关键词: augmented reality (AR) extended reality (XR) immersive technology knee patient-specific instrumentation (PSI) surgical navigation system virtual reality (VR)

来  源:   DOI:10.3390/jpm13050727   PDF(Pubmed)

Abstract:
Computer technologies play a crucial role in orthopaedic surgery and are essential in personalising different treatments. Recent advances allow the usage of augmented reality (AR) for many orthopaedic procedures, which include different types of knee surgery. AR assigns the interaction between virtual environments and the physical world, allowing both to intermingle (AR superimposes information on real objects in real-time) through an optical device and allows personalising different processes for each patient. This article aims to describe the integration of fiducial markers in planning knee surgeries and to perform a narrative description of the latest publications on AR applications in knee surgery. Augmented reality-assisted knee surgery is an emerging set of techniques that can increase accuracy, efficiency, and safety and decrease the radiation exposure (in some surgical procedures, such as osteotomies) of other conventional methods. Initial clinical experience with AR projection based on ArUco-type artificial marker sensors has shown promising results and received positive operator feedback. Once initial clinical safety and efficacy have been demonstrated, the continued experience should be studied to validate this technology and generate further innovation in this rapidly evolving field.
摘要:
计算机技术在骨科手术中起着至关重要的作用,并且在个性化不同的治疗中是必不可少的。最近的进步允许将增强现实(AR)用于许多骨科手术,其中包括不同类型的膝关节手术。AR分配虚拟环境和物理世界之间的交互,允许两者通过光学设备混合(AR将信息实时叠加在真实物体上),并允许为每个患者个性化不同的过程。本文旨在描述基准标记在计划膝关节手术中的整合,并对膝关节手术中AR应用的最新出版物进行叙述性描述。增强现实辅助膝关节手术是一套新兴的技术,可以提高准确性,效率,和安全,减少辐射暴露(在一些外科手术中,如截骨术)的其他常规方法。基于ArUco型人工标记传感器的AR投影的初始临床经验已显示出有希望的结果,并获得了积极的操作员反馈。一旦初步临床安全性和有效性得到证实,应该研究持续的经验,以验证这项技术,并在这个快速发展的领域产生进一步的创新。
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