Virtual, augmented, and mixed reality applications in orthopedic surgery

Int J Med Robot. 2020 Apr;16(2):e2067. doi: 10.1002/rcs.2067. Epub 2020 Feb 6.

Abstract

Background: Innovation in computer-assisted surgery (CAS) aims to increase operative accuracy and improve safety by decreasing procedure-related complications. The application of reality technologies, to CAS has begun to revolutionize orthopedic training and practice.

Methods: For this review, relevant published reports were found via searches of Medline (PubMed) data base using the following medical subject headings (MeSH) terms: "virtual reality" or "augmented reality" or "mixed reality" with "orthopedics" or "orthopedic surgery" and all relevant reports we utilized.

Results: Trainees now have authentic and highly interactive operative simulations without the need for supervision. The practicing orthopedic surgeon is better able to pre-operatively plan and intra-operatively navigate without the use of fluoroscopy, gain access to three-dimensional reconstructions of patient imaging, and remotely interact with colleagues located outside the operating room.

Conclusion: This review provides a current and comprehensive examination of the reality technologies and their applications in Orthopedic surgery.

Keywords: augmented reality; imaged-guided surgery; intraoperative imaging; simulation; telesurgery; virtual reality.

Publication types

  • Review

MeSH terms

  • Augmented Reality
  • Computer Simulation
  • Humans
  • Image Processing, Computer-Assisted
  • Imaging, Three-Dimensional
  • Intraoperative Period
  • Laparoscopy
  • Minimally Invasive Surgical Procedures
  • Operating Rooms
  • Orthopedic Procedures / methods*
  • Pedicle Screws
  • Reproducibility of Results
  • Robotic Surgical Procedures / methods*
  • Surgery, Computer-Assisted / methods*
  • Virtual Reality