Applicability of augmented reality in orthopedic surgery – A systematic review

Abstract Background Computer-assisted solutions are changing surgical practice continuously. One of the most disruptive technologies among the computer-integrated surgical techniques is Augmented Reality (AR). While Augmented Reality is increasingly used in several medical specialties, its potential...

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Main Authors: Lukas Jud, Javad Fotouhi, Octavian Andronic, Alexander Aichmair, Greg Osgood, Nassir Navab, Mazda Farshad
Format: Article
Language:English
Published: BMC 2020-02-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-020-3110-2
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author Lukas Jud
Javad Fotouhi
Octavian Andronic
Alexander Aichmair
Greg Osgood
Nassir Navab
Mazda Farshad
author_facet Lukas Jud
Javad Fotouhi
Octavian Andronic
Alexander Aichmair
Greg Osgood
Nassir Navab
Mazda Farshad
author_sort Lukas Jud
collection DOAJ
description Abstract Background Computer-assisted solutions are changing surgical practice continuously. One of the most disruptive technologies among the computer-integrated surgical techniques is Augmented Reality (AR). While Augmented Reality is increasingly used in several medical specialties, its potential benefit in orthopedic surgery is not yet clear. The purpose of this article is to provide a systematic review of the current state of knowledge and the applicability of AR in orthopedic surgery. Methods A systematic review of the current literature was performed to find the state of knowledge and applicability of AR in Orthopedic surgery. A systematic search of the following three databases was performed: “PubMed”, “Cochrane Library” and “Web of Science”. The systematic review followed the Preferred Reporting Items on Systematic Reviews and Meta-analysis (PRISMA) guidelines and it has been published and registered in the international prospective register of systematic reviews (PROSPERO). Results 31 studies and reports are included and classified into the following categories: Instrument / Implant Placement, Osteotomies, Tumor Surgery, Trauma, and Surgical Training and Education. Quality assessment could be performed in 18 studies. Among the clinical studies, there were six case series with an average score of 90% and one case report, which scored 81% according to the Joanna Briggs Institute Critical Appraisal Checklist (JBI CAC). The 11 cadaveric studies scored 81% according to the QUACS scale (Quality Appraisal for Cadaveric Studies). Conclusion This manuscript provides 1) a summary of the current state of knowledge and research of Augmented Reality in orthopedic surgery presented in the literature, and 2) a discussion by the authors presenting the key remarks required for seamless integration of Augmented Reality in the future surgical practice. Trial registration PROSPERO registration number: CRD42019128569.
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spelling doaj.art-37eea215781f4fefbf58eba8942df1f92022-12-21T22:01:22ZengBMCBMC Musculoskeletal Disorders1471-24742020-02-0121111310.1186/s12891-020-3110-2Applicability of augmented reality in orthopedic surgery – A systematic reviewLukas Jud0Javad Fotouhi1Octavian Andronic2Alexander Aichmair3Greg Osgood4Nassir Navab5Mazda Farshad6Department of Orthopedics, Balgrist University Hospital, University of ZurichComputer Aided Medical Procedure, Johns Hopkins UniversityDepartment of Orthopedics, Balgrist University Hospital, University of ZurichDepartment of Orthopedics, Balgrist University Hospital, University of ZurichJohns Hopkins Hospital, Department of Orthopedics SurgeryComputer Aided Medical Procedure, Johns Hopkins UniversityDepartment of Orthopedics, Balgrist University Hospital, University of ZurichAbstract Background Computer-assisted solutions are changing surgical practice continuously. One of the most disruptive technologies among the computer-integrated surgical techniques is Augmented Reality (AR). While Augmented Reality is increasingly used in several medical specialties, its potential benefit in orthopedic surgery is not yet clear. The purpose of this article is to provide a systematic review of the current state of knowledge and the applicability of AR in orthopedic surgery. Methods A systematic review of the current literature was performed to find the state of knowledge and applicability of AR in Orthopedic surgery. A systematic search of the following three databases was performed: “PubMed”, “Cochrane Library” and “Web of Science”. The systematic review followed the Preferred Reporting Items on Systematic Reviews and Meta-analysis (PRISMA) guidelines and it has been published and registered in the international prospective register of systematic reviews (PROSPERO). Results 31 studies and reports are included and classified into the following categories: Instrument / Implant Placement, Osteotomies, Tumor Surgery, Trauma, and Surgical Training and Education. Quality assessment could be performed in 18 studies. Among the clinical studies, there were six case series with an average score of 90% and one case report, which scored 81% according to the Joanna Briggs Institute Critical Appraisal Checklist (JBI CAC). The 11 cadaveric studies scored 81% according to the QUACS scale (Quality Appraisal for Cadaveric Studies). Conclusion This manuscript provides 1) a summary of the current state of knowledge and research of Augmented Reality in orthopedic surgery presented in the literature, and 2) a discussion by the authors presenting the key remarks required for seamless integration of Augmented Reality in the future surgical practice. Trial registration PROSPERO registration number: CRD42019128569.https://doi.org/10.1186/s12891-020-3110-2Augmented realityOrthopaedic surgeryTrauma surgeryImage overlay
spellingShingle Lukas Jud
Javad Fotouhi
Octavian Andronic
Alexander Aichmair
Greg Osgood
Nassir Navab
Mazda Farshad
Applicability of augmented reality in orthopedic surgery – A systematic review
BMC Musculoskeletal Disorders
Augmented reality
Orthopaedic surgery
Trauma surgery
Image overlay
title Applicability of augmented reality in orthopedic surgery – A systematic review
title_full Applicability of augmented reality in orthopedic surgery – A systematic review
title_fullStr Applicability of augmented reality in orthopedic surgery – A systematic review
title_full_unstemmed Applicability of augmented reality in orthopedic surgery – A systematic review
title_short Applicability of augmented reality in orthopedic surgery – A systematic review
title_sort applicability of augmented reality in orthopedic surgery a systematic review
topic Augmented reality
Orthopaedic surgery
Trauma surgery
Image overlay
url https://doi.org/10.1186/s12891-020-3110-2
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