Usefulness of a head mounted monitor device for viewing intraoperative fluoroscopy during orthopaedic procedures

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Abstract
We report our case series involving the use of a MicroOptical™ (MicroOptical™ Corporation, Westwood, MA, USA) head mounted, computer display monitor during orthopaedic procedures such as open reduction and internal fracture fixations and spinal pedicle screw placement. Since the MicroOptical™ viewer does not fully obstruct the surgeon’s direct vision, he/she may continue to operate and focus on the operative field while viewing the MicroOptical™ image. Our first 50 clinical applications demonstrate that when viewing the MicroOptical® monitor there is a significant reduction in the total number of times the surgeon left the attention of the operative field and/or may have been exposed to fluoroscopy radiation by unprotected body turn exposure. In addition, the MicroOptical® viewer did not cause any surgical field viewing obstruction during surgical procedures and there was not a difference in reported surgeon eye fatigue when comparing the MicroOptical® viewer to standard fluoroscopy.