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Updated: Jul 4, 2026

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

High-throughput operating room system for joint arthroplasties durably outperforms routine processes.

Michael P Smith¹, Warren S Sandberg, Joseph Foss

¹Department of General Anesthesiology, Cleveland Clinic, Cleveland, Ohio 44195, USA.

|June 27, 2008

Summary

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Implementing a parallel processing strategy for joint replacements significantly increased operating room (OR) throughput and reduced nonoperative time. This high-throughput system sustainably improved efficiency and financial performance in orthopedic surgery.

Area of Science:

Orthopedic Surgery
Healthcare Management
Surgical Workflow Optimization

Background:

Growing demand for increased operating room (OR) throughput without extending total OR time.
Need for efficient strategies in joint arthroplasty procedures.

Purpose of the Study:

To evaluate a parallel processing strategy for lower extremity joint arthroplasties.
To determine if this strategy sustainably reduces nonoperative time and increases OR throughput.

Main Methods:

Implemented a high-throughput parallel processing strategy involving neuraxial anesthesia in an induction room, patient selection, and dedicated support staff.
Utilized administrative databases for data extraction and statistical process control for performance evaluation.

Related Experiment Videos

Last Updated: Jul 4, 2026

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

Main Results:

Increased throughput from 2.6 to 3.4 arthroplasties per day per room.
Reduced nonoperative time by 50% (36 min) and operative time by 12% (14 min) per case.
Sustained improvements in efficiency and a 19.6% increase in contribution margin over two years.

Conclusions:

Reorganization of the perioperative workflow for total joint replacements sustainably enhances OR throughput.
The high-throughput system demonstrates improved financial performance for joint arthroplasties.