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Application of Virtual and Augmented Reality Technology in Hip Surgery: Systematic Review

BACKGROUND: Virtual and augmented reality (VAR) represents a combination of current state-of-the-art computer and imaging technologies and has the potential to be a revolutionary technology in many surgical fields. An increasing number of investigators have developed and applied VAR in hip-related s...

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Autores principales: Sun, Peng, Zhao, Yao, Men, Jie, Ma, Zhe-Ru, Jiang, Hao-Zhuo, Liu, Cheng-Yan, Feng, Wei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10039409/
https://www.ncbi.nlm.nih.gov/pubmed/36651587
http://dx.doi.org/10.2196/37599
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author Sun, Peng
Zhao, Yao
Men, Jie
Ma, Zhe-Ru
Jiang, Hao-Zhuo
Liu, Cheng-Yan
Feng, Wei
author_facet Sun, Peng
Zhao, Yao
Men, Jie
Ma, Zhe-Ru
Jiang, Hao-Zhuo
Liu, Cheng-Yan
Feng, Wei
author_sort Sun, Peng
collection PubMed
description BACKGROUND: Virtual and augmented reality (VAR) represents a combination of current state-of-the-art computer and imaging technologies and has the potential to be a revolutionary technology in many surgical fields. An increasing number of investigators have developed and applied VAR in hip-related surgery with the aim of using this technology to reduce hip surgery–related complications, improve surgical success rates, and reduce surgical risks. These technologies are beginning to be widely used in hip-related preoperative operation simulation and training, intraoperative navigation tools in the operating room, and postoperative rehabilitation. OBJECTIVE: With the aim of reviewing the current status of virtual reality (VR) and augmented reality (AR) in hip-related surgery and summarizing its benefits, we discussed and briefly described the applicability, advantages, limitations, and future perspectives of VR and AR techniques in hip-related surgery, such as preoperative operation simulation and training; explored the possible future applications of AR in the operating room; and discussed the bright prospects of VR and AR technologies in postoperative rehabilitation after hip surgery. METHODS: We searched the PubMed and Web of Science databases using the following key search terms: (“virtual reality” OR “augmented reality”) AND (“pelvis” OR “hip”). The literature on basic and clinical research related to the aforementioned key search terms, that is, studies evaluating the key factors, challenges, or problems of using of VAR technology in hip-related surgery, was collected. RESULTS: A total of 40 studies and reports were included and classified into the following categories: total hip arthroplasty, hip resurfacing, femoral neck fracture, pelvic fracture, acetabular fracture, tumor, arthroscopy, and postoperative rehabilitation. Quality assessment could be performed in 30 studies. Among the clinical studies, there were 16 case series with an average score of 89 out of 100 points (89%) and 1 case report that scored 81 (SD 10.11) out of 100 points (81%) according to the Joanna Briggs Institute Critical Appraisal Checklist. Two cadaveric studies scored 85 of 100 points (85%) and 92 of 100 points (92%) according to the Quality Appraisal for Cadaveric Studies scale. CONCLUSIONS: VR and AR technologies hold great promise for hip-related surgeries, especially for preoperative operation simulation and training, feasibility applications in the operating room, and postoperative rehabilitation, and have the potential to assist orthopedic surgeons in operating more accurately and safely. More comparative studies are necessary, including studies focusing on clinical outcomes and cost-effectiveness.
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spelling pubmed-100394092023-03-26 Application of Virtual and Augmented Reality Technology in Hip Surgery: Systematic Review Sun, Peng Zhao, Yao Men, Jie Ma, Zhe-Ru Jiang, Hao-Zhuo Liu, Cheng-Yan Feng, Wei J Med Internet Res Review BACKGROUND: Virtual and augmented reality (VAR) represents a combination of current state-of-the-art computer and imaging technologies and has the potential to be a revolutionary technology in many surgical fields. An increasing number of investigators have developed and applied VAR in hip-related surgery with the aim of using this technology to reduce hip surgery–related complications, improve surgical success rates, and reduce surgical risks. These technologies are beginning to be widely used in hip-related preoperative operation simulation and training, intraoperative navigation tools in the operating room, and postoperative rehabilitation. OBJECTIVE: With the aim of reviewing the current status of virtual reality (VR) and augmented reality (AR) in hip-related surgery and summarizing its benefits, we discussed and briefly described the applicability, advantages, limitations, and future perspectives of VR and AR techniques in hip-related surgery, such as preoperative operation simulation and training; explored the possible future applications of AR in the operating room; and discussed the bright prospects of VR and AR technologies in postoperative rehabilitation after hip surgery. METHODS: We searched the PubMed and Web of Science databases using the following key search terms: (“virtual reality” OR “augmented reality”) AND (“pelvis” OR “hip”). The literature on basic and clinical research related to the aforementioned key search terms, that is, studies evaluating the key factors, challenges, or problems of using of VAR technology in hip-related surgery, was collected. RESULTS: A total of 40 studies and reports were included and classified into the following categories: total hip arthroplasty, hip resurfacing, femoral neck fracture, pelvic fracture, acetabular fracture, tumor, arthroscopy, and postoperative rehabilitation. Quality assessment could be performed in 30 studies. Among the clinical studies, there were 16 case series with an average score of 89 out of 100 points (89%) and 1 case report that scored 81 (SD 10.11) out of 100 points (81%) according to the Joanna Briggs Institute Critical Appraisal Checklist. Two cadaveric studies scored 85 of 100 points (85%) and 92 of 100 points (92%) according to the Quality Appraisal for Cadaveric Studies scale. CONCLUSIONS: VR and AR technologies hold great promise for hip-related surgeries, especially for preoperative operation simulation and training, feasibility applications in the operating room, and postoperative rehabilitation, and have the potential to assist orthopedic surgeons in operating more accurately and safely. More comparative studies are necessary, including studies focusing on clinical outcomes and cost-effectiveness. JMIR Publications 2023-03-10 /pmc/articles/PMC10039409/ /pubmed/36651587 http://dx.doi.org/10.2196/37599 Text en ©Peng Sun, Yao Zhao, Jie Men, Zhe-Ru Ma, Hao-Zhuo Jiang, Cheng-Yan Liu, Wei Feng. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 10.03.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Review
Sun, Peng
Zhao, Yao
Men, Jie
Ma, Zhe-Ru
Jiang, Hao-Zhuo
Liu, Cheng-Yan
Feng, Wei
Application of Virtual and Augmented Reality Technology in Hip Surgery: Systematic Review
title Application of Virtual and Augmented Reality Technology in Hip Surgery: Systematic Review
title_full Application of Virtual and Augmented Reality Technology in Hip Surgery: Systematic Review
title_fullStr Application of Virtual and Augmented Reality Technology in Hip Surgery: Systematic Review
title_full_unstemmed Application of Virtual and Augmented Reality Technology in Hip Surgery: Systematic Review
title_short Application of Virtual and Augmented Reality Technology in Hip Surgery: Systematic Review
title_sort application of virtual and augmented reality technology in hip surgery: systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10039409/
https://www.ncbi.nlm.nih.gov/pubmed/36651587
http://dx.doi.org/10.2196/37599
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