Evidence map›Paper›PMID 38229102›Full record

ArticlePatient safety in surgery2024

Augmented reality-based surgical navigation of pelvic screw placement: an ex-vivo experimental feasibility study.

Sandro-Michael Heining, Vladislav Raykov, Oliver Wolff, Hatem Alkadhi, Hans-Christoph Pape, Guido A Wanner

Abstract read
In one paragraph

Article in Patient safety in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. [Innovations in pelvic tumor surgery : Review and outlook].Orthopadie (Heidelberg, Germany) · 2026
    Review
  3. Augmented reality in pelvic surgery: using an AR-headset as intraoperative radiation-free navigation tool.International journal of computer assisted radiology and surgery · 2025
    Article
  4. Article
  5. Efficacy and outcomes of rescue screws in unstable pelvic ring injuries - A retrospective matched cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sandro-Michael Heining *Department of Traumatology, University Hospital Zurich, Zurich, Switzerland.
Vladislav Raykov *Department of Orthopedics & Traumatology, Landeskrankenhaus Bludenz, Bludenz, Austria.
Oliver WolffHochschule Luzern Technik & Architektur, Luzern, Switzerland.
Hatem AlkadhiDepartment of Radiology, University Hospital Zurich, Zurich, Switzerland.
Hans-Christoph PapeDepartment of Traumatology, University Hospital Zurich, Zurich, Switzerland.
Guido A WannerSpine Clinic & Traumatology, Private Hospital Bethanien, Swiss Medical Network, Zurich, Switzerland. guido.wanner@hin.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive surgical treatment of pelvic trauma requires a significant level of surgical training and technical expertise. Novel imaging and navigation technologies have always driven surgical technique, and with head-mounted displays being commercially available nowadays, the assessment of such Augmented Reality (AR) devices in a specific surgical setting is appropriate.

methodsIn this ex-vivo feasibility study, an AR-based surgical navigation system was assessed in a specific clinical scenario with standard pelvic and acetabular screw pathways. The system has the following components: an optical-see-through Head Mounted Display, a specifically designed modular AR software, and surgical tool tracking using pose estimation with synthetic square markers.

resultsThe success rate for entry point navigation was 93.8%, the overall translational deviation of drill pathways was 3.99 ± 1.77 mm, and the overall rotational deviation of drill pathways was 4.3 ± 1.8°. There was no relevant theoretic screw perforation, as shown by 88.7% Grade 0-1 and 100% Grade 0-2 rating in our pelvic screw perforation score. Regarding screw length, 103 ± 8% of the planned pathway length could be realized successfully.

conclusionThe novel innovative system assessed in this experimental study provided proof-of-concept for the feasibility of percutaneous screw placement in the pelvis and, thus, could easily be adapted to a specific clinical scenario. The system showed comparable performance with other computer-aided solutions while providing specific advantages such as true 3D vision without intraoperative radiation; however, it needs further improvement and must still undergo regulatory body approval. Future endeavors include intraoperative registration and optimized tool tracking.

Indexed as

Augmented realityHead-mounted displayPelvic traumaSurgical navigation

Identifiers

PMID38229102
PMCPMC10790465

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.