• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

增强现实辅助单髁膝关节置换术

Augmented reality-aided unicompartmental knee arthroplasty.

作者信息

Tsukada Sachiyuki, Ogawa Hiroyuki, Kurosaka Kenji, Saito Masayoshi, Nishino Masahiro, Hirasawa Naoyuki

机构信息

Department of Orthopaedic Surgery, Hokusuikai Kinen Hospital, 3-2-1 Higashihara, Mito, Ibaraki, 310-0035, Japan.

出版信息

J Exp Orthop. 2022 Sep 5;9(1):88. doi: 10.1186/s40634-022-00525-4.

DOI:10.1186/s40634-022-00525-4
PMID:36064994
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9445111/
Abstract

PURPOSE

To illustrate a surgical technique for augmented reality (AR)-assisted unicompartmental knee arthroplasty (UKA) and report preliminary data.

METHODS

We developed an AR-based navigation system that enables the surgeon to see the tibial mechanical axis superimposed on the patient's leg in addition to the tibial cutting angle. We measured the tibial resection angle in 11 UKAs using postoperative radiographs and calculated the absolute difference between preoperative target angle and postoperative measured angle. The target angle was determined for each patient: mean values were 0.7° ± 1.0° varus in coronal alignment and 5.3° ± 1.4° posterior slope in sagittal alignment.

RESULTS

The angles measured on postoperative radiographs were 2.6° ± 1.2° varus in the coronal plane and 4.8° ± 2.5° posterior slope in the sagittal plane. The absolute differences between the target and measured angles were 1.9° ± 1.5° in coronal alignment and 2.6° ± 1.2° in sagittal alignment. No patients experienced complications, including surgical site infection and periprosthetic fracture.

CONCLUSION

The AR-based portable navigation system may provide passable accuracy in terms of proximal tibial resection during UKA.

LEVEL OF EVIDENCE

IV.

摘要

目的

阐述一种用于增强现实（AR）辅助单髁膝关节置换术（UKA）的手术技术并报告初步数据。

方法

我们开发了一种基于AR的导航系统，该系统除了能让外科医生看到胫骨截骨角度外，还能使他们看到叠加在患者腿部的胫骨机械轴。我们使用术后X线片测量了11例UKA手术中的胫骨截骨角度，并计算了术前目标角度与术后测量角度之间的绝对差值。为每位患者确定目标角度：冠状面内翻平均角度为0.7°±1.0°，矢状面后倾平均角度为5.3°±1.4°。

结果

术后X线片测量的角度在冠状面为2.6°±1.2°内翻，在矢状面为4.8°±2.5°后倾。目标角度与测量角度之间的绝对差值在冠状面为1.9°±1.5°，在矢状面为2.6°±1.2°。没有患者出现并发症，包括手术部位感染和假体周围骨折。

结论

基于AR的便携式导航系统在UKA手术中胫骨近端截骨方面可能提供可接受的准确性。

证据级别

IV级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259a/9445111/8f5576391065/40634_2022_525_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259a/9445111/1c78c91f74b8/40634_2022_525_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259a/9445111/0a4442e5aa35/40634_2022_525_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259a/9445111/48750a1598b4/40634_2022_525_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259a/9445111/9bb7b8208392/40634_2022_525_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259a/9445111/8f5576391065/40634_2022_525_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259a/9445111/1c78c91f74b8/40634_2022_525_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259a/9445111/0a4442e5aa35/40634_2022_525_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259a/9445111/48750a1598b4/40634_2022_525_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259a/9445111/9bb7b8208392/40634_2022_525_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259a/9445111/8f5576391065/40634_2022_525_Fig5_HTML.jpg

