1. Orthopaedic planning and templating Orthopaedic Planning and Templating with PACS Chris Pinner, Commercial Director, OrthoView

2. Orthopaedic planning and templating Introduction Orthopaedic Surgeons use film x-rays to plan procedures. The most common are –joint replacement – by overlaying acetate templates to select and position prostheses –Paediatric assessment – measuring –Trauma surgery – reduction and selection of plates and nails –Osteotomy

3. Orthopaedic planning and templating Planning with Film

4. Orthopaedic planning and templating What does Digital Planning Deliver? Completes the PACS for orthopaedic surgeons so they can accept film being switched off Offers greater convenience compared with traditional methods (films and acetates, etc.) Offers greater accuracy than traditional methods Creates audit trail Facilitates inventory management

5. Orthopaedic planning and templating Benefits to the surgeon Up to date templates Templates always where they are needed Image scaling for more accurate planning Automatic generation and saving of reports Facilitates collaborative planning Enables new ways of working

6. Orthopaedic planning and templating Principle issues to consider Availability of digital templating –UK surgeons often plan and template immediately before the surgical procedure –Some may choose to template in advance and off site –Process typically takes 1 to 3 minutes –Completed plans stored back to patient record in PACS –Surgeons may review plans in group meetings before surgery –Templated image may need to be reviewed in theatre –Orthopaedic rep can be involved in planning

7. Orthopaedic planning and templating Issues for Radiology Accurate scaling requires a marker on every image Marker should be placed in the plane of interest Many different types of marker available. Discs recommended.

8. Orthopaedic planning and templating Deployment Options Integrated to PACS Standalone Networked

9. Orthopaedic planning and templating PACS Network

10. Orthopaedic planning and templating Integrated into PACS

11. Orthopaedic planning and templating Standalone Orthopaedic Planning

12. Orthopaedic planning and templating Networked deployment of digital planning

13. Orthopaedic planning and templating Available to anyone connected to the Server

14. Orthopaedic planning and templating Thank You Any Questions?