ArticleJB & JS open access
Augmented Reality-Assisted Femoral Bone Resection in Total Knee Arthroplasty.
Article in JB & JS open access. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Augmented reality for orthopedic and maxillofacial oncological surgery: a systematic review focusing on both clinical and technical aspects.Frontiers in bioengineering and biotechnology · 2023Pooled it
- Risk of surgical site infection associated with intraoperative smartphone use in a sterile cover during total knee arthroplasty.International orthopaedics · 2026Article
- A Novel Mixed-Reality System Has Comparable Accuracy to a Robotic System in Total Knee Arthroplasty.Arthroplasty today · 2026Article
- Use of extended reality, virtual reality, augmented reality and mixed reality in clinical practice, education and research in knee arthroplasty: A scoping review.Journal of experimental orthopaedics · 2026Article
- Restricted kinematic alignment total knee arthroplasty using augmented reality technology to maintain limb alignment within targeted boundaries.Arthroplasty (London, England) · 2026Article
- The Integration of Extended Reality in Arthroplasty: Reviewing Technological Progress and Clinical Benefits.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Review
- Augmented reality navigation improves intraoperative resection accuracy but may not prevent alignment deviations in total knee arthroplasty.Journal of experimental orthopaedics · 2025Article
- High coronal alignment accuracy and satisfactory early outcomes using augmented reality assisted kinematic alignment in total knee arthroplasty.Journal of experimental orthopaedics · 2025Article
- Augmented reality in total knee arthroplasty: Balancing precision, promise, and challenges in surgical innovation.World journal of orthopedics · 2025Article
- Does Intramedullary Reaming in Total Knee Arthroplasty Increase Postoperative Bleeding? A Propensity Score-Matched Cohort Study.Arthroplasty today · 2025Article
- Smartphone Technology for Applications in Image-Guided Minimally Invasive Interventional Procedures.Cardiovascular and interventional radiology · 2025Review
- The amount of femorotibial alignment correction through total knee arthroplasty may affect postoperative hindfoot alignment.Journal of experimental orthopaedics · 2024Article
- Total Knee Arthroplasty With Robotic and Augmented Reality Guidance: A Hierarchical Task Analysis.Arthroplasty today · 2024Article
- Robotic Total Knee Arthroplasty: An Update.Journal of personalized medicine · 2024Review
- Article
- Feasibility and Usability of Augmented Reality Technology in the Orthopaedic Operating Room.Current reviews in musculoskeletal medicine · 2024Review
- An Image-Based Augmented Reality System for Achieving Accurate Bone Resection in Total Knee Arthroplasty.Cureus · 2024Article
- Single-center experience with Knee+™ augmented reality navigation system in primary total knee arthroplasty.World journal of orthopedics · 2024Article
- The Accuracy and Absolute Reliability of a Knee Surgery Assistance System Based on ArUco-Type Sensors.Sensors (Basel, Switzerland) · 2023Article
- [Innovative image-based planning in musculoskeletal surgery].Orthopadie (Heidelberg, Germany) · 2023Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
An augmented reality (AR)-based navigation system allows visualization of the center of the femoral head and femoral mechanical axis superimposed on the surgical field during total knee arthroplasty (TKA) and may help surgeons to improve the accuracy of distal femoral resection.
methodsFirst, we resected 10 femoral Sawbones specimens using the AR-based navigation system and performed computed tomography (CT) to measure the resection angle of the distal part of the femur. We calculated the absolute values of the differences between angles measured using CT images and angles displayed on the smartphone screen of the navigation system. Second, we measured coronal alignment using standing long-leg radiographs for 72 patients undergoing TKA and compared the error in the resection angle between TKA using the AR-based navigation system and that using a conventional intramedullary guide.
resultsIn the experimental study, the absolute values of the differences between angles measured on CT images and angles displayed using the AR-based navigation system were 0.8° ± 0.5° (range, 0.3° to 1.9°) in the coronal plane and 0.6° ± 0.5° (range, 0.0° to 1.4°) in the sagittal plane. In the clinical study, the mean absolute value of the error in coronal alignment was significantly smaller in the AR-based navigation group than the intramedullary-guide group (1.1° ± 1.0° [range, 0.0° to 3.2°] compared with 2.2° ± 1.6° [range, 0.0° to 5.5°], respectively; 95% confidence interval, 0.5° to 1.8°; p < 0.001).
conclusionsThe AR-based navigation system may enable surgeons to perform distal femoral resection more accurately than with the conventional intramedullary guide during TKA. CLINICAL RELEVANCE: This study validates the use of AR technology to enhance the precision of bone resection in TKA.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.