Application of mixed reality technology in talocalcaneal coalition resection

ObjectivesWith positive outcomes recorded, the mixed reality (MR) technology has lately become popular in orthopedic surgery. However, there are few studies that specifically address the utility of MR in talocalcaneal coalitions (TCC) resection. Our goal in this retrospective study is to assess cert...

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Main Authors: Jieyuan Zhang, Cheng Wang, Xueqian Li, Shaoling Fu, Wenqi Gu, Zhongmin Shi
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.1084365/full
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author Jieyuan Zhang
Cheng Wang
Xueqian Li
Shaoling Fu
Wenqi Gu
Wenqi Gu
Zhongmin Shi
author_facet Jieyuan Zhang
Cheng Wang
Xueqian Li
Shaoling Fu
Wenqi Gu
Wenqi Gu
Zhongmin Shi
author_sort Jieyuan Zhang
collection DOAJ
description ObjectivesWith positive outcomes recorded, the mixed reality (MR) technology has lately become popular in orthopedic surgery. However, there are few studies that specifically address the utility of MR in talocalcaneal coalitions (TCC) resection. Our goal in this retrospective study is to assess certain data while examining the viability of using MR to treat TCC resection.MethodsSix consecutive patients with TCC diagnosed by computed tomography (CT) for which nonoperative therapy had failed and MR system assisted TCC resection were included in this study from March 2021 to December 2021. The feasibility and accuracy of TCC resection were assessed by post-operation radiography. The American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score and visual analog scale (VAS) score were used to assess the recovery condition and pain level pre- and post-operation.ResultsThe surgeon can accurately resect the TCC according to the preoperatively determined range by superimposing the holographic model with the actual anatomy of the TCC using an MR system. Additionally, no additional x-ray was necessary while operating. Mean follow-up was 10.3 months, with a minimum of 6 months. There is a significant difference between the preoperative AOFAS score of 53.4 ± 3.8 and the 6-month follow-up AOFAS score of 97.3 ± 2.2 (p < 0.05). There is also a significant difference between the preoperative VAS score of 8.1 ± 0.7 and the 6-month follow-up VAS score of 1.7 ± 0.4 (p < 0.05). All individuals had clinical subtalar mobility without stiffness following surgery.ConclusionWhile the TCC resection operation is being performed, the application of MR technology is practicable, effective, and radiation-free, giving surgeons satisfactory support.
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spelling doaj.art-57927d86d74741118b9f36dbd07b35fa2023-01-06T13:10:14ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.10843651084365Application of mixed reality technology in talocalcaneal coalition resectionJieyuan Zhang0Cheng Wang1Xueqian Li2Shaoling Fu3Wenqi Gu4Wenqi Gu5Zhongmin Shi6Department of Orthopedic Surgery, Shanghai Sixth People’s Hospital, Shanghai, ChinaDepartment of Orthopedic Surgery, Shanghai Sixth People’s Hospital, Shanghai, ChinaDepartment of Orthopedic Surgery, Shanghai Sixth People’s Hospital, Shanghai, ChinaDepartment of Orthopedic Surgery, Shanghai Sixth People’s Hospital, Shanghai, ChinaDepartment of Orthopedic Surgery, Shanghai Sixth People’s Hospital, Shanghai, ChinaDepartment of Orthopedic Surgery, Shanghai Sixth People’s Hospital East Campus, Shanghai, ChinaDepartment of Orthopedic Surgery, Shanghai Sixth People’s Hospital, Shanghai, ChinaObjectivesWith positive outcomes recorded, the mixed reality (MR) technology has lately become popular in orthopedic surgery. However, there are few studies that specifically address the utility of MR in talocalcaneal coalitions (TCC) resection. Our goal in this retrospective study is to assess certain data while examining the viability of using MR to treat TCC resection.MethodsSix consecutive patients with TCC diagnosed by computed tomography (CT) for which nonoperative therapy had failed and MR system assisted TCC resection were included in this study from March 2021 to December 2021. The feasibility and accuracy of TCC resection were assessed by post-operation radiography. The American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score and visual analog scale (VAS) score were used to assess the recovery condition and pain level pre- and post-operation.ResultsThe surgeon can accurately resect the TCC according to the preoperatively determined range by superimposing the holographic model with the actual anatomy of the TCC using an MR system. Additionally, no additional x-ray was necessary while operating. Mean follow-up was 10.3 months, with a minimum of 6 months. There is a significant difference between the preoperative AOFAS score of 53.4 ± 3.8 and the 6-month follow-up AOFAS score of 97.3 ± 2.2 (p < 0.05). There is also a significant difference between the preoperative VAS score of 8.1 ± 0.7 and the 6-month follow-up VAS score of 1.7 ± 0.4 (p < 0.05). All individuals had clinical subtalar mobility without stiffness following surgery.ConclusionWhile the TCC resection operation is being performed, the application of MR technology is practicable, effective, and radiation-free, giving surgeons satisfactory support.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1084365/fullmixed realitytalocalcaneal coalitionsresectionnavigationcomputed tomography
spellingShingle Jieyuan Zhang
Cheng Wang
Xueqian Li
Shaoling Fu
Wenqi Gu
Wenqi Gu
Zhongmin Shi
Application of mixed reality technology in talocalcaneal coalition resection
Frontiers in Surgery
mixed reality
talocalcaneal coalitions
resection
navigation
computed tomography
title Application of mixed reality technology in talocalcaneal coalition resection
title_full Application of mixed reality technology in talocalcaneal coalition resection
title_fullStr Application of mixed reality technology in talocalcaneal coalition resection
title_full_unstemmed Application of mixed reality technology in talocalcaneal coalition resection
title_short Application of mixed reality technology in talocalcaneal coalition resection
title_sort application of mixed reality technology in talocalcaneal coalition resection
topic mixed reality
talocalcaneal coalitions
resection
navigation
computed tomography
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.1084365/full
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