Interpreting complex anatomic relationships using 2D images, such as CT and MRI scans, although difficult, has been standard practice around the world for decades. Today medical imaging is on the cusp of moving into it’s new era of three-dimensional (3D) visualisation using extended reality (XR). Recent clinical studies have shown that the potential benefits of using such technology to plan and carry out operations can not only help with preparation and training, but also decrease the length of surgery and shorten the recovery time of patients.

The opportunity

Our team has been looking for the right opportunity to pilot three-dimensional printing/imaging for some time. In November 2023, following a visit from our supplying partner, with support from the SWFT Research and Development team, we were able to raise the interest of some surgeons in our Orthopaedic Department. The idea was to trial this technology in an area of orthopaedic surgery where we have a consistent occurrence of elective cases.

What we are doing

The Digital Hub, with support from the SWFT Research and Development team, will be piloting the use of 3D clinical models to aid complex hip or knee replacement revision and periprosthetic fracture surgery. CT and MRI scans will be used to create 3D images which are viewed using a Microsoft Hololens or Meta Quest 3 headset. The use of the 3D images will be restricted to pre-operative templating and education initially, with the view of progressing them to intra-operative use at a later date.

The proof of concept will include collecting prospective data regarding the impact of the use of this technology on operating time, patient experience and outcomes, operator experience and surgical training.

The proof of concept is due to start late 2024.