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Perspective on the integration of optical sensing into orthopedic surgical devices

SIGNIFICANCE: Orthopedic surgery currently comprises over 1.5 million cases annually in the United States alone and is growing rapidly with aging populations. Emerging optical sensing techniques promise fewer side effects with new, more effective approaches aimed at improving patient outcomes follow...

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Autores principales: Fisher, Carl, Harty, James, Yee, Albert, Li, Celina L., Komolibus, Katarzyna, Grygoryev, Konstantin, Lu, Huihui, Burke, Ray, Wilson, Brian C., Andersson-Engels, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Photo-Optical Instrumentation Engineers 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8727454/
https://www.ncbi.nlm.nih.gov/pubmed/34984863
http://dx.doi.org/10.1117/1.JBO.27.1.010601
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author Fisher, Carl
Harty, James
Yee, Albert
Li, Celina L.
Komolibus, Katarzyna
Grygoryev, Konstantin
Lu, Huihui
Burke, Ray
Wilson, Brian C.
Andersson-Engels, Stefan
author_facet Fisher, Carl
Harty, James
Yee, Albert
Li, Celina L.
Komolibus, Katarzyna
Grygoryev, Konstantin
Lu, Huihui
Burke, Ray
Wilson, Brian C.
Andersson-Engels, Stefan
author_sort Fisher, Carl
collection PubMed
description SIGNIFICANCE: Orthopedic surgery currently comprises over 1.5 million cases annually in the United States alone and is growing rapidly with aging populations. Emerging optical sensing techniques promise fewer side effects with new, more effective approaches aimed at improving patient outcomes following orthopedic surgery. AIM: The aim of this perspective paper is to outline potential applications where fiberoptic-based approaches can complement ongoing development of minimally invasive surgical procedures for use in orthopedic applications. APPROACH: Several procedures involving orthopedic and spinal surgery, along with the clinical challenge associated with each, are considered. The current and potential applications of optical sensing within these procedures are discussed and future opportunities, challenges, and competing technologies are presented for each surgical application. RESULTS: Strong research efforts involving sensor miniaturization and integration of optics into existing surgical devices, including K-wires and cranial perforators, provided the impetus for this perspective analysis. These advances have made it possible to envision a next-generation set of devices that can be rigorously evaluated in controlled clinical trials to become routine tools for orthopedic surgery. CONCLUSIONS: Integration of optical devices into surgical drills and burrs to discern bone/tissue interfaces could be used to reduce complication rates across a spectrum of orthopedic surgery procedures or to aid less-experienced surgeons in complex techniques, such as laminoplasty or osteotomy. These developments present both opportunities and challenges for the biomedical optics community.
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spelling pubmed-87274542022-01-06 Perspective on the integration of optical sensing into orthopedic surgical devices Fisher, Carl Harty, James Yee, Albert Li, Celina L. Komolibus, Katarzyna Grygoryev, Konstantin Lu, Huihui Burke, Ray Wilson, Brian C. Andersson-Engels, Stefan J Biomed Opt Perspectives SIGNIFICANCE: Orthopedic surgery currently comprises over 1.5 million cases annually in the United States alone and is growing rapidly with aging populations. Emerging optical sensing techniques promise fewer side effects with new, more effective approaches aimed at improving patient outcomes following orthopedic surgery. AIM: The aim of this perspective paper is to outline potential applications where fiberoptic-based approaches can complement ongoing development of minimally invasive surgical procedures for use in orthopedic applications. APPROACH: Several procedures involving orthopedic and spinal surgery, along with the clinical challenge associated with each, are considered. The current and potential applications of optical sensing within these procedures are discussed and future opportunities, challenges, and competing technologies are presented for each surgical application. RESULTS: Strong research efforts involving sensor miniaturization and integration of optics into existing surgical devices, including K-wires and cranial perforators, provided the impetus for this perspective analysis. These advances have made it possible to envision a next-generation set of devices that can be rigorously evaluated in controlled clinical trials to become routine tools for orthopedic surgery. CONCLUSIONS: Integration of optical devices into surgical drills and burrs to discern bone/tissue interfaces could be used to reduce complication rates across a spectrum of orthopedic surgery procedures or to aid less-experienced surgeons in complex techniques, such as laminoplasty or osteotomy. These developments present both opportunities and challenges for the biomedical optics community. Society of Photo-Optical Instrumentation Engineers 2022-01-05 2022-01 /pmc/articles/PMC8727454/ /pubmed/34984863 http://dx.doi.org/10.1117/1.JBO.27.1.010601 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/Published by SPIE under a Creative Commons Attribution 4.0 International License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.
spellingShingle Perspectives
Fisher, Carl
Harty, James
Yee, Albert
Li, Celina L.
Komolibus, Katarzyna
Grygoryev, Konstantin
Lu, Huihui
Burke, Ray
Wilson, Brian C.
Andersson-Engels, Stefan
Perspective on the integration of optical sensing into orthopedic surgical devices
title Perspective on the integration of optical sensing into orthopedic surgical devices
title_full Perspective on the integration of optical sensing into orthopedic surgical devices
title_fullStr Perspective on the integration of optical sensing into orthopedic surgical devices
title_full_unstemmed Perspective on the integration of optical sensing into orthopedic surgical devices
title_short Perspective on the integration of optical sensing into orthopedic surgical devices
title_sort perspective on the integration of optical sensing into orthopedic surgical devices
topic Perspectives
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8727454/
https://www.ncbi.nlm.nih.gov/pubmed/34984863
http://dx.doi.org/10.1117/1.JBO.27.1.010601
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