Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 May 5:18:209-215.
doi: 10.1016/j.jcot.2021.04.031. eCollection 2021 Jul.

Opportunities and challenges of using augmented reality and heads-up display in orthopaedic surgery: A narrative review

Affiliations
Review

Opportunities and challenges of using augmented reality and heads-up display in orthopaedic surgery: A narrative review

Joon Ha et al. J Clin Orthop Trauma. .

Erratum in

  • Erratum regarding previously published articles.
    [No authors listed] [No authors listed] J Clin Orthop Trauma. 2021 Jul 30;20:101539. doi: 10.1016/j.jcot.2021.101539. eCollection 2021 Sep. J Clin Orthop Trauma. 2021. PMID: 34405084 Free PMC article.

Abstract

Background & aim: Utilization of augmented reality (AR) and heads-up displays (HUD) to aid orthopaedic surgery has the potential to benefit surgeons and patients alike through improved accuracy, safety, and educational benefits. With the COVID-19 pandemic, the opportunity for adoption of novel technology is more relevant. The aims are to assess the technology available, to understand the current evidence regarding the benefit and to consider challenges to implementation in clinical practice.

Methods & results: PRISMA guidelines were used to filter the literature. Of 1004 articles returned the following exclusion criteria were applied: 1) reviews/commentaries 2) unrelated to orthopaedic surgery 3) use of other AR wearables beyond visual aids leaving 42 papers for review.This review illustrates benefits including enhanced accuracy and reduced time of surgery, reduced radiation exposure and educational benefits.

Conclusion: Whilst there are obstacles to overcome, there are already reports of technology being used. As with all novel technologies, a greater understanding of the learning curve is crucial, in addition to shielding our patients from this learning curve. Improvements in usability and implementing surgeons' specific needs should increase uptake.

Keywords: AR, Augmented Reality; Augmented reality; HUD, Heads-Up Display; Heads-up display; Innovation; Surgery; VR, Virtual Reality; Virtual reality.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
This figure shows the preferred reporting items for systematic reviews and meta-analyses flow diagram used for our search strategy.

References

    1. Yoon J.W., Chen R.E., Kim E.J. Augmented reality for the surgeon: systematic review. Int J Med Robot Comput Assist Surg. 2018;14(4):1–13. doi: 10.1002/rcs.1914. - DOI - PubMed
    1. Franken R.J.P.M., Gupta S.C., Banis J.C. Microsurgery without a microscope: laboratory evaluation of a three-dimensional on-screen microsurgery system. Microsurgery. 1995;16(11):746–751. doi: 10.1002/micr.1920161109. - DOI - PubMed
    1. Fotouhi J., Unberath M., Song T. Interactive Flying Frustums (IFFs): spatially aware surgical data visualization. Int J Comput Assist Radiol Surg. 2019 https://fsso.springer.com/federation/openAthensInit?entityId=https://idp... - PMC - PubMed
    1. Chan Z.Y.S., MacPhail A.J.C., Au I.P.H. In: Williams J.L., editor. vol. 14. 2019. (Walking With Head-Mounted Virtual and Augmented Reality Devices: Effects on Position Control and Gait Biomechanics). PLoS One. 12. - DOI - PMC - PubMed
    1. Berton A., Longo U.G., Candela V. Clinical medicine virtual reality, augmented reality, gamification, and telerehabilitation: psychological impact on orthopedic patients' rehabilitation. J Clin Med. 2020;2567:2567. doi: 10.3390/jcm9082567. - DOI - PMC - PubMed

LinkOut - more resources