August 16, 2023/London

Cleveland Clinic London Patient Receives London’s First Total Knee Replacement Surgery Assisted by Augmented Reality

Augmented reality provides personalized approach to joint replacement procedure

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The advanced surgical platform for total knee replacement assists the surgeon with pre-operative planning and equips the operating team with the tools to provide a more personalized approach to patient care.

LONDON: Cleveland Clinic London is the first hospital in London to successfully perform a total knee replacement procedure with the assistance of an augmented reality-based surgical platform that was designed with artificial intelligence and machine learning.

Mr Panagiotis Gikas, consultant orthopaedic hip and knee surgeon, led the surgical team during the procedure on July 18. Following the procedure to treat knee pain caused by osteoarthritis, the patient is doing well.

Total knee replacement is the most common type of knee replacement. Arthritis is the most common condition that causes debilitating musculoskeletal pain. Total knee replacement is a successful treatment for advanced knee arthritis that treats the pain and restores function. In recent years, augmented reality (AR) has become increasingly beneficial in orthopaedic surgery, with significant advantages that equip the operating team with the tools to provide a more personalized approach to patient care.

Mr Panagiotis Gikas

“Augmented reality gives a visualization of the joint that is more dynamic as it is three-dimensional (3D),” said Dr Gikas. “The advanced technology helps with planning the procedure and allows for the best positioning of the implant for each patient during the procedure. The end-result is tailored to the unique anatomy and specific needs of each patient.”

Prior to the procedure, Dr Gikas used advanced imaging software to visualise the patient’s knee joint in 3D and determine the ideal implant positioning for this patient, based on their specific anatomy. The virtual 3D model of the patient’s knee helps the surgical team evaluate damaged bone and cartilage so they can plan for the surgery and the optimal placement for the implant.

During the procedure, the physician wears a pair of augmented reality glasses to view the patient’s specific knee anatomy in 3D. Two small sensors are attached to the patient’s leg to provide real-time soft tissue feedback, such as the tension of the ligaments. The AR-based platform enables the surgical team to easily adjust, better visualize and determine the proper placement of the implant given the patient’s specific anatomy, which is key to a successful knee replacement procedure.

During the procedure, the physician wears a pair of augmented reality glasses to view the patient’s specific knee anatomy in 3D.

As a leader in medical innovation, Cleveland Clinic has used augmented reality technology in joint replacement procedures at its main campus in Cleveland, Ohio, especially with shoulder arthroplasty surgery.

Augmented reality is being adapted by Cleveland Clinic research scientists and physicians for use in a wide array of clinical applications, including aortic aneurysm treatment. Cleveland Clinic used augmented reality technology during an extremely complex total face transplant surgery in 2017. AR was also incorporated into liver cancer treatment at Cleveland Clinic.

Cleveland Clinic London is committed to providing patients with an unparalleled care experience that is empathetic, innovative, and based on research and education. As part of this mission, the organisation continuously assesses how advanced medical technologies, such as augmented reality, can enhance Cleveland Clinic London’s ability to provide patients with better treatment outcomes.

Cleveland Clinic London welcomes bookings from eligible members covered through all major domestic and international insurers, self-pay, and embassy-sponsored patients. A full list of Cleveland Clinic London services and specialities is available on our website.

To book an appointment, patients can fill out the Request an Appointment form online or contact the Call Centre at +44 (0)20 3423 7500. Hours: Monday-Friday, 7:30 a.m. to 8:00 p.m. BST and Saturday, 7:30 a.m. to 3:00 p.m. BST. Patients located outside of the U.K. call +44 (0)20 3423 8000.

About Cleveland Clinic

Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. Cleveland Clinic is consistently recognized in the U.S. and throughout the world for its expertise and care. Among Cleveland Clinic’s 77,000 employees worldwide are more than 5,658 salaried physicians and researchers, and 19,000 registered nurses and advanced practice providers, representing 140 medical specialties and subspecialties. Cleveland Clinic is a 6,699-bed health system that includes a 173-acre main campus near downtown Cleveland, 23 hospitals, more than 275 outpatient facilities, including locations in northeast Ohio; southeast Florida; Las Vegas, Nevada; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2022, there were 12.8 million outpatient encounters, 303,000 hospital admissions and observations, and 270,000 surgeries and procedures throughout Cleveland Clinic’s health system. Patients came for treatment from every state and 185 countries. Visit us at Follow us at News and resources available at

Editor’s Note:Cleveland Clinic News Service is available to provide broadcast-quality interviews and B-roll upon request.

About Cleveland Clinic London

Cleveland Clinic London is the latest location in Cleveland Clinic’s expanding global footprint, allowing Cleveland Clinic to extend its model of care to more patients than ever. Cleveland Clinic London hospital opened on March 29, 2022. It has 184 inpatient beds, including 29 ICU beds; eight operating rooms; a full imaging suite; endoscopy and cardiac catheterization laboratories; day case rooms for surgery; and a full neurological suite with rehabilitation. In addition to comprehensive cardiovascular and thoracic services, it offers orthopedics, digestive diseases, urology, neurosciences, ear, nose and throat, general surgery, general practice, and executive health. Cleveland Clinic London consists of a hospital and an outpatient center. Cleveland Clinic Portland Place Outpatient Centre, a six-story, 28,000-square foot building at Portland Place, in the Harley Street Medical Area. Visit us at Follow us at News and resources available at 

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