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The Effectiveness of Three-Dimensional Planning and Augmented Reality Navigation-Assisted Total Hip Arthroplasty: A Systematic Review and Meta-Analysis

Background: Three-Dimensional (3D) Planning and Augmented reality (AR) navigation technology for various types of surgery has become common practice in the operating room. This study set out to examine the accuracy and safety of AR navigation assisted technology in Total Hip Arthroplasty (THA) compared to conventional technique. Methods: Our search was performed in the following online databases: PubMed, Embase, the Cochrane Library, Web of Science and CNKI (published between Jan 1, 2010, and Jan 1, 2023; no language restrictions). The study quality was independently evaluated by the consensus of two independent reviewers, and all statistical analysis was performed using STATA 16.0 (Stata Corp LLC, College Station, Texas, USA). The primary outcomes extracted from articles that met the selection criteria were expressed as odds ratios for dichotomous outcomes with a 95% confidence interval. Data regarding the first author, publication year, country, patient numbers, age, sex, and BMI of patients, study type, and other outcomes of interest were reported. Results: Seven randomized controlled trials (RCTs) and one retrospective comparative study (RCS) involving 422 patients were included in this meta-analysis. The meta-analysis showed that THA using 3D navigation assisted technology had shorter surgical time, higher accuracy of surgery, lower intraoperative blood loss, and fewer complications compared to conventional techniques. Conclusion: Considering the overall results of our meta‑analysis, we can corroborates the accuracy and safety of AR navigation technology assisted THA.

Augmented Reality, Meta-Analysis, Total Hip Arthroplasty, Three-Dimensional, Surgery Navigation

APA Style

Huiyang Kong, Shuyi Wang, Hua Xing. (2023). The Effectiveness of Three-Dimensional Planning and Augmented Reality Navigation-Assisted Total Hip Arthroplasty: A Systematic Review and Meta-Analysis. International Journal of Biomedical Engineering and Clinical Science, 9(3), 47-55.

ACS Style

Huiyang Kong; Shuyi Wang; Hua Xing. The Effectiveness of Three-Dimensional Planning and Augmented Reality Navigation-Assisted Total Hip Arthroplasty: A Systematic Review and Meta-Analysis. Int. J. Biomed. Eng. Clin. Sci. 2023, 9(3), 47-55. doi: 10.11648/j.ijbecs.20230903.13

AMA Style

Huiyang Kong, Shuyi Wang, Hua Xing. The Effectiveness of Three-Dimensional Planning and Augmented Reality Navigation-Assisted Total Hip Arthroplasty: A Systematic Review and Meta-Analysis. Int J Biomed Eng Clin Sci. 2023;9(3):47-55. doi: 10.11648/j.ijbecs.20230903.13

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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