Hiranaka T, Fujishiro T, Hida Y, Shibata Y, Tsubosaka M, Nakanishi Y, Okimura K, Uemoto H. Augmented reality: The use of the PicoLinker smart glasses improves wire insertion under fluoroscopy. World J Orthop 2017; 8(12): 891-894 [PMID: 29312847 DOI: 10.5312/wjo.v8.i12.891]
Corresponding Author of This Article
Takafumi Hiranaka, MD, PhD, Department of Orthopaedic Surgery and Joint Surgery Center, Takatsuki General Hospital, 1-3-13 Kosobe, Takatsuki, Osaka 569-1115, Japan. takafumi.hiranaka@gmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Basic Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Takafumi Hiranaka, Takaaki Fujishiro, Yuichi Hida, Yosaku Shibata, Masanori Tsubosaka, Yuta Nakanishi, Kenjiro Okimura, Harunobu Uemoto, Department of Orthopaedic Surgery and Joint Surgery Center, Takatsuki General Hospital, Osaka 569-1115, Japan
Author contributions: Hiranaka T substantially contributed to the conception and design of the study, and acquisition, analysis and interpretation of data; all authors drafted the article and made critical revisions related to the intellectual content of the manuscript, and approved the final version of the article to be published.
Institutional review board statement: This study was approved by the Institutional Review Board of Takatsuki General Hospital.
Conflict-of-interest statement: All of the authors have no conflict of interests to declare.
Data sharing statement: The data from this study are available from the corresponding author upon request.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Takafumi Hiranaka, MD, PhD, Department of Orthopaedic Surgery and Joint Surgery Center, Takatsuki General Hospital, 1-3-13 Kosobe, Takatsuki, Osaka 569-1115, Japan. takafumi.hiranaka@gmail.com
Telephone: +81-72-6813801 Fax: +81-72-6813834
Received: November 15, 2016 Peer-review started: November 18, 2016 First decision: February 17, 2017 Revised: March 29, 2017 Accepted: April 18, 2017 Article in press: April 19, 2017 Published online: December 18, 2017
Abstract
AIM
To demonstrate the feasibility of the wearable smart glasses, PicoLinker, in guide wire insertion under fluoroscopic guidance.
METHODS
Under a fluoroscope, a surgeon inserted 3 mm guide wires into plastic femurs from the lateral cortex to the femoral head center while the surgeon did or did not wear PicoLinker, which are wearable smart glasses where the fluoroscopic video was displayed (10 guide wires each).
RESULTS
The tip apex distance, radiation exposure time and total insertion time were significantly shorter while wearing the PicoLinker smart glasses.
CONCLUSION
This study indicated that the PicoLinker smart glasses can improve accuracy, reduce radiation exposure time, and reduce total insertion time. This is due to the fact that the PicoLinker smart glasses enable surgeons to keep their eyes on the operation field.
Core tip: Smart glasses are a kind of wearable device that has a head-mounted monitor enabling augmented reality. The fluoroscopic video was displayed on the head-mounted monitor of the smart glasses, PicoLinker. A surgeon was asked to insert 3 mm guide wires into plastic femoral bones under fluoroscopic control while wearing the PicoLinker smart glasses or by viewing the conventional fluoroscope monitor. Total insertion time, radiation exposure time and tip apex distance were shorter while wearing the PicoLinker smart glasses than while viewing the conventional monitor. Smart glasses are an innovative device that enables surgeons to keep their eyes on the operation field during procedures carried out under fluoroscopic control.
