Cargando…

Augmented Reality-Assisted Femoral Bone Resection in Total Knee Arthroplasty

An augmented reality (AR)-based navigation system allows visualization of the center of the femoral head and femoral mechanical axis superimposed on the surgical field during total knee arthroplasty (TKA) and may help surgeons to improve the accuracy of distal femoral resection. METHODS: First, we r...

Descripción completa

Detalles Bibliográficos
Autores principales: Tsukada, Sachiyuki, Ogawa, Hiroyuki, Nishino, Masahiro, Kurosaka, Kenji, Hirasawa, Naoyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of Bone and Joint Surgery, Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8301282/
https://www.ncbi.nlm.nih.gov/pubmed/34316529
http://dx.doi.org/10.2106/JBJS.OA.21.00001
_version_ 1783726632142372864
author Tsukada, Sachiyuki
Ogawa, Hiroyuki
Nishino, Masahiro
Kurosaka, Kenji
Hirasawa, Naoyuki
author_facet Tsukada, Sachiyuki
Ogawa, Hiroyuki
Nishino, Masahiro
Kurosaka, Kenji
Hirasawa, Naoyuki
author_sort Tsukada, Sachiyuki
collection PubMed
description An augmented reality (AR)-based navigation system allows visualization of the center of the femoral head and femoral mechanical axis superimposed on the surgical field during total knee arthroplasty (TKA) and may help surgeons to improve the accuracy of distal femoral resection. METHODS: First, we resected 10 femoral Sawbones specimens using the AR-based navigation system and performed computed tomography (CT) to measure the resection angle of the distal part of the femur. We calculated the absolute values of the differences between angles measured using CT images and angles displayed on the smartphone screen of the navigation system. Second, we measured coronal alignment using standing long-leg radiographs for 72 patients undergoing TKA and compared the error in the resection angle between TKA using the AR-based navigation system and that using a conventional intramedullary guide. RESULTS: In the experimental study, the absolute values of the differences between angles measured on CT images and angles displayed using the AR-based navigation system were 0.8° ± 0.5° (range, 0.3° to 1.9°) in the coronal plane and 0.6° ± 0.5° (range, 0.0° to 1.4°) in the sagittal plane. In the clinical study, the mean absolute value of the error in coronal alignment was significantly smaller in the AR-based navigation group than the intramedullary-guide group (1.1° ± 1.0° [range, 0.0° to 3.2°] compared with 2.2° ± 1.6° [range, 0.0° to 5.5°], respectively; 95% confidence interval, 0.5° to 1.8°; p < 0.001). CONCLUSIONS: The AR-based navigation system may enable surgeons to perform distal femoral resection more accurately than with the conventional intramedullary guide during TKA. CLINICAL RELEVANCE: This study validates the use of AR technology to enhance the precision of bone resection in TKA.
format Online
Article
Text
id pubmed-8301282
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Journal of Bone and Joint Surgery, Inc.
record_format MEDLINE/PubMed
spelling pubmed-83012822021-07-26 Augmented Reality-Assisted Femoral Bone Resection in Total Knee Arthroplasty Tsukada, Sachiyuki Ogawa, Hiroyuki Nishino, Masahiro Kurosaka, Kenji Hirasawa, Naoyuki JB JS Open Access Scientific Articles An augmented reality (AR)-based navigation system allows visualization of the center of the femoral head and femoral mechanical axis superimposed on the surgical field during total knee arthroplasty (TKA) and may help surgeons to improve the accuracy of distal femoral resection. METHODS: First, we resected 10 femoral Sawbones specimens using the AR-based navigation system and performed computed tomography (CT) to measure the resection angle of the distal part of the femur. We calculated the absolute values of the differences between angles measured using CT images and angles displayed on the smartphone screen of the navigation system. Second, we measured coronal alignment using standing long-leg radiographs for 72 patients undergoing TKA and compared the error in the resection angle between TKA using the AR-based navigation system and that using a conventional intramedullary guide. RESULTS: In the experimental study, the absolute values of the differences between angles measured on CT images and angles displayed using the AR-based navigation system were 0.8° ± 0.5° (range, 0.3° to 1.9°) in the coronal plane and 0.6° ± 0.5° (range, 0.0° to 1.4°) in the sagittal plane. In the clinical study, the mean absolute value of the error in coronal alignment was significantly smaller in the AR-based navigation group than the intramedullary-guide group (1.1° ± 1.0° [range, 0.0° to 3.2°] compared with 2.2° ± 1.6° [range, 0.0° to 5.5°], respectively; 95% confidence interval, 0.5° to 1.8°; p < 0.001). CONCLUSIONS: The AR-based navigation system may enable surgeons to perform distal femoral resection more accurately than with the conventional intramedullary guide during TKA. CLINICAL RELEVANCE: This study validates the use of AR technology to enhance the precision of bone resection in TKA. Journal of Bone and Joint Surgery, Inc. 2021-07-23 /pmc/articles/PMC8301282/ /pubmed/34316529 http://dx.doi.org/10.2106/JBJS.OA.21.00001 Text en Copyright © 2021 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Scientific Articles
Tsukada, Sachiyuki
Ogawa, Hiroyuki
Nishino, Masahiro
Kurosaka, Kenji
Hirasawa, Naoyuki
Augmented Reality-Assisted Femoral Bone Resection in Total Knee Arthroplasty
title Augmented Reality-Assisted Femoral Bone Resection in Total Knee Arthroplasty
title_full Augmented Reality-Assisted Femoral Bone Resection in Total Knee Arthroplasty
title_fullStr Augmented Reality-Assisted Femoral Bone Resection in Total Knee Arthroplasty
title_full_unstemmed Augmented Reality-Assisted Femoral Bone Resection in Total Knee Arthroplasty
title_short Augmented Reality-Assisted Femoral Bone Resection in Total Knee Arthroplasty
title_sort augmented reality-assisted femoral bone resection in total knee arthroplasty
topic Scientific Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8301282/
https://www.ncbi.nlm.nih.gov/pubmed/34316529
http://dx.doi.org/10.2106/JBJS.OA.21.00001
work_keys_str_mv AT tsukadasachiyuki augmentedrealityassistedfemoralboneresectionintotalkneearthroplasty
AT ogawahiroyuki augmentedrealityassistedfemoralboneresectionintotalkneearthroplasty
AT nishinomasahiro augmentedrealityassistedfemoralboneresectionintotalkneearthroplasty
AT kurosakakenji augmentedrealityassistedfemoralboneresectionintotalkneearthroplasty
AT hirasawanaoyuki augmentedrealityassistedfemoralboneresectionintotalkneearthroplasty