Contribution à la modélisation morphofonctionnelle 3D de l’épaule

Abstract : Three-dimensional subject-specific models are increasingly requested for surgical planning and research in biomechanics. The main objective of this cotutelle thesis was to improve the 3D reconstruction method using biplane radiography images proposed by Lagacé, Ohl et al., in order to facilitate its application in clinic, especially to assist surgical planning and/or post-surgical evaluation. The low-dose biplane radiography EOS was used and an improvement to the reconstruction method was proposed. Fourteen clinical indices used more or less routinely in clinical diagnosis for monitoring of shoulder disorders and for surgical planning and postoperative evaluation were calculated and evaluated. The accuracy is acceptable and reproducibility is similar to what is presented in the literature. The proposed approach brings an improvement of reconstruction in a context where it would be interesting for clinical routine use. Although improvements are required, this contribution brings a stone to the analysis of intact and pathological joint and is promising as to the possibility of its presence in the clinical routine for evaluating pre- and post-operative surgery.
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Cheng Zhang. Contribution à la modélisation morphofonctionnelle 3D de l’épaule. Biomécanique [physics.med-ph]. Ecole nationale supérieure d'arts et métiers - ENSAM, 2016. Français. ⟨NNT : 2016ENAM0072⟩. ⟨tel-01440962⟩

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