ORIGINAL RESEARCH article
Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1638525
This article is part of the Research TopicExploring XR Technologies for Joint Surgery: Innovations and Clinical ApplicationsView all 3 articles
Surgical Efficacy of Open Reduction and Internal Fixation by HoloSight Assistance in the Treatment of Eyres Type IV and V Coracoid Process Fracture
Provisionally accepted
- 1Norinco General Hospital, Xi’an, China
- 2Norinco General Hospit, Xi'an, China
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Background: Coracoid process fracture, as a special type of scapular injury, has always been controversial in terms of treatment planning. Eyres Type IV and V fractures, involving important structures such as the glenoid cavity, pose challenges in traditional surgical treatment. It explored the surgical efficacy of open reduction and internal fixation assisted by HoloSight (a minimally invasive intelligent visualization system) for Eyres Type IV and V coracoid process fracture.This study was a proof-of-concept investigation aimed at exploring the feasibility of the HoloSight navigation system, rather than demonstrating universal efficacy. Methods: A prospective study method was employed, and open reduction and internal fixation surgery assisted by the HoloSight navigation system was performed on patients with coracoid process fracture. The quality of reduction and functional recovery were evaluated. All surgeries were performed by the same team of surgeons with over 10 years of experience in shoulder joint surgery. Results: The median operative time was 120 min (interquartile range (IQR): 105-135 min), with a median of 6 fluoroscopic exposures (IQR: 4-8). At the 6-month follow-up, the fracture gap decreased from a preoperative median of 6.2 mm (IQR: 4.4-8.0 mm) to 0.5 mm (IQR: 0.3-0.7 mm). The Constant-Murley score improved from a median of 32 points (IQR: 27-37 points) to 84 points (IQR: 78-90 points), while the DASH score improved from a median of 85 points (IQR: 79-91 points) to 80 points (IQR: 72-88 points). Anatomical reduction was achieved in all cases. Conclusion: The HoloSight navigation system markedly improves the precision and safety of treatment for complex coracoid process fracture, achieving reliable anatomical reduction and functional reconstruction. This technology offers the advantages of minimal invasiveness and rapid recovery.
Keywords: HoloSight, Coracoid process fracture, Open reduction and internal fixation, Constant-Murley score, Surgical time
Received: 30 May 2025; Accepted: 05 Aug 2025.
Copyright: © 2025 Zhao, Yu, An, Wang, Shi, Yang and Cao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Linglong Zhao, Norinco General Hospital, Xi’an, China
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