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Orthopedic surgery assisted by mixed reality technology: systematic review.

Lucia Salazar Carrasco1, Juan A Sánchez-Margallo1, Francisco M Sánchez-Margallo2

  • 1Bioengineering and Health Technologies Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.

Frontiers in Surgery
|April 10, 2026
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Summary

Mixed Reality (MR) enhances orthopedic surgery training and patient treatment through improved visualization and precision. This technology offers innovative, personalized surgical planning and safer interventions for better patient outcomes.

Keywords:
MR-assisted surgeryextended realitymixed realityorthopedic surgerysurgical planner

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Area of Science:

  • * Medical Technology
  • * Surgical Innovation
  • * Digital Health

Background:

  • * Mixed Reality (MR) offers innovative tools for healthcare training, diagnosis, and treatment.
  • * MR enables professionals to practice surgical procedures in a controlled, risk-free environment, enhancing skills and reducing errors.
  • * MR aids in detailed visualization of bone structures and tissues for precise surgical planning.

Purpose of the Study:

  • * To systematically review and synthesize relevant studies on the application of Mixed Reality in orthopedic surgery.
  • * To evaluate the impact of MR on surgical training, planning, and patient outcomes.
  • * To identify current trends and future potential of MR in orthopedic surgery.

Main Methods:

  • * A systematic review was conducted using keywords: "Extended Reality", "Mixed Reality", "Orthopedic Surgery", and "Surgical Planner".
  • * Databases searched included PubMed and Web of Science over the last 10 years.
  • * Studies were included based on specific criteria, excluding non-MR applications, other surgical fields, and review articles.

Main Results:

  • * Mixed Reality (MR) has opened new possibilities in orthopedic surgery, transforming professional training and surgical interventions.
  • * MR provides a more interactive and personalized option for patients, improving skill and reducing error margins.
  • * The technology offers undeniable benefits in precision, personalization, and efficiency in surgical procedures.

Conclusions:

  • * Mixed Reality (MR) is significantly impacting orthopedic surgery by enhancing training and improving patient care.
  • * Despite implementation challenges, MR's benefits in precision and efficiency are evident.
  • * Continued evolution of MR technology is expected to further improve surgical safety and patient outcomes in the future.