Augmented reality and three-dimensional plate library-assisted posterior minimally invasive surgery for scapula fracture

Guo, Qiang; Li, Xiaoning; Tang, Yifu; Huang, Yindong; Luo, Ling

doi:10.1007/s00264-022-05303-6

Cited by 13 publications

(12 citation statements)

References 17 publications

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“…Guo et al evaluated the feasibility, accuracy, and efficacy of AR technology and 3D plate library assisted posterior MIS for scapular fractures [ 33 ]. They retrospectively evaluated the records of 21 patients with scapular fractures treated with posterior MIS with reconstruction plates: 9 patients were treated with conventional fixation, while 12 patients were treated with preoperative virtual simulation and intraoperative navigation-assisted fixation with the AR system.…”

Section: Resultsmentioning

confidence: 99%

“…The authors concluded that AR and 3D plate library-assisted posterior MIS is an effective and reliable method for the treatment of scapular fractures, allowing precise preoperative planning and intraoperative navigation. It also saves time and allows for a more individualized treatment plan, resulting in a safer reduction procedure [ 33 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most of the developments have been made in spine surgery/orthopedic surgery [ 30 , 33 , 34 , 35 , 36 , 40 ] and for endoscopic/laparoscopic procedures [ 28 , 31 , 32 , 33 ], which have not yet fully exploited the potential of this new technology. AR could help identify and visualize critical anatomical structures such as blood vessels and nerves to reduce the risk of injury or to guide the proper placement of surgical instruments [ 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…While the studies discussed here indicate some potential of AR technology in the context of improving MIS navigation solutions [ 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 ], current AR-guided navigation systems have not shown improved precision compared to conventional navigation methods, albeit shown improvements in ergonomics and visualization have been reported [ 38 ]. However, what has been clinically demonstrated to date is evidence of shorter operative times and less blood loss, suggesting a gentler surgical approach [ 33 , 40 ]. Most of the AR-guided navigation studies presented here are experimental development approaches, some of which have shown promising results [ 28 , 31 , 32 , 34 , 36 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

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The Role of Augmented Reality in the Advancement of Minimally Invasive Surgery Procedures: A Scoping Review

2023

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The purpose of this review was to analyze the evidence on the role of augmented reality (AR) in the improvement of minimally invasive surgical (MIS) procedures. A scoping literature search of the PubMed and ScienceDirect databases was performed to identify articles published in the last five years that addressed the direct impact of AR technology on MIS procedures or that addressed an area of education or clinical care that could potentially be used for MIS development. A total of 359 studies were screened and 31 articles were reviewed in depth and categorized into three main groups: Navigation, education and training, and user-environment interfaces. A comparison of studies within the different application groups showed that AR technology can be useful in various disciplines to advance the development of MIS. Although AR-guided navigation systems do not yet offer a precision advantage, benefits include improved ergonomics and visualization, as well as reduced surgical time and blood loss. Benefits can also be seen in improved education and training conditions and improved user-environment interfaces that can indirectly influence MIS procedures. However, there are still technical challenges that need to be addressed to demonstrate added value to patient care and should be evaluated in clinical trials with sufficient patient numbers or even in systematic reviews or meta-analyses.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Role of Augmented Reality in the Advancement of Minimally Invasive Surgery Procedures: A Scoping Review

2023

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“…Scapular fractures are often caused by high-energy injuries, accounting for about 1% of all body fractures [ 1 ]. In recent years, the number of patients with scapular fractures has increased due to frequent traffic accidents.…”

Section: Introductionmentioning

confidence: 99%

Finite element analysis of titanium anatomic plate and titanium reconstructive plate for treatment of extra-articular fractures of the scapula

Shang¹,

Bi²,

Cao³

et al. 2023

J Orthop Surg Res

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Background Due to the lack of postoperative reporting outcomes and bio-mechanical studies, an optimal management of scapular fractures has not been well-established in clinical treatment, even though there are many options available. This study aimed to compare the stability of the new titanium anatomic and traditional titanium reconstructive plates for extra-articular scapular fractures through finite element analysis. Methods Two models of scapular assembly were constructed, including one anatomic plate (AP model) and one reconstructive plate (RP model). After meshing, material parameter, and boundary condition settings, we applied four loading conditions to simulate forces acting on the scapula and osteosynthesis material. To evaluate the bio-mechanical properties, the equivalent von Mises stress, equivalent elastic strain, and total deformation were investigated. Result The stress and strain distribution of model AP has better performance than model RP, with more uniform and lower values. The maximum stress value of the scapula in model AP is smaller than that of the scapula in model RP (102.83 MPa vs. 166.71 MPa). The maximum stress of the anatomic plate is half that of the reconstructive plate (218.34 MPa vs. 416.01 MPa). The maximum strain of the scapula in model AP is smaller than that of the scapula in model RP (0.0071 vs. 0.0106). The maximum strain of the anatomic plate is half that of the reconstructive plate (0.0019 vs. 0.0037). The maximum displacement of each model is all at the acromion, with a similar value (2.2947 mm vs. 1.8308 mm). Conclusions With sufficient bio-mechanical stability, the anatomic plate to support scapular fracture fragments was superior to that of the reconstructive plate.

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When Surgery Meets the Metaverse

Martellucci,

Dal Mas,

Pantalone

et al. 2023

New Paradigms in Healthcare

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Augmented reality and three-dimensional plate library-assisted posterior minimally invasive surgery for scapula fracture

Cited by 13 publications

References 17 publications

The Role of Augmented Reality in the Advancement of Minimally Invasive Surgery Procedures: A Scoping Review

The Role of Augmented Reality in the Advancement of Minimally Invasive Surgery Procedures: A Scoping Review

Finite element analysis of titanium anatomic plate and titanium reconstructive plate for treatment of extra-articular fractures of the scapula

When Surgery Meets the Metaverse

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