Evidence map›Paper›PMID 40713571›Full record

ArticleBMC musculoskeletal disorders2025

The augmented reality-aided navigation system may improve rotational alignment of the tibial baseplate in total knee arthroplasty.

Sachiyuki Tsukada, Hiroyuki Ogawa, Masayoshi Saito, Shizuka Minagawa, Miki Kurita, Naoyuki Hirasawa

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Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sachiyuki TsukadaDepartment of Orthopaedic Surgery, Hokusuikai Kinen Hospital, 3-2-1 Higashihara, Mito, Ibaraki, 310-0035, Japan.ORCID http://orcid.org/0000-0002-1186-5232
Hiroyuki OgawaDepartment of Orthopaedic Surgery, Hokusuikai Kinen Hospital, 3-2-1 Higashihara, Mito, Ibaraki, 310-0035, Japan. wscww899@yahoo.co.jp.
Masayoshi SaitoDepartment of Orthopaedic Surgery, Hokusuikai Kinen Hospital, 3-2-1 Higashihara, Mito, Ibaraki, 310-0035, Japan.
Shizuka MinagawaDepartment of Radiology, Hokusuikai Kinen Hospital, 3-2-1 Higashihara, Mito, Ibaraki, 310-0035, Japan.
Miki KuritaDepartment of Radiology, Hokusuikai Kinen Hospital, 3-2-1 Higashihara, Mito, Ibaraki, 310-0035, Japan.
Naoyuki HirasawaDepartment of Orthopaedic Surgery, Hokusuikai Kinen Hospital, 3-2-1 Higashihara, Mito, Ibaraki, 310-0035, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTibial rotational alignment is the most prone to error among the placement angles of the prosthesis in total knee arthroplasty (TKA). The augmented reality (AR)-aided navigation system enables surgeons to visualize the tibial anteroposterior axis established on the pre-resection surface superimposed on the bone surface after proximal tibial resection.

methodsWe compared the axial, coronal, and sagittal alignments of the tibial baseplate between 58 TKAs performed using an AR-aided navigation system and 64 TKAs in which the rotational alignment was determined manually. To assess alignment, the three-dimensional coordinates of the lower limb from preoperative CT data were overlaid onto postoperative CT data using a surface-matching algorithm.

resultsThe absolute difference between the anteroposterior axis and the rotational angle of the tibial baseplate was significantly smaller in the AR-aided group compared to the control group (3.7 ± 3.4° vs. 5.1 ± 4.4°, p = 0.047). In both coronal and sagittal alignments, the absolute differences between the target angle and the measured angle were not significantly different between the two groups (1.1 ± 0.9° vs. 1.2 ± 1.0°, p = 0.75 in coronal alignment, and 1.9 ± 1.3° vs. 1.7 ± 1.4°, p = 0.43 in sagittal alignment, respectively).

conclusionsThe AR-aided navigation system slightly but significantly improved the accuracy of tibial rotational alignment.

Indexed as

Arthroplasty, Replacement, KneeAugmented RealityKnee JointSurgery, Computer-AssistedTibiaAgedAged, 80 and overFemaleHumansImaging, Three-DimensionalKnee ProsthesisMaleMiddle AgedRetrospective StudiesRotationTomography, X-Ray ComputedAugmented realityComputer-assisted surgeryKneePrimary arthroplastySmartphone

Identifiers

PMID40713571
PMCPMC12291420

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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.