Total hip replacement

Identifying the proper orientation of the pelvis is a critical step in accurate placement of the femur prosthesis in the acetabulum in Total Hip Replacement (THR) surgeries. The general approach to localize the orientation of the pelvis coordinate system is to use X-ray fluoroscopy to guide the procedure. An alternative can be employing intra-operative ultrasound (US) imaging with pre-operative CT scan or fluoroscopy imaging. In this paper, we propose to replace the need of pre-operative imaging by using a statistical shape model of the pelvis, constructed from several CT images. We then propose an automatic deformable intensity-based registration of the anatomical atlas to a sparse set of 2D ultrasound images of the pelvis in order to localize its anatomical coordinate system.