidelberg University  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Schnetzke","sequence":"additional","affiliation":[{"name":"BG\u2010Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma Trauma Clinic at Heidelberg University  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Keil","sequence":"additional","affiliation":[{"name":"BG\u2010Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma Trauma Clinic at Heidelberg University  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jochen","family":"Franke","sequence":"additional","affiliation":[{"name":"BG\u2010Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma Trauma Clinic at Heidelberg University  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul Alfred","family":"Gr\u00fctzner","sequence":"additional","affiliation":[{"name":"BG\u2010Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma Trauma Clinic at Heidelberg University  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4005-9923","authenticated-orcid":false,"given":"Benedict","family":"Swartman","sequence":"additional","affiliation":[{"name":"BG\u2010Klinik Ludwigshafen, MINTOS Research Group, Department of Orthopaedics and Orthopaedic Trauma Trauma Clinic at Heidelberg University  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001980050073"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B10.17683"},{"issue":"1","key":"e_1_2_7_4_1","first-page":"99","article-title":"Dorsal double\u2010plate fixation of the distal radius. 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