ArticleWorld journal of orthopedics2024
Single-center experience with Knee+™ augmented reality navigation system in primary total knee arthroplasty.
Article in World journal of orthopedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Digital Transformation in Orthopedics: Can India Leapfrog with Artificial Intelligence, Augmented Reality, and Robotics?Journal of orthopaedic case reports · 2026Article
- The Evolving Role of Artificial Intelligence in Hip and Knee Arthroplasty: Indian Perspective and Indigenous Innovation.Journal of orthopaedic case reports · 2026Article
- Mixed-Reality Guidance for Total Knee Arthroplasty Is Associated With More Accurate Femoral Resection but Longer Operative Time Compared to Accelerometer-Based Guidance.Arthroplasty today · 2026Article
- Review
- 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
- Augmented reality in total knee arthroplasty: Balancing precision, promise, and challenges in surgical innovation.World journal of orthopedics · 2025Article
- Implant position accuracy using dynamic computer-assisted implant surgery (CAIS) combined with augmented reality: A randomized controlled clinical trial.Journal of dental sciences · 2024Article
- Accuracy of a New Augmented Reality Assisted Technique for Total Knee Arthroplasty: An In Vivo Study.Arthroplasty today · 2024Article
- Review
Corrections and comments
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Authors and funding
9 authors.
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Abstract
backgroundComputer-assisted systems obtained an increased interest in orthopaedic surgery over the last years, as they enhance precision compared to conventional hardware. The expansion of computer assistance is evolving with the employment of augmented reality. Yet, the accuracy of augmented reality navigation systems has not been determined.
aimTo examine the accuracy of component alignment and restoration of the affected limb's mechanical axis in primary total knee arthroplasty (TKA), utilizing an augmented reality navigation system and to assess whether such systems are conspicuously fruitful for an accomplished knee surgeon.
methodsFrom May 2021 to December 2021, 30 patients, 25 women and five men, underwent a primary unilateral TKA. Revision cases were excluded. A preoperative radiographic procedure was performed to evaluate the limb's axial alignment. All patients were operated on by the same team, without a tourniquet, utilizing three distinct prostheses with the assistance of the Knee+™ augmented reality navigation system in every operation. Postoperatively, the same radiographic exam protocol was executed to evaluate the implants' position, orientation and coronal plane alignment. We recorded measurements in 3 stages regarding femoral varus and flexion, tibial varus and posterior slope. Firstly, the expected values from the Augmented Reality system were documented. Then we calculated the same values after each cut and finally, the same measurements were recorded radiologically after the operations. Concerning statistical analysis, Lin's concordance correlation coefficient was estimated, while Wilcoxon Signed Rank Test was performed when needed.
resultsA statistically significant difference was observed regarding mean expected values and radiographic measurements for femoral flexion measurements only (
conclusionThe results indicate satisfactory postoperative coronal alignment without outliers across all three different implants utilized. Augmented reality navigation systems can bolster orthopaedic surgeons' accuracy in achieving precise axial alignment. However, further research is required to further evaluate their efficacy and potential.
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