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Related Experiment Video

Updated: Oct 4, 2025

Author Spotlight: Revolutionizing Remote Surgery with Augmented Reality and Robotics for Enhanced Precision and Accessibility
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Augmented-reality telementoring for leg fasciotomy: a proof-of-concept study.

John McPherson1,2, C Kennedy1,3, G Slobogean1,4

  • 1Royal Canadian Medical Service, Canadian Armed Forces, Ottawa, Ontario, Canada.

BMJ Military Health
|February 8, 2022
PubMed
Summary

Telementoring enabled military clinicians to successfully perform leg fasciotomies in synthetic models, demonstrating a viable solution for prolonged field care when surgical evacuation is delayed.

Keywords:
orthopaedic & trauma surgerytelemedicinetrauma management

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Area of Science:

  • Medical Technology
  • Surgical Procedures
  • Remote Healthcare

Background:

  • Prolonged field care presents challenges for treating extremity compartment syndrome due to delayed evacuation.
  • No established treatment options exist for compartment syndrome in remote settings.
  • Telementoring offers a potential solution for local clinicians to perform necessary surgical interventions.

Purpose of the Study:

  • To evaluate the feasibility of telementoring for performing leg fasciotomies in a simulated prolonged field care scenario.
  • To assess the effectiveness of augmented reality smartglasses in guiding remote surgical procedures.

Main Methods:

  • Six military physician assistants performed two-incision leg fasciotomies on synthetic models.
  • An orthopaedic surgeon provided remote guidance using smartglasses with augmented reality graphics.
  • Specimens were evaluated by blinded surgeons, with control specimens included.

Main Results:

  • All six procedures were completed successfully without major errors, achieving full release of all four compartments.
  • The average procedure time was 53 minutes; the only complication was a saphenous vein laceration.
  • Participants reported no adverse effects from smartglasses, despite occasional dropped calls due to bandwidth issues.

Conclusions:

  • Telementoring is a feasible method for conducting leg fasciotomies in prolonged field care settings.
  • Addressing technical issues like bandwidth and improving communication protocols are crucial for future implementation.
  • Further research should focus on training protocols for both operators and mentoring surgeons.