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With advancements in computer vision, artificial intelligence, and other cutting-edge science and technologies, the focus of modern surgical technology has increasingly shifted towards intelligent, digital, minimally invasive, and precision approaches. Augmented reality (AR) technology and surgical robotics have emerged as significant research areas in total hip and knee replacement. Navigation systems, which are pivotal in both AR and robotic surgery, play a crucial role in guiding surgical operations using shared techniques. Recent developments in navigation systems for hip and knee replacement have focused on more natural, intelligent, and efficient methodologies. The use of AR and surgical robots for navigation has significantly enhanced the safety and accuracy of these procedures. Importantly, these technologies eliminate the need to implant positioning screws or other reference objects into the bone structure, thereby markedly reducing the risk of severe complications, such as lower limb pain and fractures. This study reviews the current applications, main challenges, and solutions associated with AR and surgical robot navigation systems for total hip and knee replacements.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12336157 | PMC |
http://dx.doi.org/10.3389/fsurg.2025.1591756 | DOI Listing |
Arch Orthop Trauma Surg
September 2025
Adult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Background: Differentiating periprosthetic joint infections (PJI) from aseptic failure is challenging in total joint arthroplasty. To date, there is no consensus about the most accurate criteria to diagnose PJI. The current study compares common diagnostic PJI criteria.
View Article and Find Full Text PDFKnee Surg Sports Traumatol Arthrosc
September 2025
Institute of Movement Sciences, Sainte-Marguerite Hospital, Aix-Marseille University, Marseille, France.
Purpose: This study aimed to evaluate the functional and radiological outcomes, complications and procedure survival in patients with posttraumatic tibial plateau deformities treated with unicondylar intra-articular tibial plateau osteotomy (UIATPO), comparing medial and lateral approaches.
Methods: A retrospective study was conducted on all patients with posttraumatic intra-articular tibial plateau deformities who underwent surgical correction at a single centre between 2016 and 2022, with a minimum follow-up of 24 months. Patient characteristics, radiological correction, patient-reported outcome measures (PROMs), including the Lysholm and knee injury and osteoarthritis outcome score (KOOS), and complications were recorded.
Knee Surg Sports Traumatol Arthrosc
September 2025
Orthopaedics Surgery and Sports Medicine Department, FIFA Medical Center of Excellence, Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon North University Hospital, Lyon, France.
Purpose: Robotic-assisted lateral unicompartmental knee arthroplasty (UKA) remains technically demanding due to the complex biomechanics of the lateral compartment. Image-based (IBRA) and imageless (ILRA) robotic systems have both demonstrated superior accuracy compared to conventional mechanical instrumentation, but have not yet been directly compared in lateral UKA. This study aimed to evaluate their respective accuracy and surgical efficiency.
View Article and Find Full Text PDFKnee Surg Sports Traumatol Arthrosc
September 2025
Department of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada.
Purpose: This analysis evaluated whether logistic regression and machine learning models could predict achievement of the minimal clinically important difference (MCID) for the International Hip Outcome Tool (iHOT-12) and Hip Outcome Score (HOS) at 6 and 12 months following hip arthroscopy.
Methods: Data from the multicenter Femoroacetabular Impingement RandomiSed controlled Trial and its embedded prospective cohort were used. A total of 309 patients (mean ± SD age 34.
Knee Surg Sports Traumatol Arthrosc
September 2025
University Clinic for Orthopedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland.
Kinematic alignment is increasingly adopted in total knee arthroplasty (TKA) as a patient-specific strategy to restore native joint anatomy. However, its reliance on static radiographic measurements may not adequately reflect real-world functional biomechanics. This editorial underscores the importance of complementing static assessment with kinetic principles.
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