相似文献

1
Augmented reality-aided unicompartmental knee arthroplasty.增强现实辅助单髁膝关节置换术
J Exp Orthop. 2022 Sep 5;9(1):88. doi: 10.1186/s40634-022-00525-4.
2
Augmented reality-based navigation system applied to tibial bone resection in total knee arthroplasty.基于增强现实的导航系统在全膝关节置换术中胫骨截骨的应用。
J Exp Orthop. 2019 Nov 11;6(1):44. doi: 10.1186/s40634-019-0212-6.
3
Improved implant alignment accuracy with an accelerometer-based portable navigation system in medial unicompartmental knee arthroplasty.基于加速度计的便携式导航系统在膝关节单髁置换术中提高了植入物的对线准确性。
Knee Surg Sports Traumatol Arthrosc. 2020 Sep;28(9):2917-2923. doi: 10.1007/s00167-019-05669-y. Epub 2019 Aug 26.
4
The use of augmented reality for limb and component alignment in total knee arthroplasty: systematic review of the literature and clinical pilot study.全膝关节置换术中使用增强现实技术进行肢体和假体组件对线：文献系统综述及临床初步研究
J Exp Orthop. 2021 Jul 21;8(1):52. doi: 10.1186/s40634-021-00374-7.
5
Optimization of sagittal and coronal planes with robotic-assisted unicompartmental knee arthroplasty.机器人辅助单髁膝关节置换术中矢状面和冠状面的优化
Knee. 2017 Aug;24(4):837-843. doi: 10.1016/j.knee.2017.05.002. Epub 2017 Jun 1.
6
Augmented Reality Navigation Can Achieve Accurate Coronal Component Alignment During Total Knee Arthroplasty.在全膝关节置换术中，增强现实导航可实现精确的冠状面组件对齐。
Cureus. 2023 Feb 3;15(2):e34607. doi: 10.7759/cureus.34607. eCollection 2023 Feb.
7
An Experienced Surgeon Can Meet or Exceed Robotic Accuracy in Manual Unicompartmental Knee Arthroplasty.经验丰富的外科医生在手动单髁膝关节置换术中可以达到或超过机器人的准确性。
J Bone Joint Surg Am. 2019 Aug 21;101(16):1479-1484. doi: 10.2106/JBJS.18.00906.
8
Twice cutting method reduces tibial cutting error in unicompartmental knee arthroplasty.两次截骨法减少单髁膝关节置换术中胫骨截骨误差。
Knee. 2016 Jan;23(1):173-6. doi: 10.1016/j.knee.2014.11.015. Epub 2014 Dec 7.
9
Augmented Reality-Assisted Femoral Bone Resection in Total Knee Arthroplasty.全膝关节置换术中增强现实辅助股骨截骨术
JB JS Open Access. 2021 Jul 23;6(3). doi: 10.2106/JBJS.OA.21.00001. eCollection 2021 Jul-Sep.
10
Accuracy of tibial component placement in unicompartmental knee arthroplasty performed using an accelerometer-based portable navigation system.使用基于加速度计的便携式导航系统进行单髁膝关节置换术中胫骨组件放置的准确性。
Knee Surg Sports Traumatol Arthrosc. 2020 Dec;28(12):3733-3739. doi: 10.1007/s00167-019-05752-4. Epub 2019 Oct 25.

引用本文的文献

1
Evaluating Augmented Reality Head-Mounted Devices in Healthcare: A Review of Hardware, Software, and Usability Approaches.评估医疗保健领域的增强现实头戴式设备：硬件、软件及可用性方法综述
Med Devices (Auckl). 2025 Aug 22;18:427-445. doi: 10.2147/MDER.S541187. eCollection 2025.
2
Total Knee Arthroplasty With Robotic and Augmented Reality Guidance: A Hierarchical Task Analysis.机器人与增强现实引导下的全膝关节置换术：层次任务分析
Arthroplast Today. 2024 Jun 27;27:101389. doi: 10.1016/j.artd.2024.101389. eCollection 2024 Jun.
3
The application of extended reality technology-assisted intraoperative navigation in orthopedic surgery.

