Glenoid Component Placement Assisted by Augmented Reality Through a Head-Mounted Display During Reverse Shoulder Arthroplasty

Rojas, J Tomás; Lädermann, Alexandre; Ho, Sean Wei Loong; Rashid, Mustafa S.; Zumstein, Matthias A.

doi:10.1016/j.eats.2021.12.046

Cited by 24 publications

(12 citation statements)

References 20 publications

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“…One question is whether AR can replace or improve computer-assisted navigation or robotic-assisted total joint arthroplasty in everyday clinical settings [ 34 ]. According to the authors, these novel processes have great potential for transferability to other orthopedic applications in arthroplasty and beyond.…”

Section: Discussionmentioning

confidence: 99%

Metaverse, virtual reality and augmented reality in total shoulder arthroplasty: a systematic review

Longo,

Lalli,

Gobbato

et al. 2024

BMC Musculoskelet Disord

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Purpose This systematic review aims to provide an overview of the current knowledge on the role of the metaverse, augmented reality, and virtual reality in reverse shoulder arthroplasty. Methods A systematic review was performed using the PRISMA guidelines. A comprehensive review of the applications of the metaverse, augmented reality, and virtual reality in in-vivo intraoperative navigation, in the training of orthopedic residents, and in the latest innovations proposed in ex-vivo studies was conducted. Results A total of 22 articles were included in the review. Data on navigated shoulder arthroplasty was extracted from 14 articles: seven hundred ninety-three patients treated with intraoperative navigated rTSA or aTSA were included. Also, three randomized control trials (RCTs) reported outcomes on a total of fifty-three orthopedics surgical residents and doctors receiving VR-based training for rTSA, which were also included in the review. Three studies reporting the latest VR and AR-based rTSA applications and two proof of concept studies were also included in the review. Conclusions The metaverse, augmented reality, and virtual reality present immense potential for the future of orthopedic surgery. As these technologies advance, it is crucial to conduct additional research, foster development, and seamlessly integrate them into surgical education to fully harness their capabilities and transform the field. This evolution promises enhanced accuracy, expanded training opportunities, and improved surgical planning capabilities.

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Section: Discussionmentioning

confidence: 99%

Metaverse, virtual reality and augmented reality in total shoulder arthroplasty: a systematic review

Longo,

Lalli,

Gobbato

et al. 2024

BMC Musculoskelet Disord

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“…Rojas and colleagues described a method that combined MR technology with intraoperative navigation and reported a case of reverse total shoulder arthroplasty (rTSA) while using this method, as shown in Figures 2 – 4 . Throughout all of the steps of the placement of the acetabular component, using a variable-application camera tracker, real-time information regarding the planned trajectory, including the retroversion angle, inclination angle, entry point position, reaming depth, and ideal trajectory for guide and drill placement, was provided to the surgeons through MR technology ( 18 ).…”

Section: Xr Technology In Joint Surgerymentioning

confidence: 99%

“…( C ) The head-mounted display received information from the CU via Bluetooth. The overlay of surgical operations onto the visualized surgical area allowed surgeons to focus on the patient ( 18 ).…”

Section: Xr Technology In Joint Surgerymentioning

confidence: 99%

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The application of extended reality technology-assisted intraoperative navigation in orthopedic surgery

Bian,

Lin,

et al. 2024

Front. Surg.

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Extended reality (XR) technology refers to any situation where real-world objects are enhanced with computer technology, including virtual reality, augmented reality, and mixed reality. Augmented reality and mixed reality technologies have been widely applied in orthopedic clinical practice, including in teaching, preoperative planning, intraoperative navigation, and surgical outcome evaluation. The primary goal of this narrative review is to summarize the effectiveness and superiority of XR-technology-assisted intraoperative navigation in the fields of trauma, joint, spine, and bone tumor surgery, as well as to discuss the current shortcomings in intraoperative navigation applications. We reviewed titles of more than 200 studies obtained from PubMed with the following search terms: extended reality, mixed reality, augmented reality, virtual reality, intraoperative navigation, and orthopedic surgery; of those 200 studies, 69 related papers were selected for abstract review. Finally, the full text of 55 studies was analyzed and reviewed. They were classified into four groups—trauma, joint, spine, and bone tumor surgery—according to their content. Most of studies that we reviewed showed that XR-technology-assisted intraoperative navigation can effectively improve the accuracy of implant placement, such as that of screws and prostheses, reduce postoperative complications caused by inaccurate implantation, facilitate the achievement of tumor-free surgical margins, shorten the surgical duration, reduce radiation exposure for patients and surgeons, minimize further damage caused by the need for visual exposure during surgery, and provide richer and more efficient intraoperative communication, thereby facilitating academic exchange, medical assistance, and the implementation of remote healthcare.

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“…As it is the case for traditional navigation, the main advantages of navigated AR over PSI are that it obviates the need for physical guides and allows real-time visualization of the plan intraoperatively providing real-time feedback to the surgeon. Navigated AR allows the real world to be augmented with virtual real-time information regarding the position and orientation of instruments and glenoid component ( 67 ). Unlike traditional navigation, in which imaging is displayed on a separate monitor, in navigated AR essential information is presented directly overlaid onto the surgical field through a head-mounted display allowing the surgeon to stay focused on the patient.…”

Section: Armentioning

confidence: 99%

Preoperative planning in reverse shoulder arthroplasty: plain radiographs vs. computed tomography scan vs. navigation vs. augmented reality

Rojas Lievano,

Jiménez,

González-Rico

et al. 2023

Ann Joint

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Reverse shoulder arthroplasty (RSA) has become a highly successful treatment option for various shoulder conditions, leading to a significant increase in its utilization since its approval in 2003. However, postoperative complications, including scapular notching, prosthetic instability, and component loosening, remain a concern. These complications can often be attributed to technical errors during component implantation, emphasizing the importance of proper preoperative planning and accurate positioning of prosthetic components. Improper baseplate and glenosphere positioning in RSA have been linked to impingement, reduced range of motion, and increased scapular notching. Additionally, the relationship between component positioning and intrinsic stability of RSA has been established, with glenoid component retroversion exceeding 10° posing a risk to implant stability. Adequate initial glenoid baseplate fixation, achieved through optimal seating and the use of appropriate screws, is crucial for long-term success and prevention of early failure. Factors such as lateralization and distalization also influence outcomes and complications in RSA, yet standardized guidelines for preoperative planning in these parameters are still lacking. Despite the impact of component position on outcomes, glenoid component implantation remains challenging, with position errors being common even among experienced surgeons. Challenges arise due to factors such as deformity, bone defects, limited exposure, and the absence of reliable bony landmarks intraoperatively. With the evolving understanding of RSA biomechanics and the significance of implant configuration and positioning, advancements in preoperative planning and surgical aids have emerged. This review article explores the current evidence on preoperative planning techniques in RSA, including plain radiographs, three-dimensional imaging, computer planning software, intraoperative navigation, and augmented reality (AR), highlighting their potential benefits and advancements in improving implant position accuracy.

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Glenoid Component Placement Assisted by Augmented Reality Through a Head-Mounted Display During Reverse Shoulder Arthroplasty

Cited by 24 publications

References 20 publications

Metaverse, virtual reality and augmented reality in total shoulder arthroplasty: a systematic review

Metaverse, virtual reality and augmented reality in total shoulder arthroplasty: a systematic review

The application of extended reality technology-assisted intraoperative navigation in orthopedic surgery

Preoperative planning in reverse shoulder arthroplasty: plain radiographs vs. computed tomography scan vs. navigation vs. augmented reality

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