Ha Joon, Parekh Priya, Gamble David, Masters James, Jun Peter, Hester Thomas, Daniels Timothy, Halai Mansur
Queen Elizabeth Hospital, London, UK.
Walsall Manor Hospital, Walsall, UK.
J Clin Orthop Trauma. 2021 May 5;18:209-215. doi: 10.1016/j.jcot.2021.04.031. eCollection 2021 Jul.
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.
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.
利用增强现实（AR）和抬头显示器（HUD）辅助骨科手术，有望通过提高准确性、安全性及教育效益，使外科医生和患者均受益。在新冠疫情背景下，采用新技术的机会更具现实意义。本研究旨在评估现有技术，了解当前关于其益处的证据，并探讨在临床实践中实施该技术所面临的挑战。
采用PRISMA指南筛选文献。在检索到的1004篇文章中，应用了以下排除标准：1）综述/评论；2）与骨科手术无关；3）使用视觉辅助工具以外的其他AR可穿戴设备，最终留下42篇文章进行综述。本综述阐述了其益处，包括提高准确性、缩短手术时间、减少辐射暴露以及具有教育效益。
尽管仍有障碍需要克服，但已有技术应用的报道。与所有新技术一样，除了保护我们的患者免受学习曲线的影响外，深入了解学习曲线至关重要。提高可用性并满足外科医生的特定需求应能增加该技术的采用率。
