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Applicability of augmented reality in orthopedic surgery – A systematic review

机译:矫形外科手术中的增强现实的适用性 - 系统审查

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Computer-assisted solutions are changing surgical practice continuously. One of the most disruptive technologies among the computer-integrated surgical techniques is Augmented Reality (AR). While Augmented Reality is increasingly used in several medical specialties, its potential benefit in orthopedic surgery is not yet clear. The purpose of this article is to provide a systematic review of the current state of knowledge and the applicability of AR in orthopedic surgery. A systematic review of the current literature was performed to find the state of knowledge and applicability of AR in Orthopedic surgery. A systematic search of the following three databases was performed: “PubMed”, “Cochrane Library” and “Web of Science”. The systematic review followed the Preferred Reporting Items on Systematic Reviews and Meta-analysis (PRISMA) guidelines and it has been published and registered in the international prospective register of systematic reviews (PROSPERO). 31 studies and reports are included and classified into the following categories: Instrument / Implant Placement, Osteotomies, Tumor Surgery, Trauma, and Surgical Training and Education. Quality assessment could be performed in 18 studies. Among the clinical studies, there were six case series with an average score of 90% and one case report, which scored 81% according to the Joanna Briggs Institute Critical Appraisal Checklist (JBI CAC). The 11 cadaveric studies scored 81% according to the QUACS scale (Quality Appraisal for Cadaveric Studies). This manuscript provides 1) a summary of the current state of knowledge and research of Augmented Reality in orthopedic surgery presented in the literature, and 2) a discussion by the authors presenting the key remarks required for seamless integration of Augmented Reality in the future surgical practice. PROSPERO registration number: CRD42019128569.
机译:计算机辅助解决方案不断变化手术实践。计算机集成的手术技术中最具破坏性技术之一是增强现实(AR)。虽然增强现实越来越多地用于若干医学特色,但其在整形外科手术中的潜在益处尚不清楚。本文的目的是提供对当前知识状态和骨科手术中AR的适用性的系统审查。对当前文献进行了系统审查,以找到骨科手术中AR的知识和适用性。对以下三个数据库进行了系统搜索:“Pubmed”,“Cochrane Library”和“科学网络”。系统审查遵循了关于系统评价和荟萃分析(PRISMA)指南的首选报告项目,并已在国际系统性评论(Prospero)的国际潜在登记册中公布和注册。 31项研究和报告包括并分类为以下几类:仪器/植入物放置,截骨,肿瘤手术,创伤和外科培训和教育。质量评估可以在18项研究中进行。在临床研究中,六个案例系列平均得分为90%和一个病例报告,根据乔安娜布里格斯研究所的关键评估清单(JBI CAC)评分为81%。根据QUACS规模(尸体研究质量评估),11项尸体研究评分为81%。本手稿提供了1)本文在文献中展示的骨科手术中增强现实的现状和研究摘要,以及作者提出了在未来外科实践中无缝集成的关键评论所需的关键评论。 Prospero注册号:CRD42019128569。

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