ReviewArchives of orthopaedic and trauma surgery2021
A novel augmented reality-based surgical guidance system for total knee arthroplasty.
Review in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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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
30 citing papers in PubMed, 40 citations in OpenAlex.
- Using Hologram-Based Augmented Reality in Anatomy Learning: The TEACHANATOMY Randomized Trial.Academic medicine : journal of the Association of American Medical Colleges · 2025Trial
- Intraoperative Analysis of Collateral Ligament Elongation Patterns by Coronal Plane Alignment of the Knee Classification Using Augmented Reality Navigation in Japanese Osteoarthritic Knees.Arthroplasty today · 2026Article
- Optimizing arthroplasty outcomes: the impact of artificial intelligence and robotic assistance.Annals of medicine and surgery (2012) · 2026Review
- Changes in kinematic behavior and collateral ligament strain after medially stabilized TKA using a novel intraoperative navigation platform: a cadaveric study.Archives of orthopaedic and trauma surgery · 2026Article
- Artificial intelligence in orthopaedics: Enhanced examinations, ambient intelligence and the future of clinical practice.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- Impact of flexion contracture severity on early outcomes of computer-navigated total knee arthroplasty: a retrospective cohort study.Journal of orthopaedic surgery and research · 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
- Clinical technique for augmented reality-guided tibial resection in kinematic alignment total knee arthroplasty: Real-time ligament elongation enables personalised soft tissue balance.Journal of experimental orthopaedics · 2026Article
- Concurrent validation of a novel intraoperative navigation platform for total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2026Article
- Collateral Ligament Tension Guided Medial Unicompartmental Knee Revision to a Kinematically Aligned Total Knee Arthroplasty.The archives of bone and joint surgery · 2026Article
- High coronal alignment accuracy and satisfactory early outcomes using augmented reality assisted kinematic alignment in total knee arthroplasty.Journal of experimental orthopaedics · 2025Article
- 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
- The augmented reality-aided navigation system may improve rotational alignment of the tibial baseplate in total knee arthroplasty.BMC musculoskeletal disorders · 2025Article
- A navigation-based analysis of native knee collateral ligament length change patterns in function of CPAK classification.Archives of orthopaedic and trauma surgery · 2025Article
- A systematic literature review on integrating AI-powered smart glasses into digital health management for proactive healthcare solutions.NPJ digital medicine · 2025Article
- Augmented reality in total knee arthroplasty: Balancing precision, promise, and challenges in surgical innovation.World journal of orthopedics · 2025Article
- Accuracy of a New Augmented Reality Assisted Technique for Total Knee Arthroplasty: An In Vivo Study.Arthroplasty today · 2024Article
- Novel Surgical Technique for Total Knee Arthroplasty Integrating Kinematic Alignment and Real-Time Elongation of the Ligaments Using the NextAR System.Journal of personalized medicine · 2024Article
- Total Knee Arthroplasty With Robotic and Augmented Reality Guidance: A Hierarchical Task Analysis.Arthroplasty today · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMany of the functional complications that arise after total knee arthroplasty (TKA) are caused by a non-optimal balance of the knee after surgery. Over the past 20 years, technology has been used in the Operating Room (OR) to help improve precision and balance. The results of Computer-Assisted Surgery (CAS) and robotic systems show improved accuracy regarding implant positioning but a relatively small improvement in patient-reported outcomes and implant survival compared to conventional TKA. Recently, Augmented Reality (AR) has been proposed as a technology that could improve accuracy in orthopaedic surgery, providing a more efficient and cost-effective solution. MATERIALS AND
methodsThis article describes a novel AR-based surgical guidance system that measures intra-operatively the effect of prosthesis alignment and positioning on soft tissue balance. The system is integrated in a pair of smart glasses and two small sensors and displays surgical targets directly in the field of view of the surgeon.
resultsThe system has been used in a limited number of cases. While the preliminary experience has been positive, clinical research is ongoing to confirm to confirm the performance of the system and the impact on clinical outcomes.
conclusionAugmented Reality can be a valuable tool to improve accuracy in TKA. The use of smart glasses and integrated sensors improves the efficiency of the procedure, particularly when coupled with single-use instrumentation. A novel protocol for soft tissue assessment allows for a 3-dimensional evaluation of the ligaments and a better measurement of the effect of tibial rotation.
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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.