Let’s Get Personal: Shifting the Paradigm in Orthopaedic Surgery
Joshua Giles, PhD, Department of Mechanical Engineering, UVic
Friday, March 8: 12:30 to 1:45 pm
This lecture will focus on a shift that is occurring in orthopaedic surgery; namely, the personalization of joint replacement surgical planning. We will discuss where planning started, where it is now, and where research at UVic is taking it. Historically, surgeons had access to minimal information – a few x-rays and qualitative observations of joint function – to pre-operatively plan their surgeries, which limited personalization. More recently, Computed Tomography (CT) scanning enabled surgeons to visualize patient anatomy in 3D and, over the past few years, to interactively plan the placement of implants. However, there remains a lack of high quality pre-operative patient functional information and planning software provides little meaningful data to aid in personalization. Therefore, Dr. Giles’ research group is beginning to develop wearable sensors that acquire functional data as well as software that use that information and anatomical CT images to predict the optimal surgical plan for a given patient.
Dr. Joshua Giles is an Assistant Professor of Mechanical Engineering at UVic and leads the recently established Orthopaedic Technologies and Biomechanics Lab. This lab has two main foci: 1) improving our understanding of fundamental musculoskeletal biomechanics as well as the biomechanics of injuries and clinical treatments, 2) developing novel technologies that can improve orthopaedic diagnosis, clinician training, surgical planning, and rehabilitation. These two areas can involve projects that are independent of each other but Dr. Giles’ lab also focuses on the integration of these areas to yield improved clinical impact.
Throughout his career, Dr. Giles’ work has been strongly translational whether it has been through biomechanical investigations (primarily during his PhD at Western University, London, ON) that have answered timely clinical questions and thus changed clinical practice or the development of novel devices to improve surgery as in his post-doctoral research at Imperial College London, London, UK.