Published online Dec 18, 2017. doi: 10.5312/wjo.v8.i12.891
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
Processing time: 397 Days and 12.9 Hours
To demonstrate the feasibility of the wearable smart glasses, PicoLinker, in guide wire insertion under fluoroscopic guidance.
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).
The tip apex distance, radiation exposure time and total insertion time were significantly shorter while wearing the PicoLinker smart glasses.
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.