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Wearable Technology in Orthopaedic Surgery: Applications and Future Directions
Alexander W Iwasyk1,2,3, Sia S Gaur4, Alyssa Federico1,2,3,5
1Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
JBJS Reviews
|July 18, 2025
Summary
Wearable technologies offer continuous, objective data for physical function and recovery tracking in orthopaedic surgery. These devices enhance patient education and communication, improving outcomes, though data privacy and workflow integration remain challenges.
Area of Science:
- Orthopaedic Surgery
- Digital Health
- Biomedical Engineering
Background:
- Wearable technologies (wearables) provide continuous, real-time, objective data on physical function, health behaviors, and patient perceptions.
- Sensors like accelerometers and inertial measurement units are key components of wearables, enabling detailed tracking.
- Wearables can monitor mobility metrics (step count, activity duration, joint range of motion) for longitudinal recovery insights.
Purpose of the Study:
- To explore the role and impact of wearable technologies in orthopaedic surgery.
- To highlight the benefits of wearables for patient education, communication, and functional outcomes.
- To identify emerging technologies and implementation challenges in postoperative rehabilitation.
Main Methods:
- Utilizing data from smartphones, smartwatches, and sensors for continuous monitoring.
- Analyzing mobility metrics to assess recovery trajectories.
- Investigating the integration of smart implants and virtual/augmented reality systems.
Main Results:
- Wearables facilitate personalized patient education and improve patient-surgical team communication.
- Objective data collection leads to better functional outcomes and increased patient satisfaction.
- Emerging technologies like smart implants and VR/AR show promise for rehabilitation.
Conclusions:
- Wearable technologies are valuable tools in orthopaedic surgery for monitoring recovery and enhancing patient engagement.
- Successful implementation requires addressing challenges related to data privacy, accessibility, and clinical workflow integration.
- Future directions include leveraging smart implants and immersive technologies for improved postoperative care.

