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Orthopedics: What is the evidence for HoloLens in surgical planning?

7 Orthopedics studies in the library address this question.

Orthopedics: HoloLensBar chart. Orthopedics: HoloLens. Comparative or prospective studies 2, Surveys and user studies 3, Case reports & technical 2.RESEARCH LIBRARY · INDEPENDENT LITERATURE REVIEWOrthopedics: HoloLens7 studies in the library, by study designComparative or prospecti…2Surveys and user studies3Case reports & technical2StudiesRealize Medical Research Library · 631 studies · updated 2026-10-03

What the studies report

  • “Mixed Reality (MR) improved interobserver agreement in preoperative planning for tibial plateau fractures, particularly for surgical approach selection and patient positioning.”

    Dust 2026 · Comparative study · n: 22 cases

  • “Diagnostic confidence for AO/OTA differed significantly between modalities (p = 0.045), with the highest values observed for 3DP (76%) and MR (58%) compared to CT (47%).”

    Dust 2025 · Validation study · n: 22 cases

  • “All subjects strongly agreed that MR can be used effectively for surgical training, whereas 10 (90.9%) strongly agreed that it can be used effectively for preoperative planning.”

    Moglia 2024 · Survey/user study

  • “In addition, the intended patient positioning changed in 16.1% of the cases, the surgical approach in 33.9% and osteosynthesis in 39.3%.”

    Bitschi 2023 · Survey/user study · n: 3 cases

How strong is the evidence?

Study designs: 2 comparative or prospective studies, 3 surveys and user studies and 2 case reports, case series and technical reports.

All 7 studies

Mixed reality improves agreement on surgical approach selection and patient positioning in tibial plateau fracture planning compared to CT, 3DCT and 3D printing #

Dust T et al. · European journal of trauma and emergency surgery · 2026

Orthopedics · Comparative study · n: 22 cases

“Mixed Reality (MR) improved interobserver agreement in preoperative planning for tibial plateau fractures, particularly for surgical approach selection and patient positioning.”

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Mixed reality enhances interobserver reliability in tibial plateau fracture classification compared to computed tomography, 3D computed tomography and 3D printing #

Dust T et al. · Journal of experimental orthopaedics · 2025

Orthopedics · Validation study · n: 22 cases

“Diagnostic confidence for AO/OTA differed significantly between modalities (p = 0.045), with the highest values observed for 3DP (76%) and MR (58%) compared to CT (47%).”

p = 0.045

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Mixed Reality and Artificial Intelligence: A Holistic Approach to Multimodal Visualization and Extended Interaction in Knee Osteotomy #

Moglia A et al. · IEEE journal of translational engineering in health and medicine · 2024

Orthopedics · Survey/user study

“All subjects strongly agreed that MR can be used effectively for surgical training, whereas 10 (90.9%) strongly agreed that it can be used effectively for preoperative planning.”

90.9%

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Preoperative Mixed-Reality Visualization of Complex Tibial Plateau Fractures and Its Benefit Compared to CT and 3D Printing #

Bitschi D et al. · Journal of clinical medicine · 2023

Orthopedics · Survey/user study · n: 3 cases

“In addition, the intended patient positioning changed in 16.1% of the cases, the surgical approach in 33.9% and osteosynthesis in 39.3%.”

33.9%

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Applications of Mixed Reality Technology in Orthopedics Surgery: A Pilot Study #

Lu L et al. · Frontiers in bioengineering and biotechnology · 2022

Orthopedics · Survey/user study

“Analysis of the Likert-scale questionnaire shows that MR adds significant value to understanding and communication, spatial awareness, learning and effectiveness.”

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Mixed reality infrastructure based on deep learning medical image segmentation and 3D visualization for bone tumors using DCU-Net #

Wang K et al. · Journal of bone oncology · 2025

Orthopedics · Technical development

“Furthermore, LS showed that clinicians in the DCU-Net-based MR group had better spatial awareness of tumor preoperative planning.”

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Mixed Reality Improves 3D Visualization and Spatial Awareness of Bone Tumors for Surgical Planning in Orthopaedic Oncology: A Proof of Concept Study #

Wong KC et al. · Orthopedic research and reviews · 2023

Orthopedics · Feasibility study · n: 9 patients

“The qualitative survey of the LS questionnaire suggested that the MR group had superior spatial awareness of tumors and was considered more effective as a preoperative planning tool than the conventional group.”

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Summarises published research on VR/AR surgical planning across all platforms. Not product labelling. For Elucis indications see /elucis.

Intended for healthcare professionals.

Summaries and quotes describe each study's methods and the findings its authors report. They are not claims by Realize Medical and may contain errors: please read the original paper. Inclusion is not an endorsement of any product or use.