ArticleJournal of personalized medicine2024
Novel Surgical Technique for Total Knee Arthroplasty Integrating Kinematic Alignment and Real-Time Elongation of the Ligaments Using the NextAR System.
Article in Journal of personalized medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Targeting ligament boundaries rather than alignment boundaries in augmented-reality-assisted total knee arthroplasty ensures comparable gait patterns between operated and contralateral limbs.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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
- Removing cartilage in the "unworn" side increases the accuracy in restoring the distal joint line in kinematic alignment total knee arthroplasty.Journal of experimental orthopaedics · 2026Article
- Single-use optical tracking navigation for external ventricular drain placement: Preclinical 3D-Printed and cadaveric evaluation with a systematic review.Brain & spine · 2026Article
- Collateral Ligament Tension Guided Medial Unicompartmental Knee Revision to a Kinematically Aligned Total Knee Arthroplasty.The archives of bone and joint surgery · 2026Article
- Feasibility and reliability of shear wave elastography-guided collateral ligament balancing during total knee arthroplasty : an ex vivo study on porcine knees.Bone & joint research · 2025Article
- Artificial intelligence in total knee arthroplasty: clinical applications and implications.Knee surgery & related research · 2025Review
- 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 navigation improves intraoperative resection accuracy but may not prevent alignment deviations 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
- Accuracy and Safety of Pedicle Screw Insertion Using Novel Intraoperative Computed Tomography Navigation System for Spinal Fusion Surgery.Spine surgery and related research · 2025Article
- The influence of CPAK classification on the pivot motion between kinematic and mechanical alignment total knee arthroplasty.Journal of orthopaedics · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study introduces an innovative surgical approach for total knee arthroplasty (TKA) that combines kinematic alignment (KA) principles with real-time elongation of the knee ligaments through the range of motion, using augmented reality (AR). The novelty of the surgical technique lies in the possibility of enhancing the decision-making process to perform the cut on the tibia as for the KA caliper technique developed by Dr. Stephen Howell. The NextAR is a CT-based AR system that offers the possibility of performing three-dimensional surgical preoperative planning and an accurate execution in the surgical room through single-use infrared sensors, smart glasses, and a control unit. During the preoperative planning, the soft tissue is not considered and only the alignment based on bony reference is ensured. Thanks to the possibility of measuring in real time the elongation of the knee collateral lateral ligaments, the system assists the surgeon in optimizing the cut on the tibia after an accurate resurfacing of the femur as described in the KA surgical technique. The implant used in this novel approach is a medial pivot design (Medacta GMK Sphere) that allows the restoration of the physiological behavior of the software tissue and natural knee kinematics. In conclusion, this novel technique offers a promising approach to TKA, allowing personalized treatment tailored to each patient's unique anatomy and soft tissue characteristics. The integration of KA and real-time soft tissue analysis provided by NextAR enhances surgical precision and outcomes, potentially improving patient satisfaction and functional results.
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