本文引用的文献

1
Augmented Reality- vs Accelerometer-Based Portable Navigation System to Improve the Accuracy of Acetabular Cup Placement During Total Hip Arthroplasty in the Lateral Decubitus Position.增强现实与基于加速度计的便携式导航系统在侧卧位全髋关节置换术中提高髋臼杯放置精度的比较。
J Arthroplasty. 2022 Mar;37(3):488-494. doi: 10.1016/j.arth.2021.11.004. Epub 2021 Nov 8.
2
A novel augmented reality-based surgical guidance system for total knee arthroplasty.一种新型基于增强现实的全膝关节置换手术导航系统。
Arch Orthop Trauma Surg. 2021 Dec;141(12):2227-2233. doi: 10.1007/s00402-021-04204-4. Epub 2021 Oct 26.
3
Augmented Reality-Assisted Femoral Bone Resection in Total Knee Arthroplasty.
扩展现实技术辅助术中导航在骨科手术中的应用
Front Surg. 2024 Feb 5;11:1336703. doi: 10.3389/fsurg.2024.1336703. eCollection 2024.
4
The Accuracy and Absolute Reliability of a Knee Surgery Assistance System Based on ArUco-Type Sensors.基于 ArUco 类型传感器的膝关节手术辅助系统的准确性和绝对可靠性。
Sensors (Basel). 2023 Sep 26;23(19):8091. doi: 10.3390/s23198091.
5
[Innovative image-based planning in musculoskeletal surgery].[肌肉骨骼手术中基于图像的创新规划]
Orthopadie (Heidelb). 2023 Jul;52(7):532-538. doi: 10.1007/s00132-023-04393-3. Epub 2023 Jun 7.
全膝关节置换术中增强现实辅助股骨截骨术
JB JS Open Access. 2021 Jul 23;6(3). doi: 10.2106/JBJS.OA.21.00001. eCollection 2021 Jul-Sep.
4
The use of augmented reality for limb and component alignment in total knee arthroplasty: systematic review of the literature and clinical pilot study.全膝关节置换术中使用增强现实技术进行肢体和假体组件对线：文献系统综述及临床初步研究
J Exp Orthop. 2021 Jul 21;8(1):52. doi: 10.1186/s40634-021-00374-7.
5
Tibial cutting guide (resector) holding pins position and subsequent risks of periprosthetic fracture in unicompartmental knee arthroplasty: a finite element analysis study.胫骨截骨导向器（骨锯）固定销的位置与单髁膝关节置换术后假体周围骨折的后续风险：有限元分析研究。
J Orthop Surg Res. 2021 Mar 22;16(1):205. doi: 10.1186/s13018-021-02308-6.
6
Usefulness of an Accelerometer-Based Portable Navigation System for Total Knee Arthroplasty: A Multicenter Prospective Randomized Controlled Trial.基于加速度计的便携式导航系统在全膝关节置换术中的应用：一项多中心前瞻性随机对照试验。
J Bone Joint Surg Am. 2020 Nov 18;102(22):1993-2000. doi: 10.2106/JBJS.20.00387.
7
Does An Augmented Reality-based Portable Navigation System Improve the Accuracy of Acetabular Component Orientation During THA? A Randomized Controlled Trial.基于增强现实技术的便携式导航系统是否能提高全髋关节置换术中髋臼组件方位的准确性？一项随机对照试验。
Clin Orthop Relat Res. 2020 May;478(5):935-943. doi: 10.1097/CORR.0000000000001083.
8
Augmented reality in orthopaedics: a systematic review and a window on future possibilities.增强现实技术在骨科领域的应用：系统评价及未来展望。
Bone Joint J. 2019 Dec;101-B(12):1479-1488. doi: 10.1302/0301-620X.101B12.BJJ-2019-0315.R1.
9
Augmented reality-based navigation system applied to tibial bone resection in total knee arthroplasty.基于增强现实的导航系统在全膝关节置换术中胫骨截骨的应用。
J Exp Orthop. 2019 Nov 11;6(1):44. doi: 10.1186/s40634-019-0212-6.
10
Improved implant alignment accuracy with an accelerometer-based portable navigation system in medial unicompartmental knee arthroplasty.基于加速度计的便携式导航系统在膝关节单髁置换术中提高了植入物的对线准确性。
Knee Surg Sports Traumatol Arthrosc. 2020 Sep;28(9):2917-2923. doi: 10.1007/s00167-019-05669-y. Epub 2019 Aug 26.