Sakol NakdhamabhornJackrit SuthakornMahidol University2018-06-112018-06-112012-12-01Lecture Notes in Electrical Engineering. Vol.125 LNEE, No.VOL. 2 (2012), 195-20318761119187611002-s2.0-84880676503https://repository.li.mahidol.ac.th/handle/20.500.14594/14109Closed Intramedullary Nailing of Femur is a frequent orthopedic surgical operation. Traditionally, surgeons are performing the procedure based realtime on fluoroscopic images. Therefore, a great amount of X-Ray is exposed to both patient and surgeon. One of the most difficult tasks is the distal locking process which requires trail-and-error and skill for understanding 2D images generated from 3D objects. This paper describes the overall design and experimental sections of our research series on developing a surgical navigation system using a robot guiding device based on fluoroscopic images. Two approaches with and without employing optical tracking to generate relationship among tools, patient, and imaging system are presented. Moreover, a new technique to interface between surgeon and system is proposed to reduce the problem of hand-eye coordination on most surgical navigation system. This work is built on our previous work on path generation for distal locking process. Our experiment results show a promising solution for guiding the surgeon during the distal locking process in Closed Intramedullary Nailing of Femur. © 2012 Springer-Verlag GmbH.Mahidol UniversityEngineeringConference PaperSCOPUS10.1007/978-3-642-25789-6_29